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HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 1
ASSIGNMENT3: UC and Prototyping (Wellness Activity Tracking
System)
JASH MEHTA
GROUP 3
Mentor: KshitijChug
Weekly meeting time (Groupmeeting): Wednesday 3-4pm
Weekly meeting time (Group+ Mentor meeting): Wednesday4-
5pm
Venue: Ice Box, Hinds Hall
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 2
CONTEXT
Overviewof the company, current scenarioandthe future.
Healthcare in the USA is going through a serious crisis.
 The spending of the USA on healthcare is 2X per capita than other industrialized nations.
 Medical billsare amajorfactorinmore inmore than60% of the personal bankruptciesintheUSA,
75% have health insurance.
 Between 2000 and 2006 health insurance premiums rose 87% and the average wages rose by
3.8%. In spite of this the USA ranks 37th
in healthcare system.
 The fully insuredplansare expensive andhence one of the reasonforthe crisisinhealthcare
economy.
 The alternative tofullyinsuredplanisthe self-insuredplan.Inthis,the employerretainsa
portionof the risk andinsteadof large premiumsthe employer paysthe administrative billsand
stoplosscompany’sbillswhichare generallymuchlowerthanthe monthlypremiumof fully
insured.
Healthcare self-insuranceandconsultingGroupoffercustomerswithvarietyof servicestoourclients.We
encourage many wellness activities, promote self-management through healthcare Apps and increased
patient clinician interaction. Providing such services requires building an IT infrastructure and systems
whichcan supporthuge volume of customers.In this documentwe have designedthe use case diagram
and a prototype. The purpose of the use case diagram in this document is to describe the system from
perspective of all stakeholders.The use case diagrambringsout all the requirementsof the systemfrom
the viewpoint of all the stakeholders. The actor glossary, use case glossary, use case table and the use
case narrative are provided along with the diagram to understand the diagram in detail.
This document also includes a prototype for the login, browsing and customer RSVP.
Our company is the only consulting group which uses various technologies so it becomes necessary to
remain competitive in the market. In short the UC and prototype brings out the requirementsfrom the
viewpoint of the stakeholders.
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 3
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 4
Actor Glossary
Actor Description
Wellness
Activityand
Planning
Centre (WAPC)
The WAPC plans all the wellnessactivitiesbasedonthe alertsgeneratedbyMTAS
system.Itdecidestoplanfornutritionseminarif the MTASalertsthat many
customersare sufferingfromdiabetes/heartdisease.Itsendsthese plansto
EnrollmentDepartment(ED).Basedonthe RSVPcountof the patientsitfinalizes
the planswiththe nutritionspecialistsanddecidedvenue,timeetc.Afterthe
wellnessactivityitalsocollectsonlinefeedbacksfromcustomers.Italsocollects
feedbackfromMTASregardinghealthof the customerspostthe wellnessactivity.
Thisdepartmentanalysesthesefeedbacksandcreatessuccessreportsbasedonthe
feedbacks.
Enrollment
Department
(ED)
It receivesthe initial plansof the wellnessactivitiesfromthe WAPC. The ED gives
the access of its system information(database) tothe NAFcomponentof the
wellnessactivitytrackingsystem.The information fromthisDatabase containsthe
informationof all the customersenrolledinthe university.
Medical
Trackingand
AlertsSystem
(MTAS)
Thissystemalsogivesaccessto the ED regardingthe medical informationbasedon
thisinformation WAPCplansactivities. Thissystemalsogivesthe accesstothe NAF
componentof the wellnessactivitytrackingsystem. The information fromthis
Database containsinformationregardingthe healthof the customers.People
havingdiabeteswill be alertedbyNAFregardinganupcomingnutritionactivity.
Thissystemisalsoresponsibleforreportingthe healthstatusof the customerspost
the wellnessactivitiesasfeedbacks.ThishelpsWAPCdeterminethe successof the
seminar.
Verification
and Validation
(V&V)
Thiscomponentinthe wellnesstrackingsystemhastworesponsibilities:
1) Authenticationwhenuserlogininthe system
2)Testingeligibilityof the customersforthe RSVP (if someone hasbreathing
problemshe/shecannotparticipate inthe marathonwellnessactivity)
Finance
Department
The job of thisdepartmenttoaccess the informationfromthe of the wellness
activitytrackingsystem todetermine the RSVPcustomers.Basedonthe RSVPcount
the budgetforthe wellnessactivitiescanbe decided.
Customers
(University)
The user/customerwill receivenotifications viahealthcare AppsorWebPortal.The
user/customerwilllogininordertoRSVPforthe seminarprovidedthatthe
customerisregistereduser.Once he/shesuccessfullylogsinthenhe/she canRSVP
for wellnessactivitiesbasedonthe eligibility,thisnotificationissenttoNAF
componentwhichregistersintothe DB. Whenthe customerisattendingthe
wellnessactivityhe/sheshouldswipe the IDcardin the system, thisgivesanideaof
howmany customersturnedupforthe seminarafterRSVP.Customerscanalso
provide IDno.on the website if theyare attendinglive orrecordedwebinars. After
the wellnessactivitythe customerswill be askedtofill online formswhichwill be a
short survey/feedback. Thesefeedbackare receivedbyWAPC.
Notification
and Fetch
(NAF)
Thiscomponentisa part of the wellnesstrackingsystem. Itreceivesnotification
fromvariousactors and alsosendnotificationstovariousactors.It sends
notificationstothe customers viahealthcare Appsandwebportals. Also,inthe
case of erroneouslogincredentialsorerrorin RSVP,thiscomponentnotifiesthe
customerregardingthe error.
