Lab 2: CMC and the GE “Centricity” Case

Updated for Spring 2006

Part 1

Friends and enemiesCMC overviewHIPPA

Friends ….

Secure and ReliableTimely and AccessibleReliable and Simple

And Enemies

Accessible vs. SecureReliable/Accurate/Complete vs.

Economical

CMC Computer-Mediated Communication

Voice-mail or E-mail – one way (asynchronous)

IM / chat rooms – two way (synchronous)

VideophoneInteractive internet games

What happens to our communications when we use CMC?

Loss of Cues = cause misunderstandingsFacial expressionsTone of voiceHand gesturesPausesLaughs

Make up for it by emoticons or careful writing! (sarcasm)

What else happens?

Writing becomes more informalLower case, no punctuation, abbreviations:

POS G2G TTFN Is this due to information overload?

We become more “self-absorbed”More interested in our own problems than

otherHate speech, rantings or angryWeb logs do this a lot…

Caveats: careful!

Never reply in anger – wait until the next day. Can send something stupid or personal to

many people at once – watch reply to group. E-mail can be saved easily and used against

you. E-mail is powerful and gives access to

powerful people – flattens organization. Use it wisely!

? Question ?

Do employers have a right to read or control your e-mail?

Court rulings say: yes, mostly:Company time and resources

Privacy as basic human right. Don’t work there!

Group Decision SupportSystems (GDSS)

A DSS that meets the needs for a group decision. Provides support in group decision-making settings. A GDSS allows you to communicate with group members that are in the same building or half-way across the world.

Characteristics of a GDSS

Easy to useDecision-making Support

Support Brainstorming Encourage Group Consensus (voting, gap analysis) Allow Anonymous input Reduce negative group behavior

HIPPA

Health Insurance Portability and Privacy Act Students read hippa overview: Google: hippa overview via

http://www.viahealthplan.com/providers/administration/tools_for_your_office/resources/HIPPA_overview.php#2

Discuss Simplification, Privacy, Security Relates to info Attributes!

HIPPA: Simplification

“Administrative Simplification is one of the newly published regulations which requires standardization of electronic transmissions and procedure/diagnosis codes.”

See web page for examples…

HIPPA: Privacy and Personal Health Information (PHI)

“Provisions for individual rights to receive a notice from the covered entity regarding how their PHI will be used; rights to access, inspect and copy their PHI; rights to receive an accounting of the release of their PHI for purposes other than for the use of treatment, payment, operations or other uses. “

HIPPA: Security

Administrative Procedures Improved procedures/policies for records handling Backups

Physical Safeguards Computer room access, protect from fire and

water

Technical Security Services and Mechanisms Logins, passwords, audit trail Data encryption, firewalls, etc.

Part 2: Chat room. 15 minutes

Discuss Major Societal Trends surrounding the case.

Instructor: turn on recordingStudents: COMMUNICATIONS |

COLLABORATION | JOINSelect “Major trends” chat session

Part 3: Discussion Forum: 15 minutes

Use meaningful thread namesInstructor: assign students to groups and

start recording.Students: COMMUNICATIONS |

DISCUSSION BOARD |Select discussion forum “Major Goals”

Part 3 continued: ROI10 minutes.

Instructor: open ROI chart file and discuss.

What were the top 4 savings areas?Intangibles are important

Can be difficult to measureE.g., staff morale -> less turnover

Payback time of Centricity system itself?Note connection to GOALS !

Return On InvestmentANSWERS

What were the top 4 savings areas?Paper storage costsPersonnelLegal costsBetter utilization – process more patients

Payback time of Centricity system itself?1.5 years. Definitely worth doing.

Part 4: I/P/O/F/S Analysis

For Centricity, identify: Inputs (patient history, tests, etc.)Processing (calculations, searching, etc.)Outputs (screens, e-mail, reports, charts,

etc)Feedback (How is system performing?)Stakeholders

Individuals or organizations that have an interest in the operation or outcome of the system.

IPOFS chart: 20 minutes.

Use work from pre-labInstructor: assign students to groups

and start recording.COMMUNICATION | GROUP PAGES GROUP # | COLLABORATION |

VIRTUAL CLASSROOMHold CTL key and JOIN

Part 515 minutes

Face to face: Three most important information attributes for this case?

Contrast and compare CMC techniques:Face to faceChat Discussion forumVirtual whiteboard

Part 6

Online quizHand in IPOF chart and pre-lab