InsuraCorp Case Study

After a review of the clinical information provided by Integra Partners, LLC, the Medical Director has determined that the orthopedic footwear and foot inserts is not medically necessary. The information submitted by the provider is limited and there is no other source of information to support the medical necessity for these services. There is no past medical history of previous care of the feet and what the result of that care has been. There is no information as to why orthopedic shoes and custom inserts are needed at this time. There is no record of your evaluation in the submitted material. We recommend you have evaluation by your doctor and complete the required documentation then submit it for consideration in the future for needed orthotic

Data management is vital to any business as this is a key tool to an organisations business improvement, as you can refer back to data, and compare them against benchmarks. Analysing data can provide evidence for possible future structure such as identify trends, as well as indicate where improvements can be made. However there are strict procedures to be followed when collecting and storing data.

Up until this point, Third Star Financial Services has operated via a succession of mergers and acquisitions where systems were inherited but never integrated into the network. Its data management has been virtually non-existent and entirely ineffective. Evidence of this can be found in the absence of an enterprise-wide data management solution and the presence of several disparate systems operating independently with no measurable benefit to the company. Due to a lack of actionable data, management makes decisions based on instinct rather than through analysis. A direct consequence of this is a steadily declining market share and loss of high-level employees to competing companies. Fortunately, this discrepancy has been identified and Third Star executives have established the new goal of modernizing and streamlining operations. Using concepts outlined by the Data Management Association (DAMA), this proposed enterprise architecture will allow Third Star to transform their data from a liability to an asset.

On February 10th 1997, Frank Miller assumed the position as the director of data management in Smith’s Information Services department. He was hired to fill a vacancy that was available for more than one year as well as help restructure and reorganize Smith’s Information Services department (Hattersley and Mcjannet, 54). The primary function of the Data Management Group at Smith Financial was to manage the distribution, storage, capture and flow of data throughout the company. Before Miller, this position was left vacant and needed someone to take charge as well as help the company move in a different direction than the current one.

2) Data must not be passed on to other people without the consent of the person whom it is about.

Pearlson, K. E., & Saunders, C. S. (2013). Managing & Using Information Systems. John Wiley & Sons, Inc.

The Bandon Group has identified several specific sets of information needs. First they must have the ability to analyze existing customer accounts for profitability. The have a need to understand which account they are making money off of and which account represent high volume profits. Second, they must have an effective sales prospecting system. The ability to measure the

The InsuraCorp IT department will face several challenges associated with centralizing operations. InsuraCorp’s three major businesses, individual insurance, retirement plans, and group insurance, once handled all of their marketing strategies independently from one another. Recent changes implemented by the CEO has brought new goals for the organization into view. In order to achieve these goals the CEO decided to centralize consumer activities for a more streamlined process. The concept of giving consumers a dashboard of their various products in a centralized location to allow for better opportunities and business growth would be challenging. This change meant the IT department would need to find ways to implement new software, provide

O’Brien, J. A., & Marakas, G. M. (2011). Management information systems (10th ed.). New York, NY: McGraw-Hill.

us of data and information. It is therefore the responsibility of organisations to have data and

The two main methods of storage are manual and electronic, both methods having their own benefits. The data can be used for analysis to assist the organisation fulfil its future goals and overall vision. All data must be stored in such a way that it complies with the regulations put in place by the government. This not only protects the organisation, but each and every member of the public.

A data warehouse is a large databased organized for reporting. It preserves history, integrates data from multiple sources, and is typically not updated in real time. The key components of data warehousing is the ability to access data of the operational systems, data staging area, data presentation area, and data access tools (HIMSS, 2009). The goal of the data warehouse platform is to improve the decision-making for clinical, financial, and operational purposes.

19. who decides how and when data in an organzation will be used or controlled?

A data subject is someone that stores the data outside of the area, this can be in a surgery in where the y store the customers names addresses and phone numbers.

Data, data is essential in todays business environment. The amount of information that businesses collect is growing larger and larger everyday. This information can be simple such as a customers name, address, telephone number, gender, or credit card number. The data can also be more complicated and require more insight such as finding out what a customers shopping habits are or finding out how to cater your advertisements based on your clients. With the amount of data every growing we are faced with some issues. Mainly how does a company process all of this information and keep it safe at the same time. This data that is collected is stored and is never truly deleted or gone. Big question is are we equipped to handle all of this information on our own? Well we can but we need to use Information systems to compile it all, process it, and make sure it is safe. Management information systems are made up of computing and communications hardware, operating system software, applications software that support business operations, and staff to analyze and create systems that help to achieve business goals and objectives. Management information systems support a broad array of business operations and enable interaction with an organization 's suppliers, customers and service providers. Every company for the most part creates their own software that is specific to their goals and what they hope to achieve. Software such as ERP (enterprise resource planning) is used to support large