Can you help to with the conclusion please? (include all)

Introduction We are going to be studying the implementation of the information system SubroPoint at Optum Inc. Subro Point is an application that was specifically designed for subrogation. The subrogation and the Optum's Payment Integrity Departments use to identify and manage recovery on subrogation cases that are related to a third-party liability claim. In this report, we will discuss application architecture and integration of the SubroPoint system, explaining why Subro Point was purchased along with how the system was integrated from Legacy Equian and customized to fit Optum's needs. The second topic that will be detailed is application hosting and capacity requirements, we will identify where SubroPoint is housed and detail the system's capacity requirements. The third topic detailed will be SubroPoint's security and backup recovery. This topic will explain how its users' access SubroPoint and ensure the sensitive data housed in Subro Point is kept secure along with Optum and United Healthcare's procedure for backing up and recovery of the data. We will also discuss who is responsible for SubroPoint's maintenance, fixes for identified issues, and future releases. Finally, we will identify how Optum tracks SubroPoint's performance monitoring and tracking components discussing the reporting function of the system. Application Architecture and Integration SubroPoint was purchased to replace SubroTrack, Optum's current subrogation system. SubroPoint houses all the information related to the subrogation claims. It contains the health plan's member information, all involved insurance carriers, medical providers, medical claims, and all attorneys associated with the claim. Our team will be studying all aspects of this implementation, which was rolled out in phases. We will focus on the phase one rollout to determine what was successful and what could have been executed differently for a better outcome. At this time Optum does not have any plans to sell 3 PIR #2 Research Assignment: The Technology Environment SubroPoint to other subrogation vendors, this system will carry Optum into the future with respect to the subrogation industry. SubroPoint was included in Optum's purchase of Legacy Equian, with the intent to customize it to Optum's needs. Currently Optum does not intend to sell or lease SubroPoint to other subrogation vendors. SubroPoint will be used internally in Optum's subrogation and payment integrity departments. SubroPoint has its own IT support staff within Optum. Optum purchased SubroPoint along with Legacy Equian, who was a vendor for United Healthcare. Legacy Equian owned SubroPoint. The purchase of Legacy Equian and SubroPoint have not been published. The terms of the agreement have not been released to the public and is proprietary information. The implementation of Subro Point required many changes to allow it to be tailored to Optum's unique needs. Optum is a substantially larger company than Legacy Equian, with many more client's and supported health plans. After the purchase of Legacy Equian and SubroPoint, Optum quickly identified that Legacy Equian did not have their processes documented, used different diary titles, and lacked correspondence that Optum used on a frequent basis. This required managers from both organizations to work together to streamline both companies' process. Optum managers collaborated with the Optum IT staff to categorize what changes were most important and needed now verses the changes that could be rolled out in a later release. The Optum IT staff worked with Legacy Equian and Optum's data to restructure their coding and system requirements. Once this was completed, testing was performed using real-case scenarios which identified issues with the medical claims data load, as well as errors with membership. It took several months to resolve these issues. After the issues were resolved Optum was ready to "go live" in SubroPoint. SubroPoint is housed on United Healthcare servers. It is a GUI operating system that pulls data internally from several different server locations that are managed by United Healthcare. SubroPoint is PIR #2 Research Assignment: The Technology Environment housed on separate servers located in three different United Healthcare data centers. The three separate locations are maintained for the purpose of limiting latency, down time, and to provide backup servers in the event of an outage. If an outage does occur, the servers that remain working will take over until the down server is back up and running. United Healthcare has three separate server locations to provide optimal speed for its users. Depending on where the user is located determines which server they will automatically sync to. UnitedHealthcare maintains its own servers due to the sensitive information stored on them, for example personal health records of plan members. Due to the privacy requirements of the information, UnitedHealthcare prefers to maintain control of the servers to ensure the data remains protected. All the data contained in SubroPoint system is stored in an Oracle database, which is managed by the application. United Healthcare works off multiple claims systems, COSMOS, Facets, Iset and Unet. These claims systems are fed information from providers that are billing United Healthcare. These claims systems then feed claims information, including provider and member information, diagnosis codes, and payment information into SubroPoint and SubroPoint displays the information for the user by file. A file is set up per plan member. SubroPoint's main purpose is to have the information it displays contained in a centralized application so the information can be viewed and managed by multiple departments within the company. Additionally, SubroPoint works with a software called PCD Search. PCD Search is a claims reporting system used nationwide by insurance carriers. The information from PCD Search is imported into