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 5
Use Case Glossary
Use Case Name Use Case Description Participating Actors
AccessingDatabase
of WellnessSystem
Thisuse case describesthe eventwhere the
WAPCor/and Finance Departmentaccess
Database of the wellnesstrackingsystem.This
database isaccessedto getan estimate of
howmany customerswill attendthe following
wellnessactivity.Dependingonthisestimate
the WAPC finalizes(venue,time etc.).Also,
dependingonthisestimatethe Finance
Departmentdecidesthe budgetforthe event.
Finance Department,
WellnessActivityPlanning
Center(WAPC)
PlanningWellness
Activities
Thisuse case describesthe eventwhere the
WAPCcreatesinitial plansforthe wellness
activities.Thiswellnessactivitiescouldbe
planningayoga session,marathonsor
nutritionseminar.The WAPCreachesoutto
the sponsors, yogateacheror dieticianto
conduct seminars. However,theseare rough
plans(approximate dataandvenue).
WellnessActivityPlanning
Center(WAPC)
PlanningMental
HealthActivities
Thisuse case describesthe eventof planning
activitieslikeYogasessionsandMeditation
sessions.
WellnessActivityPlanning
Center(WAPC)
PlanningPhysical
FitnessActivities
Thisuse case describesthe eventof planning
physical activitiessuchasmarathons,morning
jogs,gymtrainingetc.
WellnessActivityPlanning
Center(WAPC)
PlanningNutrition
activities
Thisuse case describesthe eventof planning
seminarswithdieticians.
WellnessActivityPlanning
Center(WAPC)
SendingPlans Thisuse case describesthe eventwhere the
initial orroughplansof WAPCare senttothe
EnrollmentDepartment.
WellnessActivityPlanning
Center(WAPC)
Finalizingbasedon
RSVP
Thisuse case describesthe eventwhere the
WAPCfinalizes (date,venue,timeetc.) plans
basedon RSVPcount.Thisuse case comesinto
the picture afterthe wellnessactivitytracking
system’sinformation isaccessedbythe WAPC.
WellnessActivityPlanning
Center(WAPC)
Receive Feedback Thisuse case describesthe eventwhere the
WAPCreceivesfeedbackfromthe customers.
Customerswrite onlinefeedbacksforthe
wellnessactivitiestheyhave attended.The
WAPCalsoreceivesthe medical health
information,of the customers,asafeedback
fromthe MTAS on regularbasis.
WellnessActivityPlanning
Center(WAPC)
Analyze Feedback Thisuse case describesthe eventwhere the
WAPCanalyzesthe feedbackgivenbythe
WellnessActivityPlanning
Center(WAPC)
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 6
customers.Italsoanalyzesthe medical health
informationwhichisthe feedback givenby
MTAS. Analyzingthese feedbackshelpsto
decide whetherthe wellnessactivitiesare
goingwell anditis onthe righttrack.
Generate success
Reports
Thisuse case describes the eventpost
analysesstage. Itbasicallygeneratesreports
for eachwellnessactivityforthe top
managementof the company.These reports
are generatedbasedonthe numberof people
attendedthe wellnessactivity,positive or
negative feedbackgivenbythe customers,
positive ornegative medical health
informationreceivedfromMTAS.
WellnessActivityPlanning
Center(WAPC)
Receive Plans Thisuse case describesthe eventwhere the
ED receivesthe initialorthe roughplans from
the WAPC.As soonas the department
receivesthe plansitknow ithasto give the
access of the information of the customers
enrolledinthe company.The accessisgivento
the NAFcomponentof the wellnessactivity
trackingsystem.
EnrollmentDepartment(ED)
GivingAccessof DB
to NAFcomponent
Thisuse case describesthe eventwhere the
ED givesaccessof the customerinformation to
NAFcomponent.Givingaccessmeansgiving
importantinformationof the customers
(customerID,customername etc.) viawhich
theycan be notified. The MTASalsogives
access of its systeminformationtothe NAF
component.Forexample:suppose the NAF
componentfindssetof customerswith
diabetesandthe upcomingwellnessactivityis
nutritionseminar,inthiscase NAFwill send
special notificationstothese customers.
EnrollmentDepartment(ED)
& Medical Tracking and
AlertsSystem(MTAS)
TrackingMedical
Informationand
givingalertsto
WAPC
Thisuse case describesthe eventwhere the
medical informationof the customersis
trackedregularly.Eachvisitto a doctor is
trackedand the resultsof the medical health
are recorded.Thissystemalsotracksthe
medical healthof the patientpostthe
wellnessactivities.Thissystemalsosends
alertsto varioussystems.Forexample:If there
are setof customerswhohave problemsin
concentratingoranger managementthenthis
will be alertedtothe WAPC.The WAPCcan
use thisinformation tomake roughplansOF
Yoga Sessionsinthe future.
Medical Trackingand Alerts
System(MTAS)
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 7
Use Case Table
ReportingMedical
Healthof customers
postwellness
activitiesasa
feedbacktoWAPC
Thisuse case describesthe eventwhere the
MTAS monitorsthe healthof the patientpost
wellnessactivities.Thiscanbe achievedby
askingthe customerto update the health
informationintheirsystem.Thisinformation
issentto the WAPC.WAPCusesthis
information todetermine the successof the
wellnessactivitiesandalsotoplan future
activitiesafteranalyzingthe health
informationof the customers.
Medical Trackingand Alerts
System(MTAS)
Checking
Authenticityand
Eligibility
Thisuse case describesthe eventwhere V&V
justhave the job of authenticatingthe login
and verifyingthe eligibilityforRSVP.
VerificationandValidation
(V&V)
DecidingBudget
basedon RSVP
Thisuse case describesthe eventwhere the
Finance departmentdecidesthe budgetbased
on the RSVPcount.
