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TEMPLATES
emids confidential
Agenda
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Sample 8
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M1 M2
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Stakeholder
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Qualify Proposer SOW Assessment Plot
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Sample 10
OnLife
FTE – Product Managers | Dev Leads | Architects
Engineering | QA | Support | Architect | Product Management
US
(OnS
hore
) Onsite Program Manager
Business Analyst
Onsite Tech Lead (Ruby) | Onsite Tech Lead (.NET)
Onsite QA Lead
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IND
IA (O
ffSho
re)
ETL (Data Analytics)
.NET Legacy Application Live On (RoR) Coach On (RoR) OnDemand
(MSFT) MobileLoad
Automation Testing
Services
Shared QA
Architectural Group
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Inno
vatio
n Ce
ntre
DACl
ient
Uni
vers
ityAc
cele
rato
rs &
En
able
rs
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Sample 11
OnLife
FTE – Product Managers | Dev Leads | Architects
Cont
ract
ors
Engineering | QA | Support | Architect | Product Management
ETL (Data Analytics)
.NET Legacy Application Live On (RoR) Coach On (RoR) OnDemand
(MSFT) MobileLoad
Automation Testing
Services88
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Sample 12
Conceptual Schema Logical Schema ETL Procedures Database/Physical Schema Front End
Functional
Usability
Performance
Stress
Recovery
Security
Regression
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Sample 13
ACTIVITIES RESOURCES DELIVERABLES
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Sample 14
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Sample 15
LEVEL
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2
LEVEL
3
LEVEL
4
LEVEL
5
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Diagrams
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Sample 7En
gage
men
tRe
view
• Monitor overall progress• Change management & communication• Shape ongoing relationship• Resolution of escalated issues
Tran
sitio
nRe
view
• Engagement reviews• Provide overall wave transition progress• Review improvement opportunities• Tollgate reviews (as applicable)• Escalations, if any
Dai
ly S
tatu
sRe
view
• Transition key activity review & sign off• Readiness assessment • Resolve bottlenecks• Transition workshop, team charter• SOP / documentation sign off• Change management • Escalations
Transition Manager Development
Manager Development Leads Architect BAs
Transition Manager Delivery Manager
emids Executive Team
Citra Health Transition Manager
Citra Health Product Managers
Citra Health SME
Citra Health Program Sponsor
Citra Health Transition Manager
Citra Health Product Managers
Citra Health Executive Team
Level 3
Level 2
Level 1
Weekly/
Milestone Driven
Daily
Joint sign off between emids and Citra Health
Bi-weekly
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Paragraphs
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Sample 1
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Timeline and Engagement approach
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Sample 1
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Stage 1 Stage 2 Stage 3 Stage 4
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Sample 2
Transition - Product Management Team for• Claim Manager Suite• Patient Access Suite• IT Support
5
Operations
Value Adds
July-14
ClientUniversity
Operationalized - Product Management Team
Product Engineering Team for• Claim Manager Suite• Patient Access Suite
Product Engineering Team Independent
OperationOngoing execution
Aug-14 Sep-14 Oct-14 Nov-14 Dec-14
Visual Mgmt.Dashboard
7 17 34 34 34
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Sample 3
W1 W3W2 W4 W6W5 W7 W9W8 W10 W12W11 W14W13
Gap Analysis for the additional functionality outside of the original Avantas Project Scope
Use Cases for the additional functionality.
Business and technical requirements additional functionality.
