Assignment is in health informatics It's a case study that requires observations then following the health informatics standards, answer the question that follows When Jane found out she was pregnant, she went to her primary care physician for a referral to a neighborhood birth centre. She had to schedule the appointment with her physician during work hours, quite inconvenient because she did not want to let her boss know she was pregnant. On the day of the appointment, she first registered with the receptionist and then consulted with her physician. The primary care physician confirmed the pregnancy with a urine test, similar to the one Jane used to find out she was pregnant, and then wrote the referral letter. Jane called for an appointment with the birth centre and was able to secure a spot on a Saturday morning. She presented herself with the referral letter to the birth centre’s receptionist who placed the letter in a file folder she retrieved from the archive behind her. Jane met with the midwife, answered a ten page long list of questions to assess any risk factors during pregnancy and underwent a physical exam. Jane would have preferred to answer the survey at home because she would have been able to consult with her own mother about her family's reproductive history. The midwife ordered that a blood sample be drawn and, according to the new internal policy, suggested that she undergo a genetic test for cystic fibrosis. The receptionist prepared the referral forms and sent Jane to the blood laboratory in the nearby hospital. Jane again registered in the main hospital and then waited for a phlebotomist to draw the blood. Because it was a Saturday, the phlebotomist was unable to draw the blood for the cystic fibrosis genetic test. Jane would have to come back during the week. In this case, even though pregnancy check ups are routine events, all steps need to be planned and executed one at a time, resulting in an inefficient use of time of patients and health care providers and a chance for misunderstandings and sub-optimal care. Because it was too difficult to take time off work and after weighing the risks, for example, Jane decided to forgo the cystic fibrosis genetic test. (adapted from source: Berg 2004 pp85-86) TASK Post a 800 words answer which addresses the below 4 questions. Be sure to include references, examples and any evidence based literature to substantiate your analysis of the case. In answering the questions, use your own knowledge and experience, and the learning materials in this site plus other relevant literature. All your sources have to be appropriately acknowledged. • Identify the main issues as presented in the case study? • As a Health Service Manager, what would you do to improve the patient care journey using ICT? • What would be the benefits of your redesign? • Are there any major obstacles or risks that you envisage that may affect your success
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