Finance Department
Login Thisuse case describesthe eventwhere the
user/customerlogsintothe systemviathe
healthcare Appsorthe website.
Customers(University)
RSVP Thisuse case describesthe eventwherein
afterlogginginthe system, the user/customer
RSVPwellnessactivity.
Customers(University)
SwipingCardsinthe
System
Thisuse case describesthe eventwhere the
customersattendingthe seminarswipesthe
card to registerinthe systemhis/herpresence
for the wellnessactivity.
Customers(University)
ProvidingIDno.for
webinars
Thisuse case describesthe eventwhere the
customerprovidesthe IDcard no. inthe event
of attendingwebinarforthe wellnessactivity.
Customers(University)
Providingonline
feedback
Thisuse case describesthe event whenthe
wellnessactivityhasconcluded.The
customersare askedto fill the online feedback
regardingthe wellnessactivity.The customer
can fill the survey/feedbackformviaAppsor
Website.
Customers(University)
Receive /Send
Notification
Thisuse case describesthe eventwhere the
customergetsnotificationregardingthe
wellnessactivityfromthe wellnesstracking
systemandthe wellnesstrackingsystemgets
notificationfromthe customersintermsof
RSVP.
Customers(University) &
Notificationand Fetch(NAF)
FetchInformation of
Customers fromED
and MTAS for
sending
notifications
Thisuse case describesthe eventwhere NAF
fetchesinformationfromEDand MTAS for
sendingnotificationstothe customers.
NotificationandFetch(NAF)
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 8
Actor/External
agent
Event Trigger Dependency Responses
Finance Department,
WellnessActivity
PlanningCenter
(WAPC)
Accessing
Information of
Wellness Tracking
System
Adhoc
(These
department
accessesthe
informationfrom
the databases
whenrequired)
IT adminmust
give proper
controlsinorder
to access the
information.
The informationof the
customersissentacross
these departments
WellnessActivity
PlanningCenter
(WAPC)
PlanningWellness
Activities
Adhoc
(WAPCmakes
roughplansfor
the wellness
activity)
These plansare
made basedon
the availability
of wellness
expertsand
wellness
partners.
These plansare thensentto
the ED
WellnessActivity
PlanningCenter
(WAPC)
PlanningMental
HealthActivities
Adhoc
(WAPCmakes
roughplansfor
the wellness
activity)
These plansare
made basedon
the regular
feedback
receivedfrom
the MTAS.
Alsothese plans
are made after
discussingthe
schedule with
yoga firms, yoga
experts,
meditation
expertsand
meditation
firms.
These plansare thensentto
the ED
WellnessActivity
PlanningCenter
(WAPC)
PlanningPhysical
FitnessActivities
Adhoc
(WAPCmakes
roughplansfor
the wellness
activity)
These plansare
made basedon
the regular
feedback
receivedfrom
the MTAS. Also
these plansare
made after
discussingthe
schedule with
gyms,Zumba
These plans are thensentto
the ED
Notifyingerroneous
credentials
Thisuse case describesthe eventwhenthe
user/customerlogsinthroughwrong
credentialsorthere issome errorwhile RSVP.
NotificationandFetch(NAF)
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 9
experts, and
Zumbafirms.
WellnessActivity
PlanningCenter
(WAPC)
PlanningNutrition
Seminars
Adhoc
(WAPCmakes
roughplansfor
the wellness
activity)
These plansare
made basedon
the regular
feedback
receivedfrom
the MTAS. Also
these plansare
made after
discussingthe
schedule with
dieticiansand
nutrition
experts.
These plansare thensentto
the ED
WellnessActivity
PlanningCenter
(WAPC)
SendingPlans Adhoc
(The plansare sent
across to the ED
viaa clickof a
button)
Before sending
out the plans
the plansneed
to be reviewed
by Wellness
planningcenter.
The plansare receivedbythe
ED at the otherend
WellnessActivity
PlanningCenter
(WAPC)
Finalizingbased
on RSVP
Adhoc
(The plansare
finalizedand
postedinthe
systemviaa
buttonclick)
Thisrequires
the RSVPcount
of the
customers
attendingthe
seminar.
Confirmingand
bookingthe
schedule with
wellness
partnersand
givingthema
count of people
that will attend
the event.
The final plansare postedon
the website andApps
WellnessActivity
PlanningCenter
(WAPC)
Receive Feedback Adhoc
(The WAPC
receivesfeedback
intoitssystemvia
buttonclickfrom
customersand
MTAS)
The customers
shouldfill
relevant
feedbackand
the MTAS
shouldbe upto
date withthe
medical health
information
WAPChas customerand
MTAS feedbackcritical for
analyzes
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 10
WellnessActivity
PlanningCenter
(WAPC)
Analyze Feedback Adhoc
(The WAPC
analyzesfeedback
and raw data by
the toolsthey
have intheir
system)
To analyze
feedback,the
WAPCmust
receive
feedbackinthe
desiredformat
whichmakes
analysisvery
easy.
The analysisof the wellness
activityisdone andthe
reportsare to be prepared
WellnessActivity
PlanningCenter
(WAPC)
Generate success
Reports
Adhoc
(Afteranalyzing
feedback,success
reportsare
generated which
are sentto the
higher
managementin
the company)
In orderto
generate
reportsanalysis
of information
of customer
feedbackand
medical health
statusis
necessary.
The reportsare generatedfor
the highermanagement
Enrollment
Department(ED)
Receive Plans Adhoc
(Receivedviaa
buttonclickfrom
WAPC)
A rough/initial
planshouldbe
made by the
WAPCsuch that
it can be
notifiedtothe
customers
Plansare receivedthusED
realizestogive permissionto
NAFto access the
informationfromitssystem.
