As the manager of CTU Health Care Systems, you have done your research on three vendors to which you would like to outsource the implementation of the electronic health records (EHRs) for the clinics. As the manager, you have a number of critical decisions regarding the electronic medical record systems. At first, you thought you could either implement the existing EHR system at the other acute care organization or implement an entirely new EHR in both facilities. You met with your staff, and after researching several companies that offered both products and services, you have solicited request for proposals (RFPs) from the following three companies: ABC Systems Consulting, the leading company in health care systems integration services, refused to bid on the systems integration required for bringing the current EHR system into the other organization. This was because of the risks and time requirements for designing, implementing, and testing the large number of interfaces required and the required time line for the completion of the project as identified by the client. XYZ EHR Systems proposed that its new, recently redeveloped EHR be implemented in both facilities, which included a computerized physician order entry (CPOE) module, standardized drug interaction alert functionality, and customizable clinical alert functionality. It estimated that the merged entity would get a much better price than $50 million for purchasing this new system. Unfortunately, XYZ was unable to provide evidence of successful installation of its recently redeveloped EHR system at a similarly large delivery network or anywhere. QRS EHR Systems, a leading provider of EHR systems for large acute care facilities, proposed that its EHR be installed in both acute care organizations with a $50–60 million price tag. QRS included a CPOE module, standardized drug interaction alert functionality, as well as evidence-based clinical alert functionality. QRS also had a physician office EHR system with an embedded patient registration system; however, QRS has had minimal experience with integrating the physician office registration system with the acute care (hospital) registration system—an integration feature that was a priority for this project based on the client’s information technology (IT) strategic plan. The stakes surrounding your recommendation to the chief information officer (CIO) and chief executive officer (CEO) could not be higher in terms of dollars and your career.
What pieces of information are the most critical for your decision on selecting the right vendor? What other options, if any, do you have? What are the critical success factors in the case? What are your recommendations to the CIO and CEO based on the RFPs that you received?
The Different Types Of Roman Houses History Essay Distributed: 23rd March, 2015 Disclaimer: This exposition has been put together by an understudy. This isn’t a case of the work composed by our expert article authors. You can see tests of our expert work here. Any assessments, discoveries, conclusions or suggestions communicated in this material are those of the writers and don’t really mirror the perspectives of UK Essays. Roman house composes can’t be depicted as uniform, similarly that places of the present day all shift. Contingent upon the area and period being considered there are tremendous contrasts between house writes. Regardless of this there have all the earmarks of being some structural necessities discernible both in the archaic exploration and appeared by old creators, for example, Vitruvius, which would demonstrate that the Romans took after rules when working to build a ‘perfect’ Roman house however much as could be expected. Both archaic exploration and writing can be utilized to supplement each other in the investigation of the Roman house, as they can each give a recommendation of the utilization of various rooms. At times where one train might not have the appropriate response, the other may give some insight with regards to the capacity of specific spaces. It is imperative to utilize prehistoric studies to fundamentally dissect the antiquated sources, as we have not very many that talk about household design, and those that complete have a tendency to sum up and center around certain house composes, for example, the homes of the privileged. This investigation will take a gander at the distinctive sorts of houses found in the Roman Empire and how their advancement changed after some time, concentrating especially on how houses are depicted in the sources and what archaic exploration has conveyed to the subject, which can’t be translated from writing alone. The soonest kind of blue-blooded house to be depicted as ‘Roman’ is the chamber house, ascribed to the third century BC onwards (Ellis 2000: 26). As indicated by Ellis (2000:26) the chamber house had a principle entry prompting the chamber yard, which was secured generally by an inclining rooftop, open in the middle. The impluvium, a little pool was underneath this. There were three unique kinds of these chamber houses, every where the chamber had an alternate sort of rooftop called compluviate, displuviate and testudinate (Ellis 2000: 26-7). By and large there was a primary banquet hall called the tablinum with two alae (rooms open to the chamber), one on either side, the cubicula (rooms) were situated on each side of the chamber (Ellis 2000: 27). Confirmation of chamber houses isn’t found in the territory of Italy alone, there is additionally the likelihood of chamber houses in Spain and southern France, for example, House 1 at Ampurias and the House of the Dolphin at Vaison (Ellis 2000:29). Allison (2001: 192) has proposed that regardless of whether a chamber house is marked accordingly relies upon the fact that it is so like a Pompeian chamber house. This thought Pompeii is the best model to utilize, would show that even current researchers are affected by the data most promptly accessible to them in recognizing between house writes. The peristyle house ended up pervasive in the principal century AD, when it coincided with the chamber house at first (Dwyer 1991: 25-48, refered to by Ellis 2000: 31) and it inevitably turned into the most widely recognized of every refined house in the Empire (Ellis 2000: 31). In the peristyle house the yard was more open than the chamber (Ellis 2000: 29) and it was generally a garden (Ellis 200: 34). With the peristyle came the oecus (a lounge area) ordinarily situated by the peristyle (Ellis 2000: 35). A case of a peristyle house is the House of the Vetii in Pompeii, which and in addition having two atria has a peristyle, which in this example is a statued plant (Ellis 