SubroPoint via an API connection to PCD Search's database. The information from PCD Search is related to automobile accidents, workers' compensation injuries and general liability injuries. The information related to these injuries claims then feeds into SubroPoint to assist Optum in identifying new subrogation claims as well as provide information for current subrogation claims. SubroPoint is not a stand-alone system, it gathers its information from multiple systems within the UnitedHealthcare organization. United Healthcare has chosen to only feed information into SubroPoint versus using it as a stand-alone system to protect the information from being accessed from an unauthorized party. Should one of the systems that feed into SubroPoint get maliciously accessed the entity accessing the information will only receive a piece of the information. UnitedHealthcare feels this is the safest way to protect the sensitive information it contains. Because SubroPoint gathers and stores the information from multiple other systems, it is the system that Optum uses to determine its inventory. SubroPoint's inventory consists of the items that are due now and in the future on each file. As users work with their files in Subro Point they complete and create to do items. The users' will come to their files based on to due items, or action items that were set in the past. A to due can be generated by any user in SubroPoint. Optum tracks its inventory and workload based on this system of action items. Optum would be able to tell how many new cases, settled cases and cases in litigation it has working in the system by product line and user. This process of tracking action items also allows Optum to identify how productive its employees are. Each user in SubroPoint has metrics to meet pertaining to production, this is tracked and graded by Optum via the action item system. Application Hosting and Capacity Requirements SubroPoint is housed on UnitedHealthcare servers, which are strategically placed in three separate locations around the United States. Theoretically, it is a cloud service, however, the cloud is owned, managed, and maintained by UnitedHealthcare. SubroPoint and its data are housed in a cloud data infrastructure, this is a private cloud storage owned, managed, and operated by United Healthcare. SubroPoint is not housed on UnitedHealthcare or PIR #2 Research Assignment: The Technology Environment Optum premises, however, it is a web-based system that is accessed via web browser in the intranet. This allows the user to only access the system after all security protocols have been meet. All employees or users must sign an agreement with UnitedHealthcare and Optum stating they will never access United Healthcare or Optum's mainframe via a public Wi-Fi or internet connection. This agreement also states the user will comply with all HIPPA regulations and while working at home will protect the information by having a room or office dedicated solely to their work. The users must agree 7 PIR #2 Research Assignment: The Technology Environment to lock their computers any time they step away from them and keep their room or office secured from visitors. During the day as SubroPoint users enter data into the system, that data is then stored on the server that is located the closest to that user. Almost immediately, the data is then synced with all SubroPoint servers at all data centers. While the information is synced between the separate data centers instantly, every night there is one complete back up of all the data servers completed. If there is an error in the back up process the data remains live on the servers, therefore, the servers will still be accurate. Because the data remains accurate and live on the servers, in the event of a backup failure, an error message to be sent to SubroPoint's IT department, identifying the failure. This allows the IT department to initiate another manual back up to be completed. Application Maintenance and Performance Monitoring The IT department at Optum has specific staff designated only for SubroPoint. This group of IT staff only supports SubroPoint. The SubroPoint staff provides system maintenance and executes the release of enhancements. If a user has a support issue with SubroPoint they will contact the Optum help desk. The help desk at Optum is supported by Optum employees. Any employee at Optum can use the help desk as needed. If an employee using SubroPoint has an issue with the system, they are required to open a ticket with the help desk. When an employee opens a ticket, they must describe their issue in detail, identify the system affected as well as identify any sensitive data that may be involved in the issue. Once the ticket is opened and the system is identified as Subro Point, the ticket will be routed to the IT team that supports SubroPoint. Additionally, SubroPoint has an internal product manager who supports the needs of the subrogation department. The product manager works with the business managers and directors of the various subrogation teams to implement and schedule updates, fixes, and new releases. The Subro Point 8 product manager also communicates problems or issues with the software to Optum employees. For instance, if the SubroPoint is experiencing latency issues (running slow) and multiple tickets have been opened, which identifies the issue is affecting multiple users, the product manager will take charge of relaying down time as well as the expected time it will take to resolve real-time issues. The SubroPoint product manager also relays information to the subrogation department regarding upcoming, fixes, patches, enhancements, and new releases. SubroPoint's fixes and scheduled maintenance are identified by the business managers, through their staff, who are the main users of Subro Point. Once a fix or required maintenance is identified the business manager then gives the information to the SubroPoint product manager who identifies when the fix will be implemented. The