Enrollment
Department(ED) &
Medical Trackingand
AlertsSystem(MTAS)
GivingAccessof
informationfrom
ED andMTAS to
NAFcomponent
Adhoc
(Givingpermission
to access the
informationviaa
buttonclick)
The reportsof
medical health
shouldbe ready
withthe MTAS.
The ED should
have complete
informationof
enrolled
customers
The NAF hasall the
informationinordertosend
notificationtothe customers.
Medical Trackingand
AlertsSystem(MTAS)
TrackingMedical
Informationand
givingalertsto
WAPC
Adhoc
(Thisisachieved
by doctoror
customerentering
theirhealthdetails
intothe system)
Someone needs
to feedthe
correct medical
informationto
track the
information.
The informationistrackedin
orderto make regularhealth
reports.
Medical Trackingand
AlertsSystem(MTAS)
ReportingMedical
Healthof
customerspost
wellnessactivities
as a feedbackto
WAPC
Adhoc/Time
(Asregularlythe
medical health
infoisupdatedin
the system.At
regularintervals
the medical health
Propermedical
health
information
shouldbe
capturedinthe
system.
The healthreportsare
regularlysenttothe WAPCso
theycan track successof
wellnessactivitiesandalso
planfuture wellness
activities.
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 11
isreportedto the
WAPC)
Verificationand
Validation(V&V)
Checking
Authenticityand
Eligibility
Adhoc
(Thisisdone only
when
user/customer
clickson submit
buttonwhile
logginginor when
clickingonRSVP
seminar)
The customer
mustattemptto
loginintothe
system.
Verificationisdone asa
resultthe user/customeris
able to performhisroutine
tasksor an erroris thrown
due any error.
Customers(University) Login Adhoc
(Clickona button)
The user must
be registeredto
loginintothe
system.
The user/customerlogsinas
a resulthe getsaccess to the
system.
Customers(University) RSVP Adhoc
(ClickonRSVP
button)
The customer
musthave
successfully
loggedintothe
systeminorder
to Login.
As the user/customerlogsin
the usercan browse different
wellnessactivitiesandcan
RSVPthe seminar.The RSVP
isregisteredforthe
customers inthe system.
Customers(University) SwipingCardsin
the System
Adhoc
(Swipe Cardsinto
the device)
The customer
musthave ID
cards
As a resultthe system
registersthatthe customer
attendedthe activity.
Customers(University) ProvidingIDno.
for webinars
Adhoc
(Provide IDand
clickon submitto
view webinars)
The customeris
not able to
attendthe
seminarand
wouldlike to
take benefitof
the seminar
fromhis/her
workplace or
home via
webinar.
As a resultthe system
registersthatthe customer
attendedthe activityviathe
webinar.
Customers(University) Providingonline
feedback
Adhoc
(customerclicks
on the button
afterwritingthe
feedback)
The customer
shouldhave
attendedthe
seminarinorder
to fill the
feedback.
As a resultthe system
registersthe customer
feedbackintothe system.
Customers(University)
& Notificationand
Fetch(NAF)
Receive /Send
Notification
Adhoc/Time
(The customer
clickson buttonto
RSVP.The NAF
componentsends
the notification
For sendingand
receiving
notificationthe
customermust
be loggedinto
the system.
As a resultthe systemgets
notifiedwhenthe customer
clickson RSVP.Whenthe
systemsendsthe
notification,the customer
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 12
whenitis
triggeredbyother
actors or
componentsin/of
the system)
getsnotifiedviahealthcare
Appsand website.
NotificationandFetch
(NAF)
FetchInformation
of Customersfrom
ED andMTAS for
sending
notifications
Time
(The NAF
component
fetchesthe
informationwhen
it istriggeredby
otheractors or
componentsin/of
the system)
ED andMTAS
shouldgive
access request
fromWAPC.
The informationis
successfully fetchesasresult
of grantingpermissiontothe
respective actors
NotificationandFetch
(NAF)
Notifying
erroneous
credentials
Adhoc
(Thisuse case is
performedwhen
the userclickson
the buttonwith
wrongcredentials
)
There shouldbe
some error
while loggingin
or while
registeringfor
the seminar
The customeris notifiedfor
the erroneouscredentialsor
error inRSVP.
Use Case Narrative:
Use-Case Name Tracking Medical Information and giving alerts to WAPC
Priority High
Actor (Primary): Medical Tracking & Alerts System
Interested Stakeholders:  Medical Tracking & Alerts System – The MTAS is interested
stakeholder because this system keeps track of all the health
parameters. ThissystemworkswithWellnessTrackingSystem
in order to fetch and store historical medical history.
Description: Thisuse case inour systemisveryimportantasthisisthe pointwhere
the medical healthhistoryof the customercomesintothe picture.This
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 13
use case deals with storing and analysingpast medical history. This is
a point where.
Pre-condition:  Customer must be updating their health parameters in the
system via periodical feedback
 Hospitals or Doctors must be updating patients’ health
parameters regularly.
Trigger: The event is triggered when the user/ customer fills the periodical
feedback/ survey form. Or when the customer visits any health
services, physicians or hospitals in the network the physician/health
services updates the information in the system.
Typical Course Event: Actor Action: System Action/Response
Step 1:
As soon as the customer fills the
feedback/ surveys the system
captures the health history.
Step 2:
This health history/ information’s
access is given to Wellness
Activity Planning Centre’s
Database.
Step 3:
The historical medical data and
current medical data is analysed
and then the patient satisfaction
is determined.
Alternate Course: Alternate step 3a: If the Medical Tracking system is not able to give
access to wellnesstrackingsystemthenthe dataneedtobe sentviaa
private secured network
Alternate step 3b: If the data needs to be sent via private secured
network, employees need to track the transfer of huge volumes of
data.
