Stakeholder Analysis And Use Case For Medigood National Health Insurance

Name

Roles

Attitudes

Authority

Power

Influence

Customer

User of the software system developed

Neutral

Accountable

High

High

Supplier

Provide materials required for the project completion

Interested

Informed

Low

High

Sponsor

Provide investment to the project team for doing the project

Highly Interested

Informed

High

High

End Users

Would utilize the developed project outcome

Neutral

Accountable

High

Low

Help Desk

Support and help for the progress of the project

Interested

Consulted

Low

Low

Regulators

Changes in the project would be modified

Uninterested

Responsible

Low

High

Executives

Would be responsible for taking effective key decisions in the project

Highly Interested

Accountable

High

High

Project team

Would have to carry out the operations of the project and form the achievement of the final deliverable

Interested

Responsible

Low

Low

Product Vision Document

Software Implementation in Medigood National Health Insurance

Version: 1.0

Date: 5/4/18

Introduction: The document is developed for listing the product characteristics and description that would be required for the completion of the project of software for data management in Medigood National Health Insurance.

Product overview: The implication of the software development for data analysis would be aligned for the implication of the effective management of the data along with the patient management system for Medigood National Health Insurance.

Product Features: The product developed would act as the effective management of the data implication management. The supply of the effective integration would result in forming the deployment of the successive management operations. The registering in the system would help in monitoring the online operations by the Telehealth technology. The use of Telehealth equipments would also be useful for the modification of the operations development. The completion of the consultation would result in generation of the payment for both specialist and family doctor.

Constraints: the qualifying patients must have appointment with the specialist

Documentation Required: System design documentation

User

User Story

Business Analyst

As a business analyst, I want the implication of the software tools so that the software would help in easing the business of the Medigood insurance

Customer

As a customer, I want the user manual for the software tool so that I would be able to utilize the system comfortably

Sponsor

As a sponsor, I want the detailed report of the cost expended so that I would be able to calculate the net profit from the project

Executives

As an executive, I want the proper implication of the products and services so that the organization would achieve smart profit from the system.

Project team

As a project team, I want the completion of the project so that the project team would get the benefit of final deliverable.

Use Case #0005101

Use Case Name:

Check if patient is applicable for insurance

Scenario:

The scenario has depicted the use of the information flow for knowing whether the patient would be applicable for the inclusion of the operation for the deployment of the effective operations. The scenario would show that the office administrator or family doctor would check if the patient who has applied for getting the Medigood is applicable for getting the support on medical insurance. The office administrator or family doctor would check if the patient is over 65, indigenous, and suffering chronic disease. The checking would be initiated from the submitted information and various health records.

Triggering Event:

Patient applying for Medigood Health Insurance and the existence of the information of the patient

Brief Description:

The office administrator or family doctor would be responsible for analysing and evaluating whether the patient who have applied for Medigood National Health Insurance is applicable for the getting the insurance. The office administrator or family doctor would check the credentials of the patients for the criteria of over 65, indigenous, and suffering chronic disease.

Actors:

Patient, office administrator or family doctor

Stakeholders:

Patient, Medigood National Health Insurance, office administrator or family doctor

Preconditions:

Patient had applied for the Medigood Insurance

Post conditions:

Patient would be either approved for getting Medigood Insurance or Rejected from getting Medigood Insurance

Flow of Activities:

Patient’s report à Office Administrator or Family Doctor à Health Database à Office Administrator or Family Doctor à Patient

Exception Conditions:

Patient would not be validated for getting the Medigood Insurance

Use Case #0005102

Use Case Name:

Search for suitable medical specialist

Scenario:

The scenario would depict the searching of a medical specialist by the office administrator or family doctor. The patient who have applied for the Medigood Health Insurance would be cross checked for the feasibility of the getting the approval of the insurance. The office administrator or family doctor would then check for any specialist for the patient.

Triggering Event:

Approval of the patient for getting Medigood and All criteria of over 65, indigenous, and suffering chronic disease are met.

Brief Description:

If the patient passes all these credentials, he or she would be approved for getting the insurance clearance. After approving the patient for getting the Medigood insurance, the office administrator or family doctor would check with the medical specialist consultation if they would be available for meeting and examining the patient. The specialist’s time table and appointment list would be evaluated for finding out the possible day for meeting with the patient.

