Tele-Health System For Elderly People In Regional, Rural And Remote Areas Of NSW

Positioning

Tele-health can reduce socioeconomic demands by reducing travelling for face-to-face visits. Technology can be successfully applied in community-based patient care to enhance the capacity of nurses to deliver medications management for clients, resulting in increased efficiency of service delivery as well as staff and patient satisfaction. Tele-health in patients’ homes supplements delivery of care, can reduce unplanned medical visits and improve self-management of an illness. Remote healthcare can supplement the delivery of care, providing support to clients and healthcare staff. For this project we are using the Tunstall tele-health monitoring equipment as an example of the type ofequipment that is used. See the series of 2 minute videos on the following site to see what their current Technology looks like for tablet interaction with older people:

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The aim of the project is to improve the tablet computer interaction for the end-user of tele-health hardware and software in the homes of older people living in the community. We will assume that the community-dwelling older people live in regional, rural and remote locations in the central west of NSW. The solution involves a cloud-based mobile application, although you might also identify other possible delivery methods for the interaction.

You need to create a Project Vision Document which contains:

  • Problem
  • Capabilities
  • Benefits

Specific analysis techniques have not been taught yet, so this assignment does not require technical descriptions.

The project focuses on enhancing the computer interaction for the healthcare software and hardware. The project comprises the development of a healthcare system similar to tele-health application with enhances functionality and user interface. Furthermore, the project involves the implementation of the cloud based application for the remote, rural and regional area of New South Wales.

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Problem Statement

The problem of

Hardware and software interaction of telehealth application

Affects

The elderly people living in the remote and rural places of New South Wales

the impact of which is

Lack of efficient and easy user-interface

a successful solution would be

Implementation of a cloud based easy interactive application for easy and effective health care solution.

The telehealth system targets the elderly people living in home and communities for providing healthcare assistance.

The elderly people living in the rural, regional and remote location in the New South Wales are the target customer for the telehealth system.

For

The aged and elderly people living in the community

Who

The developed project will allow the elderly living in the remote and rural location to get healthcare solutions through cost-efficient, and easy user interfaces for the patients

The healthcare monitoring

Is an application software

That

Provides easy interactive cloud-based application for remote and mobile access

Unlike

telehealth care application

Our product

Will deliver anytime anywhere access leveraging cloud computing

Stakeholder Summary

In the development of the telehealth system, the various stakeholders who are involved in this project are – doctors, nurses, and cloud service providers, patients, software developer, Owner Company, project manager, marketing team, online medical assistances and others. 

The stakeholders in the company are benefitted in terms of market presence and effective healthcare assistance. The elderly patients get medical assistance from their home, the doctors and nurses can provide medical help from one place. The owner company and the shareholder have financial benefits and market success.

Stakeholder Descriptions

The new product has introduced the cloud technology and mobile applications into their system. The new enhancement provides technological, security and accessibility improvement for providing healthcare assistance (Czaja et al., 2014, p-188). Through the addition of these features, the stakeholders in the project are greatly affected in terms of profits and market success. In addition to that, the functional and non-functional requirement on the project assists in providing better care and health assistance.

Name

Description

Responsibilities

Software Developer

The software developer in the project is the developer team who are associated with the project;

The software developers are responsible for implementing the healthcare system with effective user-interface, implementing healthcare features, testing the system and ensuring effectiveness and efficiency (Ward, & Peppard, 2016, p-76)

Healthcare Service Providers

The healthcare service providers are the team of experts

The healthcare service providers assist the developers in understanding the requirement of the application and how monitoring works. The health care providers are responsible for furnishing the healthcare solutions and services to the patients (Abdelhak, Grostick, & Hanken, 2014, p-145).

Cloud Implementers

The expert’s technicians, engineers for implementing cloud facility;

The cloud implementers have the responsible for integrating the cloud technology in the system for easy accessing the system from remote and rural places (Grefen, Pernici, & Sánchez, 2012, p-56).