Conclusion: Thisuse case concludeswhenthe Medical Trackingsystemsuccessfully
captures the medical data and gives the access to WAPC.
Post Condition: After the MTAS has given access to WAPC, it is the WAPC’s job to
analyse the past medical data to determine improvement/
deterioration in the patient’s health.
Business Rule:  The system should allow the user to enter the health
parameters in the feedback/ survey forms.
 The backendsystemmustcapture the healthparameters into
the Medical Tracking system.
 The system should allow the WAPC to compare the current
data with past data.
 The system should point out the trends from the current and
the past data.
Implementation
Constrains &
Specifications:
 The medical tracking system is very sensitive system as it
contains medical data of the patients.
 Giving access to another system may have serious security
implications.
Assumption: The Medical Data Tracking System and Capturing system are
compatible.
HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP
JASHMEHTA 14
Open Issues: Needstrongsecurityalgorithmstoavoidattackssuchasbrute force so
that access is not given to any unauthorized user.

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UC and Prototyping

  • 1. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 1 ASSIGNMENT3: UC and Prototyping (Wellness Activity Tracking System) JASH MEHTA GROUP 3 Mentor: KshitijChug Weekly meeting time (Groupmeeting): Wednesday 3-4pm Weekly meeting time (Group+ Mentor meeting): Wednesday4- 5pm Venue: Ice Box, Hinds Hall
  • 2. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 2 CONTEXT Overviewof the company, current scenarioandthe future. Healthcare in the USA is going through a serious crisis.  The spending of the USA on healthcare is 2X per capita than other industrialized nations.  Medical billsare amajorfactorinmore inmore than60% of the personal bankruptciesintheUSA, 75% have health insurance.  Between 2000 and 2006 health insurance premiums rose 87% and the average wages rose by 3.8%. In spite of this the USA ranks 37th in healthcare system.  The fully insuredplansare expensive andhence one of the reasonforthe crisisinhealthcare economy.  The alternative tofullyinsuredplanisthe self-insuredplan.Inthis,the employerretainsa portionof the risk andinsteadof large premiumsthe employer paysthe administrative billsand stoplosscompany’sbillswhichare generallymuchlowerthanthe monthlypremiumof fully insured. Healthcare self-insuranceandconsultingGroupoffercustomerswithvarietyof servicestoourclients.We encourage many wellness activities, promote self-management through healthcare Apps and increased patient clinician interaction. Providing such services requires building an IT infrastructure and systems whichcan supporthuge volume of customers.In this documentwe have designedthe use case diagram and a prototype. The purpose of the use case diagram in this document is to describe the system from perspective of all stakeholders.The use case diagrambringsout all the requirementsof the systemfrom the viewpoint of all the stakeholders. The actor glossary, use case glossary, use case table and the use case narrative are provided along with the diagram to understand the diagram in detail. This document also includes a prototype for the login, browsing and customer RSVP. Our company is the only consulting group which uses various technologies so it becomes necessary to remain competitive in the market. In short the UC and prototype brings out the requirementsfrom the viewpoint of the stakeholders.
  • 3. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 3
  • 4. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 4 Actor Glossary Actor Description Wellness Activityand Planning Centre (WAPC) The WAPC plans all the wellnessactivitiesbasedonthe alertsgeneratedbyMTAS system.Itdecidestoplanfornutritionseminarif the MTASalertsthat many customersare sufferingfromdiabetes/heartdisease.Itsendsthese plansto EnrollmentDepartment(ED).Basedonthe RSVPcountof the patientsitfinalizes the planswiththe nutritionspecialistsanddecidedvenue,timeetc.Afterthe wellnessactivityitalsocollectsonlinefeedbacksfromcustomers.Italsocollects feedbackfromMTASregardinghealthof the customerspostthe wellnessactivity. Thisdepartmentanalysesthesefeedbacksandcreatessuccessreportsbasedonthe feedbacks. Enrollment Department (ED) It receivesthe initial plansof the wellnessactivitiesfromthe WAPC. The ED gives the access of its system information(database) tothe NAFcomponentof the wellnessactivitytrackingsystem.The information fromthisDatabase containsthe informationof all the customersenrolledinthe university. Medical Trackingand AlertsSystem (MTAS) Thissystemalsogivesaccessto the ED regardingthe medical informationbasedon thisinformation WAPCplansactivities. Thissystemalsogivesthe accesstothe NAF componentof the wellnessactivitytrackingsystem. The information fromthis Database containsinformationregardingthe healthof the customers.People havingdiabeteswill be alertedbyNAFregardinganupcomingnutritionactivity. Thissystemisalsoresponsibleforreportingthe healthstatusof the customerspost the wellnessactivitiesasfeedbacks.ThishelpsWAPCdeterminethe successof the seminar. Verification and Validation (V&V) Thiscomponentinthe wellnesstrackingsystemhastworesponsibilities: 1) Authenticationwhenuserlogininthe system 2)Testingeligibilityof the customersforthe RSVP (if someone hasbreathing problemshe/shecannotparticipate inthe marathonwellnessactivity) Finance Department The job of thisdepartmenttoaccess the informationfromthe of the wellness activitytrackingsystem todetermine the RSVPcustomers.Basedonthe RSVPcount the budgetforthe wellnessactivitiescanbe decided. Customers (University) The user/customerwill receivenotifications viahealthcare AppsorWebPortal.The user/customerwilllogininordertoRSVPforthe seminarprovidedthatthe customerisregistereduser.Once he/shesuccessfullylogsinthenhe/she canRSVP for wellnessactivitiesbasedonthe eligibility,thisnotificationissenttoNAF componentwhichregistersintothe DB. Whenthe customerisattendingthe wellnessactivityhe/sheshouldswipe the IDcardin the system, thisgivesanideaof howmany customersturnedupforthe seminarafterRSVP.Customerscanalso provide IDno.on the website if theyare attendinglive orrecordedwebinars. After the wellnessactivitythe customerswill be askedtofill online formswhichwill be a short survey/feedback. Thesefeedbackare receivedbyWAPC. Notification and Fetch (NAF) Thiscomponentisa part of the wellnesstrackingsystem. Itreceivesnotification fromvariousactors and alsosendnotificationstovariousactors.It sends notificationstothe customers viahealthcare Appsandwebportals. Also,inthe case of erroneouslogincredentialsorerrorin RSVP,thiscomponentnotifiesthe customerregardingthe error.