Actors:

office administrator or family doctor

Stakeholders:

medical specialist, Medigood National Health Insurance, office administrator or family doctor

Preconditions:

Search for the appropriate medical specialist consultation would be initiated by the office administrator or family doctor

Post conditions:

Appropriate Medical Specialist Consultation would be founded for the patient

Flow of Activities:

Office administrator or family doctor à database of health records à record of medical specialist à office administrator or family doctor

Exception Conditions:

Patient would not be validated for getting the Medigood Insurance

Use Case #0005103

Use Case Name:

Meeting time is fixed and Patients consults with specialist

Scenario:

The scenario would depict office administrator or family doctor checking and going through the appointment list and time schedule of the specialist. The office administrator or family doctor would have to ensure that the approval of the patient for the Medigood would help in easing the patient by aligning a meeting between the specialist and patient.

Triggering Event:

Approval of the patient for getting Medigood and Specialist is available for the patient

Brief Description:

The specialist’s time table and appointment list would be evaluated for finding out the possible day for meeting with the patient. The specialist’s time table and appointment list would be evaluated for finding out the possible day for meeting with the patient. The office administrator or family doctor would ensure that a date feasible for both patient and specialist and convey the appropriate time table to both of them.

Actors:

office administrator or family doctor, medical specialist

Stakeholders:

Patient, Medigood National Health Insurance, office administrator or family doctor, medical specialist

Preconditions:

Appropriate Medical Specialist Consultation would be founded for the patient

Post conditions:

Scheduling of the time and date for meeting the patients and specialist would be narrowed down

Flow of Activities:

office administrator or family doctor à medical specialist à office administrator or family doctor

Exception Conditions:

medical specialist would deny the due to tight schedule for meeting the patient

Use Case #0005104

Use Case Name:

Apply for Medigoods Health Insurance

Scenario:

The scenario would depict the patient applying for getting the Medigood Insurance from the organization. The patient would go through a deal for submitting the application for getting the insurance along with the details of his or her medical history.

Triggering Event:

Inclusion of the Medigood Insurance by National Health Insurance and patient having prior information on the method of application for insurance

Brief Description:

The Medigood Insurance would be brought about by the National Health Insurance and it would allow the patients for getting medical insurance for the visit of the specialist doctor to them. The main criteria for the applying for Medigood insurance are the criteria of over 65, indigenous, and suffering chronic disease. The application would be dependent on the alignment of the effective operations.

Actors:

patient

Stakeholders:

Patient, Medigood National Health Insurance

Preconditions:

Patient would have knowledge for applying for the Medigood health insurance

Post conditions:

office administrator or family doctor would analyse and evaluate the credentials of the patient who have applied for Medigood Insurance

Flow of Activities:

Medigood

National Health Insurance à Patient à office administrator or family doctor

Exception Conditions:

Patient would have no knowledge for applying for the Medigood health insurance and hence he or she would not apply for it

Use Case #0005105

Use Case Name:

Check if specialist/patient is okay with meeting time

Scenario:

The office administrator or family doctor would have to check whether the date and time fixed for the meeting between the patient and specialist would be feasible for both of them. The specialist’s time table and appointment list would be evaluated for finding out the possible day for meeting with the patient.

Triggering Event:

medical specialist would be available for checking the patient and the patient had cleared the cross examination of the application

Brief Description:

After approving the patient for getting the Medigood insurance, the office administrator or family doctor would check with the medical specialist consultation if they would be available for meeting and examining the patient. The specialist’s time table and appointment list would be evaluated for finding out the possible day for meeting with the patient. The office administrator or family doctor would ensure that a date feasible for both patient and specialist and convey the appropriate time table to both of them.

Actors:

office administrator or family doctor, patient, medical specialist

Stakeholders:

Patient, Medigood National Health Insurance, office administrator or family doctor, medical specialist

Preconditions:

Scheduling of the time and date for meeting the patients and specialist would be narrowed down

Post conditions:

Fixed time and date would be selected for meeting the patients and specialist by confirming from both of them

Flow of Activities:

office administrator or family doctor à patient à medical specialist

Exception Conditions:

Either Patient or Specialist or both would deny the date and time of meeting