Project Shareholders

The owner of the project, the owner of the health cares service provider

The project shareholders are responsible for the approving the project implementation, funding the development and cloud implementation (Ball, Weaver, & Kiel, 2013, p-92).

The stakeholders are going to develop the product for the elderly persons living in a remote community of the New South Wales. The people have a limited technological knowledge and require easy interface for the online healthcare system.

The team requires improving the interface of the system so that the patients can easily utilize the system for inputting the medical information (Galianoâ€ÂCastillo et al., 2016, p-98). There needs to be an option for voice input so that the user can easily input the information like weight, blood pressure, etc.

The healthcare system will be developed for the elderly people living in the remote and rural area of the New South Wales. The project team comprises of ten members, project manager and cloud implementation expert for the development of the system. The number of people involved in the project is constant (Longest Jr & Darr, 2014). The project manager has allocated the time to each activity in the project. In addition to that, the project manager has endured the timely execution of each activity in the project as allocated the schedule. The system is developed focusing on the people of New South Wales for easier and remote access to healthcare solutions. The current healthcare assistance systems are based on Windows platform only (Breen et al., 2015, p-511). The project aims at developing a platform-independent system for accessing healthcare services from both personal computers and mobile devices. The developed system will provide, long-term health care monitoring and control, provide online healthcare meeting with medical experts, provide medical suggestions and solutions, schedule meeting with doctors and controlling and monitoring the health condition of the patients.

Product Perspective

The developed application for the mobile healthcare assistance is dependent on the cloud technology, healthcare experts, and healthcare servers. The elderly patients input their medical information through the application that is being saved in the cloud and sent the server for analysis. The data are then fetched from the remote server and cloud server for providing a solution to the patients through their mobile devices. 

User Environment

Figure 1: Block Diagram of the Health Care System

(Created by Author)

The assumptions for the system are:

The devices accessing the healthcare system are connected to the internet;

The user is already registered with the system;

The functional requirements and feature of the new cloud based telehealth application are:

Secure database: The database stores and retrieves the user data for constant monitoring of the patients;

Cloud Infrastructure: The cloud implementation will allow device and platform independent access to the developed system (Tsai, 2014, p-381);

Real-Time Monitoring: The system will use the data and information given by the users and provide observations of the improvement of the patient’s health.

The inclusion of the functional requirement will help in improving the functionality and efficiency of the developed system and provide the elderly people living in remote places with efficient healthcare assistance.

Need

Priority

Features

Planned Release

Mobile application

High

The system will be accessed from any mobile devices connected to the internet.

1st December 2016

Provide Data Storage Facility

High

The patients will able to store their data, information and medical histories stored in the system.

1st December 2016

Video Conferencing

Medium

This feature will allow the patients to directly communicate through video conference with the doctors.

1st January 2017

The Tunstall e-health system is one of the major competitors to the developed system having established e-health services. The Tunstall telehealth system provides video conferencing and long-term monitoring of the patients.

Tunstall has aimed their services to the elderly that provided scheduling a one-to-one video session with the medical experts (Liu et al., 2013, p-1470). Tunstall has developed it to get medical assistance from their residence without the need of visiting the hospitals.

The competitor’s product has devices attached to the tablets for reading medical conditions that monitor the health, video conferencing features to the doctors.

From the business point of view, the online medical assistance eliminated the need for visiting the doctor and allowed the users to users to monitor their health for a long time. Although providing online assistance is the significant strength of the telehealth, the main disadvantage in term of business is the lack in the easy user interface.

Since the telehealth is aimed for the elderly, there is a scope of enhancing the user interface of the system.

There are various existing healthcare systems like tele-health exist in the market that gives tough competition to the use of the developed system (Pearlson, Saunders, & Galletta, 2016). The significant strength of the developed system is the use of cloud computing that provides access to the system from any mobile devices.