  • 5. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 5 Use Case Glossary Use Case Name Use Case Description Participating Actors AccessingDatabase of WellnessSystem Thisuse case describesthe eventwhere the WAPCor/and Finance Departmentaccess Database of the wellnesstrackingsystem.This database isaccessedto getan estimate of howmany customerswill attendthe following wellnessactivity.Dependingonthisestimate the WAPC finalizes(venue,time etc.).Also, dependingonthisestimatethe Finance Departmentdecidesthe budgetforthe event. Finance Department, WellnessActivityPlanning Center(WAPC) PlanningWellness Activities Thisuse case describesthe eventwhere the WAPCcreatesinitial plansforthe wellness activities.Thiswellnessactivitiescouldbe planningayoga session,marathonsor nutritionseminar.The WAPCreachesoutto the sponsors, yogateacheror dieticianto conduct seminars. However,theseare rough plans(approximate dataandvenue). WellnessActivityPlanning Center(WAPC) PlanningMental HealthActivities Thisuse case describesthe eventof planning activitieslikeYogasessionsandMeditation sessions. WellnessActivityPlanning Center(WAPC) PlanningPhysical FitnessActivities Thisuse case describesthe eventof planning physical activitiessuchasmarathons,morning jogs,gymtrainingetc. WellnessActivityPlanning Center(WAPC) PlanningNutrition activities Thisuse case describesthe eventof planning seminarswithdieticians. WellnessActivityPlanning Center(WAPC) SendingPlans Thisuse case describesthe eventwhere the initial orroughplansof WAPCare senttothe EnrollmentDepartment. WellnessActivityPlanning Center(WAPC) Finalizingbasedon RSVP Thisuse case describesthe eventwhere the WAPCfinalizes (date,venue,timeetc.) plans basedon RSVPcount.Thisuse case comesinto the picture afterthe wellnessactivitytracking system’sinformation isaccessedbythe WAPC. WellnessActivityPlanning Center(WAPC) Receive Feedback Thisuse case describesthe eventwhere the WAPCreceivesfeedbackfromthe customers. Customerswrite onlinefeedbacksforthe wellnessactivitiestheyhave attended.The WAPCalsoreceivesthe medical health information,of the customers,asafeedback fromthe MTAS on regularbasis. WellnessActivityPlanning Center(WAPC) Analyze Feedback Thisuse case describesthe eventwhere the WAPCanalyzesthe feedbackgivenbythe WellnessActivityPlanning Center(WAPC)
  • 6. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 6 customers.Italsoanalyzesthe medical health informationwhichisthe feedback givenby MTAS. Analyzingthese feedbackshelpsto decide whetherthe wellnessactivitiesare goingwell anditis onthe righttrack. Generate success Reports Thisuse case describes the eventpost analysesstage. Itbasicallygeneratesreports for eachwellnessactivityforthe top managementof the company.These reports are generatedbasedonthe numberof people attendedthe wellnessactivity,positive or negative feedbackgivenbythe customers, positive ornegative medical health informationreceivedfromMTAS. WellnessActivityPlanning Center(WAPC) Receive Plans Thisuse case describesthe eventwhere the ED receivesthe initialorthe roughplans from the WAPC.As soonas the department receivesthe plansitknow ithasto give the access of the information of the customers enrolledinthe company.The accessisgivento the NAFcomponentof the wellnessactivity trackingsystem. EnrollmentDepartment(ED) GivingAccessof DB to NAFcomponent Thisuse case describesthe eventwhere the ED givesaccessof the customerinformation to NAFcomponent.Givingaccessmeansgiving importantinformationof the customers (customerID,customername etc.) viawhich theycan be notified. The MTASalsogives access of its systeminformationtothe NAF component.Forexample:suppose the NAF componentfindssetof customerswith diabetesandthe upcomingwellnessactivityis nutritionseminar,inthiscase NAFwill send special notificationstothese customers. EnrollmentDepartment(ED) & Medical Tracking and AlertsSystem(MTAS) TrackingMedical Informationand givingalertsto WAPC Thisuse case describesthe eventwhere the medical informationof the customersis trackedregularly.Eachvisitto a doctor is trackedand the resultsof the medical health are recorded.Thissystemalsotracksthe medical healthof the patientpostthe wellnessactivities.Thissystemalsosends alertsto varioussystems.Forexample:If there are setof customerswhohave problemsin concentratingoranger managementthenthis will be alertedtothe WAPC.The WAPCcan use thisinformation tomake roughplansOF Yoga Sessionsinthe future. Medical Trackingand Alerts System(MTAS)
  • 7. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 7 Use Case Table ReportingMedical Healthof customers postwellness activitiesasa feedbacktoWAPC Thisuse case describesthe eventwhere the MTAS monitorsthe healthof the patientpost wellnessactivities.Thiscanbe achievedby askingthe customerto update the health informationintheirsystem.Thisinformation issentto the WAPC.WAPCusesthis information todetermine the successof the wellnessactivitiesandalsotoplan future activitiesafteranalyzingthe health informationof the customers. Medical Trackingand Alerts System(MTAS) Checking Authenticityand Eligibility Thisuse case describesthe eventwhere V&V justhave the job of authenticatingthe login and verifyingthe eligibilityforRSVP. VerificationandValidation (V&V) DecidingBudget basedon RSVP Thisuse case describesthe eventwhere the Finance departmentdecidesthe budgetbased on the RSVPcount. Finance Department Login Thisuse case describesthe eventwhere the user/customerlogsintothe systemviathe healthcare Appsorthe website. Customers(University) RSVP Thisuse case describesthe eventwherein afterlogginginthe system, the user/customer RSVPwellnessactivity. Customers(University) SwipingCardsinthe System Thisuse case describesthe eventwhere the customersattendingthe seminarswipesthe card to registerinthe systemhis/herpresence for the wellnessactivity. Customers(University) ProvidingIDno.for