Gap Analysis for Scheduling functionality
Final Interface Specs documented to utilize for future LPNT hospital implementations
Quality Assurance testing of all data feeds for the project
QA for Data Feeds for scheduling application
QA of all the new functionality developed by Avantas
Milestone
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Sample 4
W1 W3W2 W4 W6W5 W7 W9W8 W10 W12W11 W14W13
WH
ENAC
TIVI
TIES
WH
O
GA ReportPrioritize
requirementsUse Case + Fn + T[S1]
Interface Spec
Analysis Validation Elaboration
[S2] + test Plan
Proj Manager
Tech Cons
BA
QA Analyst
Proj Manager
Tech Cons
BA
QA Analyst
Proj Manager
Tech Cons
BA
QA Analyst
15 Dec 22 Dec 29 Dec 5 Jan 12 Jan 19 Jan 26 Jan 2 Feb 9 Feb 16 Feb 23 Feb 2 Mar 9 Mar 16 Mar 23 Mar
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Sample 5
Signoff
Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11
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Dep
ende
ncie
s Text
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Sample 6
Inception Elaboration Construction
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Sprint 1 Sprint 2 Sprint 3 Sprint 4
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Weeks 1-2 Weeks 3-4 Weeks 5-13
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UAT Support
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Weeks 14-15
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Sample 7 Signoff
Week0
Week2
Week3
Week4
Week5
Week6
Week7
Week8
Week9
Week10
Week1
Sprint 1 and Sprint 2Sprint 0
Week11
3 Weeks
1 week
4Weeks
Integration and Testing UAT Support
2 Weeks
• text
Inception and Elaboration
Integration and Testing
Final UAT Support
• text
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Sprint 2- Construction
Sprint 1- Construction
• text
4 Weeks
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Sample 8
44Onsite
Contractors7
Onsite Resources
43Offshore
Resources
In Scope Baseline Cost
2016 Project Cost
$6.01mn
$300K $3.60mn
* Costs incurred during transition
7Onsite
Resources
48Offshore
Resources
$5.06mn
$-218 K*
$278K
2015 Project CostJan 2015 Dec 2016
Savings
29.81%
Additional20.03%
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Sample 9
Savings
44Onsite
Contractors
7Onsite
Resources
44Offshore
Resources
In Scope Baseline Cost Jan Feb March April May Through June
to December2015 Project
Cost
$6.01mn $-218 K*
$25K$30K $146K $218K $278K $5.06mn
* Costs incurred during transition
29.81%
Savings
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Sample 10
Inception Engineering Validation Release
ARC – Tracking and Reporting
Management Review Dashboard
DA Architect
Functional SME
QA SME
Practice SME DA Architect
Functional SME
Practice SME
DA Architect
Functional SME
QA SME
Practice SME
Checklists / Questionnaires
• Technical Solution o Design Review Checklisto SAD Review Checklist
• Test Automation script review • Performance Testing script review • Risk Identification• QA review & Process Compliance QA• Handover to Delivery
Templates
• Project Initiation • Project Planning & Monitoring • Change Management • Requirement Management repository• Manual Testing management
repository • Test Automation plan • Performance Test plan &
Requirements• Transition Management• Risk Management
Procedure
• Project Initiation, Planning & Monitoring
• Change Management • Configuration Management • Testing • Transition Management • Portfolio Management
•Disaster Recovery •Customer Satisfaction•Risk Management •Delivery Assurance •Project Closure •Process compliance
DA Architect
Functional SME
QA SME
Practice SME
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Sample 11
Inception Engineering Validation Release
Plan
Requirement
Arch. Design
Regression
Performance
Upgrade testing
EV Patch
Construction & Unit Testing
Integration Testing
Config. Mgmt. & release
ARC – Tracking and Reporting
Management Review Dashboard
DA Architect
Functional SME
QA SME
Practice SME
DA Architect
Functional SME
QA SME
Practice SME
DA Architect
Functional SME
Practice SME
• Requirement & Plan • Functional workflow • UX strategy • Architectural & Design
