New York State Agencies: A Case Study for Analyzing the Process of Legacy System Migration: Part I

2005 ◽  
Vol 19 (2) ◽  
pp. 173-189 ◽  
Author(s):  
Ingrid Fisher ◽  
Marianne Bradford

The first of a two-part case, Part I explains the problems the NY State Government encountered when updating and converting a large-scale legacy information system (IS). The case illustrates the complexities of legacy system migration under legal constraints. Systems issues include: (1) the role of strategic planning for IS, (2) the importance of stakeholder analysis when changing systems, (3) organizational approaches to systems implementation and (4) business process analysis. This case is appropriate for use in either an undergraduate or graduate Accounting Information Systems course and offers a flexible approach to adoption, ranging from comprehensive adoption of all topics in both parts to specific topics within either part.

2006 ◽  
Vol 20 (1) ◽  
pp. 139-160
Author(s):  
Ingrid E. Fisher ◽  
Marianne Bradford

Part II of this case chronicles the actions and outcomes of the legacy system migrations of five New York State agencies. The case highlights the problems these agencies encountered in migrating from legacy systems to enterprise-wide systems built upon relational databases. The case also explores the additional complexities of legacy system migration under the unique legal and operational constraints of governmental entities. Investigated issues include business process management, technical and financial project feasibility, cost-benefit analyses, consultant management, and ERP implementations.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xin Chen ◽  
Wei Hou ◽  
Sina Rashidian ◽  
Yu Wang ◽  
Xia Zhao ◽  
...  

AbstractOpioid overdose related deaths have increased dramatically in recent years. Combating the opioid epidemic requires better understanding of the epidemiology of opioid poisoning (OP). To discover trends and patterns of opioid poisoning and the demographic and regional disparities, we analyzed large scale patient visits data in New York State (NYS). Demographic, spatial, temporal and correlation analyses were performed for all OP patients extracted from the claims data in the New York Statewide Planning and Research Cooperative System (SPARCS) from 2010 to 2016, along with Decennial US Census and American Community Survey zip code level data. 58,481 patients with at least one OP diagnosis and a valid NYS zip code address were included. Main outcome and measures include OP patient counts and rates per 100,000 population, patient level factors (gender, age, race and ethnicity, residential zip code), and zip code level social demographic factors. The results showed that the OP rate increased by 364.6%, and by 741.5% for the age group > 65 years. There were wide disparities among groups by race and ethnicity on rates and age distributions of OP. Heroin and non-heroin based OP rates demonstrated distinct temporal trends as well as major geospatial variation. The findings highlighted strong demographic disparity of OP patients, evolving patterns and substantial geospatial variation.


1934 ◽  
Vol 80 (331) ◽  
pp. 639-649 ◽  
Author(s):  
Eleanor C. Slagle

Before proceeding with the subject of this paper, it is my very great privilege to extend to the distinguished members of the Royal Medico-Psychological Association the cordial greetings of my own Chief of Service, Dr. W. Parsons, the Commissioner of the New York State Department of Mental Hygiene, who has long held in high respect his European acquaintances in the field of psychiatry; in particular, those residing in the British Isles. For purpose of clarity it should be explained that the Department of Mental Hygiene is a branch of the State Government, and the Commissioner is charged with the execution of the laws relating to the custody, care and treatment of the insane, mental defectives and epileptics in all public and private licensed institutions.


1991 ◽  
Vol 15 (2) ◽  
pp. 109
Author(s):  
Mario M. Cuomo

1990 ◽  
Vol 14 (1) ◽  
pp. 91 ◽  
Author(s):  
Thomas E. Heinzen

2019 ◽  
Vol 34 (s1) ◽  
pp. s176-s176
Author(s):  
George W. Contreras ◽  
Kevin Pohlman ◽  
Jenna Mandel-Ricci ◽  
David Markenson ◽  
Michael Reilly

Introduction:Recent mass shooting events remind us of the importance of hospitals’ preparedness to manage a large number of patients in a short period of time. While prehospital systems triage for field interventions and priority of transport, they were not designed to triage for the scarce resources of a hospital. Therefore, upon arrival to hospital, clinicians must then quickly determine how to best assess and provide life-saving interventions based on their limited resources.Methods:In collaboration with the Greater New York Hospital Association (GNYHA), the Center for Disaster Medicine at New York Medical College piloted an interactive and intensive eight-hour course at four New York State hospitals that covered critical areas such as: current literature on Mass Casualty Events and Triage, review of hospital emergency management, hospital-based triage principles, a MCI exercise in the emergency department, a surge capacity tabletop exercise, and use of ultrasound. While targeted towards physicians to foster team-based care and learning, nurses, physician assistants, and hospital administrators also participated in the pilot course.Results:Sixty persons from four hospitals participated in the pilot phase. Preliminary findings post-training reveal the following: 58% of participants expressed greater confidence in distinguishing between emergency department triage and triage during disasters; 59% of participants expressed greater confidence in performing initial triage of victims; 49% of participants expressed greater confidence in describing the use of ultrasound-guided triage; and 95% of participants reported an enhancement in their ability to perform their clinical role.Discussion:Preliminary findings reiterate the ongoing need for hospitals to provide training to their staff in the unique aspects of hospital triage and surge management using tools specifically designed in order to be prepared for the rapid influx of a large number of patients. A multipronged training model is a positive approach to help hospitals prepare for large-scale disasters.


Author(s):  
J. Ramon Gil-Garcia ◽  
Sharon S. Dawes

How does a very large and diverse state government with a long history of decentralized IT management go about creating a high-quality state-wide Web site? This case describes New York State’s distributed approach to Web site development as well as the strategies, bene?ts, weaknesses, and continuing challenges of a distributed Web management structure.


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