webinars Thisuse case describesthe eventwhere the customerprovidesthe IDcard no. inthe event of attendingwebinarforthe wellnessactivity. Customers(University) Providingonline feedback Thisuse case describesthe event whenthe wellnessactivityhasconcluded.The customersare askedto fill the online feedback regardingthe wellnessactivity.The customer can fill the survey/feedbackformviaAppsor Website. Customers(University) Receive /Send Notification Thisuse case describesthe eventwhere the customergetsnotificationregardingthe wellnessactivityfromthe wellnesstracking systemandthe wellnesstrackingsystemgets notificationfromthe customersintermsof RSVP. Customers(University) & Notificationand Fetch(NAF) FetchInformation of Customers fromED and MTAS for sending notifications Thisuse case describesthe eventwhere NAF fetchesinformationfromEDand MTAS for sendingnotificationstothe customers. NotificationandFetch(NAF)
  • 8. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 8 Actor/External agent Event Trigger Dependency Responses Finance Department, WellnessActivity PlanningCenter (WAPC) Accessing Information of Wellness Tracking System Adhoc (These department accessesthe informationfrom the databases whenrequired) IT adminmust give proper controlsinorder to access the information. The informationof the customersissentacross these departments WellnessActivity PlanningCenter (WAPC) PlanningWellness Activities Adhoc (WAPCmakes roughplansfor the wellness activity) These plansare made basedon the availability of wellness expertsand wellness partners. These plansare thensentto the ED WellnessActivity PlanningCenter (WAPC) PlanningMental HealthActivities Adhoc (WAPCmakes roughplansfor the wellness activity) These plansare made basedon the regular feedback receivedfrom the MTAS. Alsothese plans are made after discussingthe schedule with yoga firms, yoga experts, meditation expertsand meditation firms. These plansare thensentto the ED WellnessActivity PlanningCenter (WAPC) PlanningPhysical FitnessActivities Adhoc (WAPCmakes roughplansfor the wellness activity) These plansare made basedon the regular feedback receivedfrom the MTAS. Also these plansare made after discussingthe schedule with gyms,Zumba These plans are thensentto the ED Notifyingerroneous credentials Thisuse case describesthe eventwhenthe user/customerlogsinthroughwrong credentialsorthere issome errorwhile RSVP. NotificationandFetch(NAF)
  • 9. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 9 experts, and Zumbafirms. WellnessActivity PlanningCenter (WAPC) PlanningNutrition Seminars Adhoc (WAPCmakes roughplansfor the wellness activity) These plansare made basedon the regular feedback receivedfrom the MTAS. Also these plansare made after discussingthe schedule with dieticiansand nutrition experts. These plansare thensentto the ED WellnessActivity PlanningCenter (WAPC) SendingPlans Adhoc (The plansare sent across to the ED viaa clickof a button) Before sending out the plans the plansneed to be reviewed by Wellness planningcenter. The plansare receivedbythe ED at the otherend WellnessActivity PlanningCenter (WAPC) Finalizingbased on RSVP Adhoc (The plansare finalizedand postedinthe systemviaa buttonclick) Thisrequires the RSVPcount of the customers attendingthe seminar. Confirmingand bookingthe schedule with wellness partnersand givingthema count of people that will attend the event. The final plansare postedon the website andApps WellnessActivity PlanningCenter (WAPC) Receive Feedback Adhoc (The WAPC receivesfeedback intoitssystemvia buttonclickfrom customersand MTAS) The customers shouldfill relevant feedbackand the MTAS shouldbe upto date withthe medical health information WAPChas customerand MTAS feedbackcritical for analyzes
  • 10. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 10 WellnessActivity PlanningCenter (WAPC) Analyze Feedback Adhoc (The WAPC analyzesfeedback and raw data by the toolsthey have intheir system) To analyze feedback,the WAPCmust receive feedbackinthe desiredformat whichmakes analysisvery easy. The analysisof the wellness activityisdone andthe reportsare to be prepared WellnessActivity PlanningCenter (WAPC) Generate success Reports Adhoc (Afteranalyzing feedback,success reportsare generated which are sentto the higher managementin the company) In orderto generate reportsanalysis of information of customer feedbackand medical health statusis necessary. The reportsare generatedfor the highermanagement Enrollment Department(ED) Receive Plans Adhoc (Receivedviaa buttonclickfrom WAPC) A rough/initial planshouldbe made by the WAPCsuch that it can be notifiedtothe customers Plansare receivedthusED realizestogive permissionto NAFto access the informationfromitssystem. Enrollment Department(ED) & Medical Trackingand AlertsSystem(MTAS) GivingAccessof informationfrom ED andMTAS to NAFcomponent Adhoc (Givingpermission to access the informationviaa buttonclick) The reportsof medical health shouldbe ready withthe MTAS. The ED should have complete informationof enrolled customers The NAF hasall the informationinordertosend notificationtothe customers. Medical Trackingand AlertsSystem(MTAS) TrackingMedical Informationand givingalertsto WAPC Adhoc (Thisisachieved by doctoror customerentering theirhealthdetails intothe system) Someone needs to feedthe correct medical informationto track the information. The informationistrackedin orderto make regularhealth reports. Medical Trackingand AlertsSystem(MTAS) ReportingMedical Healthof customerspost wellnessactivities as a feedbackto WAPC Adhoc/Time (Asregularlythe medical health infoisupdatedin the system.At regularintervals the medical health Propermedical health information shouldbe capturedinthe system. The healthreportsare regularlysenttothe WAPCso theycan track successof wellnessactivitiesandalso planfuture wellness activities.