• Coding standards• Test scenarios & scripts • Test automation • Continuous Integration• UI Screens & code • User stories mapping
• Test Cases• Critical Workflows Spec• Automate Functional Test Suite• Performance Test suite• Installation manual• Install package • Platform configuration document • Configuration Checklist
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Sample 12
Week 1 Week 2
Emids Specific Intermediate Healthcare
Certification Advanced Healthcare certification
Navinet's Architecture & APIs Navinet's Development & Testing
processClient Specific Process Trainings Health Care - Claims Submission Navinet's Framework Robot Framework ( For QA only)
PRE-BOARDING
ONBOARDING & RAMP-UP
ASSIGNED TO PROJECT
Week 0
• adsf
Week 3 Onwards
• adsf
Role
s
OPM
Business Analyst
Project Manager
Business Analyst
Architect
Developer 1
Tech Lead
Developer 3
Developer 2
QA Lead
Developer 4
Performance Tester
QA 1
QA (Auto. Test Engineer)
Onshore
Hired
Existing
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Sample 13
Business Vision Statement
Prioritized Business Goals
Business Requirements Document
DISCOVERY REQUIREMENTS PROOF OF CONCEPT REPORT SUBMISSION
ACTI
VITI
ESD
ELIV
ERAB
LES
BUILD + TEST
FLU
ENCE
Interface
Interface
Interface
Interface
Interface
Interface
Interface
Fluence Integration Guide and Data Model
Data flow, exchange formats and data format conversions
Analyze the structure and content of all source clinical systems
Identify natively available extraction interfaces
Define the Conversion architecture
Determine interface strategy
Data mapping strategy
Detailed design specifications
Document the POC results
Integration recommendations
Risks, mitigations and challenges
Detailed design specifications Sample Scripts
Integration strategy
Key constraints, risks / mitigation strategies
Customization required of EHR vendor
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Sample 14
W-0 W-1 W-2 W-3 W-4 W-5 W-6 W-7 W-8 W-9 W-10 W-11 W-12
• Vision for the clinical integration
• Business goals • Key performance indicators • Business requirements
• Detailed interface and conversion requirements• Building, configuring, and unit testing all interface and data conversion initiatives• Unit, data communications, and integration and user acceptance tests
• Prepare draft TO-BE integration Strategy
• Present draft strategy to UPMC Stakeholders , refine & finalize per feedback
Discovery Requirements Definition (Functional/Technical) Assessment Conclusion & Report Submission
• Discussion with UPMC’s TDC & Business stakeholders
• Discussion with Fluence platform team
• Info gathering workshops
• Analysis • Consultation with Fluence platform team & SMEs
• Stakeholder presentation and report
• Discussion & Finalization• Demonstration of POC
Tech. project Manager
Clinical Data Architect
Business Analyst
Interface Engine Dev.
Tech. Product Integration Specialist
1
1
2
2
7
Interface Engine Dev.Tech. Product Integration
Specialist
Tech. project Manager 1 Clinical Data Architect 1 Business Analyst 2
2 7
Tech. project Manager
Clinical Data Architect
Business Analyst
Interface Engine Dev.
Tech. Product Integration Specialist
1
1
2
2
7
F2F F2F F2F
• TDC & Business stakeholders
• Fluence SMEs• Fluence platform team
• Fluence SMEs• Fluence platform team• Fluence interface analysts • Data Architect
• TDC & Business stakeholders
• Fluence SMEs & Management
Kick off meeting Signed off business requirements POC – Interim demo complete Finalized integrationstrategy & presentation
Phase
What
Who
Method
Mode
Client Involvement
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Sample 15
Stakeholders’ Requirements
BUSINESS OBJECTIVE ALIGNMENT PRODUCT EVALUATION SCORING & RECOMMENDATION
Pain Points
Plus + Parallon (Scheduling)
Smart Square
Scheduling
Productivity
Product comparison for evaluation criteria
Scoring based on priority & weightage of each SH requirement
& its category
Recommendation report & presentation feedback
implementation
Acceptance
Workflow
Data
Cost
Support
Prioritize
0 21 3 54 6 7 8WEEK WEEK WEEK WEEK WEEK WEEK WEEK WEEK WEEK
nWEEK
FEATURE ELABORATION
Product comparison
