5 . ald WHWUNTALL ULEWU EURIMUNITY GY SELlaL Case INTRODUCTION his case is included 20 provide you ant apportun y to) apply the conceprs and techniqnes you will Ieatt in cach chapter. The case cau also be used t0 suppart a semester: Tong database projeer bail throughout the term that results in a complete application. We have selected i hospital for this ease because itis type of organisation that is at least somerhat Familiar to most persons and hecaise health care institutions ate of such importance in our society today: A segment of the case is Included at the end of each chapter in this text, Fach sogment inches. brief cescription ofthe case as it relates to the material in the chapter followed by questions und exercises related to the material, Additional requirements, assignments, and project deliverables are prosided in support ofa semester projert CASE DESCRIPTION Mountain View Community Hospital (MYCH) isa not lorprofi, shortrerm, acure cave general hospital, [eis a relatively small hospitad, with some 150 beds, The hasic goal is to provide high-quality, costeflective heal care services for the surrounding community in a compassion: ate, caring, anne Mountain View Connmunity Hospital bas computer applications that support the followings areas (amor oth rs): patient cate administration, clinical services, finaneis! managernc ye services. Many of these applications hase been purchased from outside vendors, but ‘lew have been developed internally, Most of the computer applications are implemented using relational da client/server technology. In the client/server envi Ue chient runs the database applieacions that request the clara, The server runs the DBMS software, which Sullills the equests and franlles the functions required for concurrent, shared data acres to the database, Mest of the databases (as well us the applications) are departmieatal, using Ue class= feation introduced in this chaprer The relationa’ databases at Mountain View Community Hospital contain a sumber of tables. Two of these tables, ‘sith some simple data, are shown in MVCH Figure 1-1, The sad personalized and administ abase and PATIENT table contains dust conecrning eurcent or recent patients 4s due hospitel, whereas the PALIENT CHARGES table contains data describing charges that have beer incurred by those patients, These tables have been sip fied for this chapter, but will be expanded in later chapters CASE QUESTIONS 1 The goal of Mountain View Community Hospital isto provide high-quality, caste‘fecrive health care services for the surrounding community ia a compassionate, cating, and personal'zed manner: Give some examples ot how the use of databases in the hospital might iunprove nealth-care quaity or contain costs, Hone els could a wellkmanaged database help» the hospital achieve its mission’ 2. How can database technology be used to help Moantain View Community Hospital comply with the security stan dards of the Health Insurance Portability and Accountability Act af 1996 (HIPAA)? HIPAA requires ealth care prosiclers te maintain reasonable weed appro priate administrative, teckunical, and physical safeguards to ensure that the integrity, confidentiality and avalabil- ity of elecwonic health information they collect, main- win, Use, OF transiait is protected, (For more details on HIPAA, visit hetp://www.ems hhs gow/hipaa hipaa’ / segtlanons/security/ 083877 pdt) 4. What are some ol the costs and risks of using databases shat the hospital must manage carefully? 4, Tow critical are data quality requirements in the pital environment? For which applications might quis!- ity requirements be mare resmetiver 5. At present, Mountain View ational database technology. Although this technology is appropriate for su ucrared data, such 4 patient or acconnting: data, i is less wellstited to unstructured data, suc as graphical date andl i ommuaity Hospital is using ret Can you think of some types of data maintained by a hospital that fic chis latter category? What types of database technology rather han relational might he better suited to these data pes?ee envinon went MVCH Figure 1-1 PATIENT Two database tablos Irom Mountain View | Patent Numiner Paton! Patient Fst Name Patient Aderess | | Community Hospital ea79 Dimas Seon ‘817 Walog Vite sea Bolan Mak 810 Rie Run soar Larrea Arete 27 Sandhill ss Wiegine Brian 431 Wal 6142_Thomas Weadel 926 Logan PATIENT CHARGES serpin tom Code Patent Number Armour \T room Semifrv —<200=~*«SB:CSC*«SOC ‘Speech Thersoy 380 087 750 Racioloay 215 208 160 Physcs Therapy 400 508 600 FRG Test 500 ere 200 oor SemPriv 200 so 200 Standard 470 ears 159 | £6 rest 00 426 200 6 How are data in the PATIENT and PATIENT CHARGES the rele bles relied? That is, how can a user find int charges For a particular patient 1c an example of how the hospital could use each of the types of databases described in this chapter divisional, enter workgroup, departmental, prise, and Web-enabled. 8. How could the hospital use Web-based applications? What are some of the benefits and risks associated with Wetxbased applications for the hospital? CASE EXERCISES 1 Using the notation inwoduced in this chaptes, draw a diagram showing the relationship between the entities PATIENT and PATIENT CHARGES, 2. Develop a metadata clit for the data atuibutes in the PATIENT and PATIENT CHARGES tables using (at [Patent Nae Paton! Nuntor: Patient Address MVCH Figure 1-2 Patil Paton! Bill inininwan) the columns shown in Table 1-1, You may incinle other metadata characteristies that you unk re appropriate for the management of date at ‘Mouutain View Community Hospital 8, One of the import database views for the hospital is the Patient Bill (MVCH Figure 12), Following is «| highly simplified version of this view, Fill in the miss ing data in Unis view, using tae data from MYC Figure 11 4. Using tire notation introduced in this chapter, draw a single cliagram that represents the following relation Ships in the hospital environmen © A HOSPITAL has on its staff one or more PHYSICIANS. A PHYSICIAN is on the staff of only one HOSPITAL. # A PHYSICIAN may admit one or more PXTIENTS, A PATIENT 1s admitted by only one PHYSICIAN, Toten, Mare ten Dogeriston |«Fach PATIENT may incuy any aumber of CHARGES A parsicular CHARGE may be incurred by a bet of PALLENIS. + A HOSPITAL has one or more WARDS, Each WARD. is located ia exactly one ILOSPITAL. =A WARD has any number of EMPLOYEES, An EMPLOYEE may work in one or more WARDs, 5. Use the MVGH database files for the Follosving exercises a. Develop a metadata chart for the EMPLOYEE_+ table sinilar to Table L-L ia Chapser bb, What types of relationships (£21, FM, or MV) exist benveen the PATIENT. ¢ table and orher tables in the daabases? How did you determine that? 6. MVCH hospital administrators regularly need infor mation about their patient population. Based on the distinetion betwee nel information dis cussed in Chapter f, explain why a printout of the: PATIENT « table will not satisfy these information needs, and 6, Create a report that organizes the dats from the PATIENT Cable to provide hospital administrators, with usefia information about the patient popula sion at MVCUL ost & Chapter 1 shows an SQL query that displays infor Gon about computer desks at Pine Valley Furniture company: SELECT* FROM PRODUCT WHERE Product Name="Computer Desk"; Following this example, create a SQL. query far t PATIENT 1 tabie that displays information about the ns PROJECT ASSIGNMENTS PL, Identify and list entities other than the ones fisted in the case deseription that are of interest ia a hospital PQ, Identify and fist other user iews that occur in a hos pital environment P3. Using the nosation introduced in this chapter, ereate 1 preliminary enterptise daca model for Mountain View Community Hospital similar to the one shown in Figure 1-2