  • 11. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 11 isreportedto the WAPC) Verificationand Validation(V&V) Checking Authenticityand Eligibility Adhoc (Thisisdone only when user/customer clickson submit buttonwhile logginginor when clickingonRSVP seminar) The customer mustattemptto loginintothe system. Verificationisdone asa resultthe user/customeris able to performhisroutine tasksor an erroris thrown due any error. Customers(University) Login Adhoc (Clickona button) The user must be registeredto loginintothe system. The user/customerlogsinas a resulthe getsaccess to the system. Customers(University) RSVP Adhoc (ClickonRSVP button) The customer musthave successfully loggedintothe systeminorder to Login. As the user/customerlogsin the usercan browse different wellnessactivitiesandcan RSVPthe seminar.The RSVP isregisteredforthe customers inthe system. Customers(University) SwipingCardsin the System Adhoc (Swipe Cardsinto the device) The customer musthave ID cards As a resultthe system registersthatthe customer attendedthe activity. Customers(University) ProvidingIDno. for webinars Adhoc (Provide IDand clickon submitto view webinars) The customeris not able to attendthe seminarand wouldlike to take benefitof the seminar fromhis/her workplace or home via webinar. As a resultthe system registersthatthe customer attendedthe activityviathe webinar. Customers(University) Providingonline feedback Adhoc (customerclicks on the button afterwritingthe feedback) The customer shouldhave attendedthe seminarinorder to fill the feedback. As a resultthe system registersthe customer feedbackintothe system. Customers(University) & Notificationand Fetch(NAF) Receive /Send Notification Adhoc/Time (The customer clickson buttonto RSVP.The NAF componentsends the notification For sendingand receiving notificationthe customermust be loggedinto the system. As a resultthe systemgets notifiedwhenthe customer clickson RSVP.Whenthe systemsendsthe notification,the customer
  • 12. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 12 whenitis triggeredbyother actors or componentsin/of the system) getsnotifiedviahealthcare Appsand website. NotificationandFetch (NAF) FetchInformation of Customersfrom ED andMTAS for sending notifications Time (The NAF component fetchesthe informationwhen it istriggeredby otheractors or componentsin/of the system) ED andMTAS shouldgive access request fromWAPC. The informationis successfully fetchesasresult of grantingpermissiontothe respective actors NotificationandFetch (NAF) Notifying erroneous credentials Adhoc (Thisuse case is performedwhen the userclickson the buttonwith wrongcredentials ) There shouldbe some error while loggingin or while registeringfor the seminar The customeris notifiedfor the erroneouscredentialsor error inRSVP. Use Case Narrative: Use-Case Name Tracking Medical Information and giving alerts to WAPC Priority High Actor (Primary): Medical Tracking & Alerts System Interested Stakeholders:  Medical Tracking & Alerts System – The MTAS is interested stakeholder because this system keeps track of all the health parameters. ThissystemworkswithWellnessTrackingSystem in order to fetch and store historical medical history. Description: Thisuse case inour systemisveryimportantasthisisthe pointwhere the medical healthhistoryof the customercomesintothe picture.This
  • 13. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 13 use case deals with storing and analysingpast medical history. This is a point where. Pre-condition:  Customer must be updating their health parameters in the system via periodical feedback  Hospitals or Doctors must be updating patients’ health parameters regularly. Trigger: The event is triggered when the user/ customer fills the periodical feedback/ survey form. Or when the customer visits any health services, physicians or hospitals in the network the physician/health services updates the information in the system. Typical Course Event: Actor Action: System Action/Response Step 1: As soon as the customer fills the feedback/ surveys the system captures the health history. Step 2: This health history/ information’s access is given to Wellness Activity Planning Centre’s Database. Step 3: The historical medical data and current medical data is analysed and then the patient satisfaction is determined. Alternate Course: Alternate step 3a: If the Medical Tracking system is not able to give access to wellnesstrackingsystemthenthe dataneedtobe sentviaa private secured network Alternate step 3b: If the data needs to be sent via private secured network, employees need to track the transfer of huge volumes of data. Conclusion: Thisuse case concludeswhenthe Medical Trackingsystemsuccessfully captures the medical data and gives the access to WAPC. Post Condition: After the MTAS has given access to WAPC, it is the WAPC’s job to analyse the past medical data to determine improvement/ deterioration in the patient’s health. Business Rule:  The system should allow the user to enter the health parameters in the feedback/ survey forms.  The backendsystemmustcapture the healthparameters into the Medical Tracking system.  The system should allow the WAPC to compare the current data with past data.  The system should point out the trends from the current and the past data. Implementation Constrains & Specifications:  The medical tracking system is very sensitive system as it contains medical data of the patients.  Giving access to another system may have serious security implications. Assumption: The Medical Data Tracking System and Capturing system are compatible.
  • 14. HEALTH CARE SELF INSURANCEANDCONSULTINGGROUP JASHMEHTA 14 Open Issues: Needstrongsecurityalgorithmstoavoidattackssuchasbrute force so that access is not given to any unauthorized user.