2000: 1-4). The House of the Vetii, is additionally a decent case of a blue-blooded townhouse. It was a luxuriously enlivened house, with three banquet halls and a different quarter for workers, and also these it had a shop, a hallowed place and a doorman’s hotel (Ellis 2000: 1-4). Ellis (2000: 11) depicts a manor as a luxurious house on a nation domain, with the utilization of porches and porticoes (Ellis 2000: 52). The greater part of manors were a piece of a working domain (Sear 1992: 35). The most indulgent manors were on the drift or more precipices, for instance in the Bay of Naples region (Ellis 2000: 11). Tiberius’ Villa Jovis at Capri is one such manor (Ellis 2000:11). It has a substantial kitchen with enough space to plan for a dinner, reservoirs for water supply and a shower complex (Ellis 2000: 12). Anyway Ellis (2000: 13) says this could be viewed as a castle rather than an estate. The word ‘royal residence’ originates from the palatine slope in Rome (Ellis 2000: 54), the area of the place of the main Emperor Augustus (Ellis 2000: 53). Ellis (2000: 54) trusts that Augustus intentionally made his own particular home more local, while as yet including some palatial highlights. This would appear to be sensible considering Augustus’ delicate position as the main Princeps, and making his home look excessively palatial may have been a worry to the senate, when Augustus was anxious to cover his actual power. Nero’s Domus Aurea (Golden House) included rectangular banquet halls revolved around peristyles, with polygonal yards (Ellis 2000: 55), taking general local engineering and transforming it to make it more unrestrained. In spite of the fact that it was situated in the city, the brilliant house was in broad grounds, which incorporated a vineyard, forests and a lake (Sear 1992: 35). Plainly Nero was less cognizant than Augustus of annoying others with the immensity of his property. Castles or palatial estates were likewise on a substantially bigger scale than other lodging. For instance Hadrian’s manor at Tivoli which secured the greater part a square kilometer (Sear 1992: 35). Singe (1992: 29) reveals to us that condo squares began to supplant the more seasoned houses in the early Empire. In a few places, for example, Pompeii , this was finished by separating houses into littler flats (Sears 1992: 33). In Rome new flat squares (insulae), worked in block and cement supplanted those that had been destroyed in the fire of AD64 (Sear 1992: 33). Insulae were not regularly over five stories (Sear 1992:34) and their highlights for the most part comprised of staircases from second story rooms prompting the road, shops in the ground floor rooms, a water storage in the patio for the entire square and a restroom for each floor (Sear 1992: 34). An illustration is the Insula of Serapis at Ostia, comprising of two private squares with a showering suite between them (Sear 1992: 34). Insulae were ordinarily rental units (McKay 1975: 82), worked by the rich who could pay specialists and buy supplies (McKay 1975: 93). Roman houses as in different societies changed and created after some time. Distinctive rooms inside houses were more vital at various circumstances, for instance the triclinium turned out to be more essential under the Empire (Ellis 2000: 27). Allison (2001: 193) likewise presents a reasonable moment that she says that the employments of various rooms most likely changed after some time and that it ought not be envisioned that they remained the same all through the Roman time frame. This can be appeared in numerous commonplace houses, which appear to have made spaces for open business moderately late in the third to fourth hundreds of years, dissimilar to in Rome (Ellis 1988: 569). The peristyle house proceeded for longer in the eastern piece of the Empire (Ellis 1988: 565), one of these later houses being the House of the Falconer at Argos dating to 530-550 (Akerstråm-Hougen 1974, refered to by Ellis 1988: 565). The palatial design to a great extent relied upon the character of the Emperor of the time, for instance Diocletian returned to a more standard estate (Ellis 2000: 61). Vitruvius is the antiquated creator who gives the best concentration to Roman lodging as a subject. He to a great extent focuses on the measurements of a house, for instance his portrayal of yards and the essential edges and estimations that are for the most part utilized as a part of each sort (Vitruvius 6.3. 1). His record could be clarified as an arrangement of guidelines for the ideal Roman house, for example, when he expresses that the representations in the chamber must be an indistinguishable range from the expansiveness of side rooms (Vitruvius 6.3. 6). Ellis (2000: 14) trusts that a portion of the highlights portrayed by Vitruvius may not really have existed. The reality of the matter is that Vitruvius does not give cases of houses that fit in with his portrayals, however it is impossible that an individual house would have every one of the highlights he specifies as he is depicting the perfect. It appears to be conceivable that there were houses that each had a portion of the attributes he depicts. With regards to the employments of room there is some data depicted by Vitruvius, for instance he reveals to us that winter lounge areas and restrooms need to confront south west to amplify the utilization of the night light and dusk and the requirement for libraries to confront east to shield the books from decay (Vitruvius 6.4. 1). He additionally expresses that specific spaces were held for relatives, while places like vestibules and yards could be entered by any of people in general notwithstanding when not welcomed (Vitruvius 6.5.1).Ellis’ (2000: 14) see is that despite the fact that Vitruvius appears to broadly expound while portraying the ‘Roman House’, it is particularly centered around the Italian area as Vitruvius does not know as much about common engineering. In spite of the fact that at one point Vitruvius describes Cyzicene corridors, which are not quite the same as Italian ones (6.3. 10) it appears that except if Vitruvius had voyage broadly, he might not have seen different cases of lodging from various regions. Had he seen them he might not have thought they were as imperative to talk about, as they were not for the most part the consequence of Roman building styles alone yet joined some local outlines. To be sure as Allison (2001: 188) states, investigations of houses outside Italy depend significantly more on archaic exploration than writing for confirm. This demonstrates the couple of journalists that explored the class of lodging in the Roman time frame just extremely centered around hou>