Group 6 Abhinav 186 Anubhav 195 Apoorva 196 Arshya 199 Avishek 200 Preet 226

Founded in 1996 Member hospitals from community center to research oriented hospitals HMOs competition for low cost Merger after merger became 2nd largest group Problems in operational co-ordination among member hospitals Sustainability through decentralization.

Decentralized 380 employees in IT departments. $50mil expenditure. No email or remote access services. Network and data server incapability during storms

All services were built around MEDITECH package. Email and wireless were added Full electricity back up for the servers It expenditure cut to 47% i.e. 135,000 Staff from 380 to 200.

Absence of Network Traffic Monitor.-facts:

a. Problem can be handled at early stages by looking at the traffic density of the network b. Cisco had to build ad-hock system because it was not able to locate the real problem c. There were hidden complexities in the network due to subsequent. These went undetected for a long time due to absence of a network monitor.

No reliability standards
a) Due to chronic failure of the system in 24 hours of breakdown, medical staff and doctors oscillated between on and offline information support. b) Reliability check of the system would have given clue or idea to network administrators about the carrying capacity of the network for a certain period of time. c) b) After the correction of the whole IT system it was difficult for the CEOs at different hospitals to believe the consistency of the system.

 No back up servers at different hospitals

a. Though there was redundancy in network but there is no mention of data redundancy. b. Recent data in terms of records of previous 1000 customers can be maintained at different hospitals. c. Data redundancy has often led to independence of IT systems and provides a cover against the externalities of network breakdown. d. This is also evident from the fact that community hospitals did not access the main data centers and were thus largely unaffected of the breakdown.

 Information which enables the patient

care in such

specialized field is of utmost importance. So data

and the network are the backbone of such system. So, the most important lesson is that network-components

i.e. hardware and software should be updated

regularly.

 Security is equally important as up gradation, so

that network access by external agents can be controlled. Also data privacy is very important, so that anyone including doctor & staff cannot manipulate data.

 Outlook of Lesson no#7: there are limits to customer

centric responsiveness is debatable s because when network is kept abreast with technologies its functionalities and usage are bound to increase. In highly competitive environment it is imprudent to limit ones scope of services especially when CareGroup includes research oriented institutes. So it is imperative for the hospitals to improve their data processing and network capabilities in order to accommodate services like remote access and online/video assisted operations.