The non-functional requirements and their features of the new system are:

User personalization: The user will be able to create profile and save medical information for long time monitoring of the person’s health (Nazneen et al., p-59) ;

Product Overview

Content Aggregation: The new e-health system will be developed within a single page with easy of navigation and having all the services integrated into a singular module;

Ease of Use: The e-health system will be developed for the elderly people, who have limited knowledge about the technology;

Support for various service modules: The e-health support system real-time monitoring and medical assistance. The new system will have video conferencing modules integrated for immediate medical assistance and feedback.

The requirement for the system will be developed within a time limit of one year. The developed system will provide easy user accessibility and help in gaining more customers to the system. 

The new developed system will allow the user to access the system form any device and location that provides a market advantage to the stakeholders.

The developed system is operation system independent and can be accessed from any platform and any devices. The user needs first to register through the application and log in to his account every time he wants a medical assistance. The system is dependent on the internet access. The system will also provide online help assistance for using the application for the first time.

References

Abdelhak, M., Grostick, S., &Hanken, M. A. (2014). Health information: management of a strategic resource. Elsevier Health Sciences.

Ball, M., Weaver, C., & Kiel, J. (Eds.). (2013). Healthcare information management systems: Cases, strategies, and solutions. Springer Science & Business Media.

Breen, S., Ritchie, D., Schofield, P., Hsueh, Y. S., Gough, K., Santamaria, N., … & Aranda, S. (2015). The Patient Remote Intervention and Symptom Management System (PRISMS)–a Telehealth-mediated intervention enabling real-time monitoring of chemotherapy side-effects in patients with haematological malignancies: study protocol for a randomised controlled trial. Trials, 16(1), 1.

Czaja, S. J., Lee, C. C., Arana, N., Nair, S. N., & Sharit, J. (2014). Use of a telehealth system by older adults with hypertension. Journal of telemedicine and telecare, 20(4), 184-191.

Eaton, L. H., Gordon, D. B., Wyant, S., Theodore, B. R., Meins, A. R., Rue, T., … & Doorenbos, A. Z. (2014). Development and implementation of a telehealth-enhanced intervention for pain and symptom management.Contemporary clinical trials, 38(2), 213-220.

Galianoâ€ÂCastillo, N., Cantareroâ€ÂVillanueva, I., Fernándezâ€ÂLao, C., Arizaâ€ÂGarcía, A., Díazâ€ÂRodríguez, L., Delâ€ÂMoralâ€ÂÁvila, R., & Arroyoâ€ÂMorales, M. (2016). Telehealth system: A randomized controlled trial evaluating the impact of an internetâ€Âbased exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer.

Grefen, P., Pernici, B., & Sánchez, G. (Eds.). (2012). Database support for workflow management: the WIDE project (Vol. 491). Springer Science & Business Media.

Liu, Y. W., & Hsu, Y. L. (2013, October). Development of a bed-centered telehealth system based on a motion-sensing mattress. In 2013 IEEE International Conference on Systems, Man, and Cybernetics (pp. 1466-1470). IEEE.

Longest Jr, B. B., &Darr, K. J. (2014). Managing Health Services Organizations and Systems,(MHSOS). Health Professions Press, Inc..

Nazneen, N., Rozga, A., Smith, C. J., Oberleitner, R., Abowd, G. D., & Arriaga, R. I. (2015). A Novel System for Supporting Autism Diagnosis Using Home Videos: Iterative Development and Evaluation of System Design.JMIR mHealth and uHealth, 3(2).

Pearlson, K. E., Saunders, C. S., & Galletta, D. F. (2016). Managing and Using Information Systems, Binder Ready Version: A Strategic Approach. John Wiley & Sons.

Schlieter, H., Burwitz, M., Schönherr, O., & Benedict, M. (2015, March). Towards Model Driven Architecture in Health Care Information System Development. In Wirtschaftsinformatik (pp. 497-511).

Tsai, C. H. (2014). Rural residents acceptance towards a telehealth system: The integrative perspective of technology acceptance model and social cognitive theory. Scientific Research and Essays, 9(9), 380-383.

Ward, J., &Peppard, J. (2016). The Strategic Management of Information Systems: Building a Digital Strategy. John Wiley & Sons.

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