for evaluation
criteria
Technical
Functional
Business
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Org Chart and Team structures
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Sample 1
Vice President, Delivery
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Sunquest Management
Sunquest Project Owner
Sunquest Project Team
Delivery Manager
Project Manager
UXP Lead
Architect
Tech Lead
Account Manager
COE Head
BA Practice QA Practice
Business Analysts
QA Manager
Performance Lead
Automation Lead
QA Lead
Performance Engineer
Automation Engineer
QA Analysts
Quarterly Reviews
Escalation Path
Bi-Weekly Reviews
Weekly Reviews
Delivery Assurance
Healthcare Practice
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Sample 2
ONSITE
Developer
nH Stake holders
emids Onsite Program Manager
Delivery Head
Delivery Manager
nH Project TeamProject Manager
BA QA
Onsite Tech Lead
OFFSHORE
Unbilled Resource-Offshore 100% Billed Resource-OnsiteUnbilled Resource-Onsite 100% Billed Resource-Offshore 50% Billed Resource-Offshore
emids confidential
Flows
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Sample 1
• Manage New/ Refill Medication Orders, Medication Inventory Tracking
• Discontinue Active Orders• Maintain Non- Medication Orders
• Manage Patient Administration• View Care Grid/ Full Patient MAR• Recommend tapering & sliding orders• Postpone order administration
• View Medication Administration Reports• Receive alerts on overdue orders
Nurse
Nurse Supervisor
EMR
Order Management
Medication Administration
Reports and Alerts System admin
System Admin
phMS
• Define Med Pass• Manage Nurse Assignments
• View Nurse Efficiency Report• Receive missed order alerts
• Send Patient Administration Data• Send missed order alerts
• Receive Tapering & Sliding Order • Recommendations Approval/ Denial
• Send Vital Signs, Pain Assessments and medication Follow-Up results
• Send Tapering & Sliding Order Recommendations Send/ Receive
Medication Orders
Send New/ Refill medication Orders
Configure System Parameters
CLINICAL SOFCARE2
EMR
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Sample 2
Predictive Analytics & Scoring
MED
SEEK
Pre
dict
Ideal Target Selection (Recipe)
Target List Builder
Measuring Results (BI & Reporting)
Communication Mailers
Hospital Data
Experian Data
Marketing Data
Predict Data+
+
+
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Sample 3Ac
ute
Care
Pr
ovid
ers
Send Pre-Auth & assessment request
Wor
kben
chCM
Life
Sav
e
Start
Receive & Process RequestAuto
Assignment
Review req. & process it
Send the Auth response
Review req. & process it
Send the LS assessment med report
Receive response & send it to
provider
Receive the response , process it & review itEnd
Yes
No
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Sample 4
Pre-Engagement Activity- Query log: assessing the customer technical and business environment
• Engagement process begins with pre-kickoff meetings and initial conversations with the customer
• Document High level objective
• Resource identification• High level plan
• Define CTQ for customer• Acceptance criteria
• Execution• Assessment of current BI systems• Stakeholders interviews(business and
technical)• Documentation
• Logical Data Architecture and Master Data Management plan
• Logical Information Delivery Architecture
• Logical Security Architecture• Logical BI Semantics Architecture• Conceptual Data model
• Create BI strategy and roadmap
• Final findings are presented to the customer along with clear roadmap for implementing BI strategy
0 1 2
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Case Studies
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Sample 1
Scenario: The incumbent testing team was almost entire onsite based with a large number of contractors who had spent extended stints on the applications. With no documentation available (for most applications), the challenge was to replace the incumbent team without affecting overall service delivery within a span of 90 days. Additionally, the QA Ops were to move from KANBAN to Agile methodology along with ramping up a team of 100 + QA resources.
Test Engagement Highlights
Transitioned 110+ QA resources within one quarter
Successful transformation from KANBAN to Agile testing methodology
Global delivery model for QA cost optimization
Dedicated Testing Center of Excellence (TCoE) for continuous improvements
Implemented uniform QA governance Model
Test Categories covered
Functional Testing
System Testing
Integration testing
Regression testing
Test automation
Performance testing
Security Testing
Database validation
Business Outcome
Contained spiraling QA cost within 2 quarters
Standardized QA process across product suite
Reduced Application Release cycle time by 20% fp
Successful transition in a multi-vendor env
Continuous improvement thru TCoE
Test tools & Technology
Quality Center
HP Quick Test Professional
HP LoadRunner
Selenium
Rally
App tracks under test
Population health management applications including: Member portals, Total Member View Application for Providers, Web based applications for nurses and Data analytics reporting tool
Data Sources: EMR, Lab, Claims, HRA
Data Ingest: ETL, HIE, Adapters
Technical components tested includes:
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Sample 2
Challenges Engagement Highlights
Reduced the claim analysis
cycle time by 25%
Resulted in 30% increase
in data loads, year on year
through automation
Multiple data sources and files in different formats made it very difficult for the client’s data analysts to process the claims information
Turn around time and the error rates were very high due to the manual processes
• Used emids’ ETL QA analyzer tool to ensure data quality during pre and post ETL processes
• Worked with the client’s data analysts and BI experts in providing DBA and query maintenance services for trend analysis and overpayment analysis of claims
Tech
com
pone
nts
& v
alue
add
s
• Improved claims analysis processes and lower turnaround time
• Improved data quality, leveraging emids ETL Quality Analyzer tool
• Cost contained delivery Dom
ain
valu
e ad
ds
• Leveraged emids’ data management framework to implement an end to end solution for claims data management• The framework enabled data aggregation, validation and reporting • Created automated scripts for data validation and data extraction from multiple source files and loaded it to a staging database• Converted multiple data formats from different source systems into a single CSV format, and loaded data onto the client’s claims
analysis application
Engagement Specifics
Technology Stack
• ETL QA analyzer tool • SQL Server• C# .net• Sql server• Load Automation tool
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Sample 3
HEALTHCARE TECHNOLOGY VENDORS HEALTHCARE PAYERS
HEALTHCARE PROVIDERS
HEALTHCARE TECHNOLOGY VENDORS
• INTEROPERABILITY AND INTEGRATION
• IMPLEMENTATION AND MIGRATION• DATA MANAGEMENT, BI/DW
SERVICES• MOBILE HEALTH SOLUTIONS• ICD 10 SOLUTION• MEANINGFUL USE SOLUTION
• EMR/EHR VENDORS
• HEALTH INFORMATION EXCHANGES
• PACS AND MEDICAL IMAGING
• RCM AND INTERMEDIARIES
• WELLNESS MANAGEMENT
HEALTHCARE PAYERS
• COMMERCIAL HEALTH PLANS
• BLUE PLANS
• DENTAL AND VISION PLANS
• MEDICARE, AND MEDICAID
• MEDICARE ADVANTAGE
• ACOS AND PCMH
• PAYER- PROVIDER INTEGRATION SERVICES
• ENHANCEMENT OF CORE APPLICATIONS
• BI/DW SERVICES• APPEALS AND GRIEVANCES SOLUTION• METRICS THAT MATTER
• ARCHITECTURE AND DEVELOPMENT SERVICES
• DATA MANAGEMENT/BI
• APPLICATION ENHANCEMENT
• MAINTENANCE SERVICES
• TESTING & QA AUTOMATION SOLUTIONS
MARKETSMARKETS SOLUTIONS & SERVICES
• ACUTE CARE HOSPITALS
• LONG TERM CARE
• AMBULATORY AND MEDICAL GROUPS
• SPECIALTY PROVIDERS
• ACOS AND PHO
HEALTHCARE PROVIDERS
To Learn More:Visit our website at www.emids.com or send an email to [email protected] Headquarters: 520 Royal Parkway, Nashville TN 37214 | Phone: (615)332-7701 | Fax: (615)523-2825
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