fix is then given to SubroPoint's IT department to be rolled out; their standard security processes would apply and are not made public across Optum. The SubroPoint IT department will work with the product manager to determine when the fix will be implemented, and the timeframe expected for the fix (how long Subro Point will be down). With respect to scheduled fixes that are not affecting users during the workday, the fix usually takes place in the evening after 7 o'clock. SubroPoint users will receive notification from the product manager that the fix will occur that evening, via an email sent out by the product manager the day before the scheduled fix and the morning of the scheduled fix. Users will also receive am email notification from the SubroPoint product manager after the fix has completed. SubroPoint has already had a new release and will likely have another in the near future. After the completion of the phase one roll out there was a new release of Subro Point to address problems, issues and wants of the users. The same process will be applied to the phase two roll out. After phase two is rolled out, a new release of SubroPoint will be completed. What that release will contain will be determined as the second release rolls out. As Optum rolls out its release of SubroPoint, which is 9 PIR #2 Research Assignment: The Technology Environment occurring in multiple phases, by client, due to the size of the information contained, new needs and issues are identified, these needs are typically client specific and almost impossible to predict prior to bringing that client on in SubroPoint. As new issues and needs are identified, the SubroPoint product manager, business managers, and users work together to determine what is needed to improve SubroPoint for Optum and its users. This process continues to tailor SubroPoint to Optum's specific needs. Is Subro Point requires a change, that process is initiated by the business managers. After a business manager identifies a needed change, the request is given to the SubroPoint product manager. The business managers and SubroPoint product manager will host multiple meetings with the Optum change control committee. The change control committee is made up of front-line workers, business managers, directors, the SubroPoint product manager and the IT department. The goal of the change control committee is to improve all processes across Optum, this includes the SubroPoint system. The change control committee at Optum is an open discussion for users to identify what is working for them and what is not as well as to voice their opinions on upcoming fixes and releases. Many new ideas to improve SubroPoint are brought to attention during this meeting. The results of the change control committee are then discussed between the business managers, directors and the SubroPoint product manager to determine need, urgency, and cost. Once the need and urgency has been identified, the SubroPoint product manager will then work with the SubroPoint IT department to implement the change. UnitedHealthcare and Optum maintains an active log while also completing data base activity monitoring, tokenization, and data masking to ensure full data encryption. Tracking Components and Performance SubroPoint only houses information, bar coding hardware and RFID tracking is not used with the system. The IT department manages all software licenses for company employees and users. A license is 10 PIR #2 Research Assignment: The Technology Environment only granted to a user based on need. Once an employee's manager identifies their need to have access to a specific system, they create a request which is then approved by the employee's director and submitted to the IT department to grant access to the user. SubroPoint's IT department and product manager have the ability to run usage and audit reports on the servers to determine the capacity they are running at. This helps SubroPoint's IT department to maintain the servers and assist them in running at their optimal performance level. The IT department and the product manager would be able to identify a potential user issue in the future which are able to address before the issue occurs. The SubroPoint product manager is responsible for with working with the IT department to identify tasks and their urgency. The product manager and business managers will then create a timeline for completing the identified task which would include any and all Optum staff assigned to the project. Conclusion Introduction We are going to be studying the implementation of the information system SubroPoint at Optum Inc. Subro Point is an application that was specifically designed for subrogation. The subrogation and the Optum's Payment Integrity Departments use to identify and manage recovery on subrogation cases that are related to a third-party liability claim. In this report, we will discuss application architecture and integration of the SubroPoint system, explaining why Subro Point was purchased along with how the system was integrated from Legacy Equian and customized to fit Optum's needs. The second topic that will be detailed is application hosting and capacity requirements, we will identify where SubroPoint is housed and detail the system's capacity requirements. The third topic detailed will be SubroPoint's security and backup recovery. This topic will explain how its users' access SubroPoint and ensure the sensitive data housed in Subro Point is kept secure along with Optum and United Healthcare's procedure for backing up and recovery of the data. We will also discuss who is responsible for SubroPoint's maintenance, fixes for identified issues, and future releases. Finally, we will identify how Optum tracks SubroPoint's performance monitoring and tracking components discussing the reporting function of the system. Application Architecture and Integration SubroPoint was purchased to replace SubroTrack, Optum's current subrogation system. SubroPoint houses all the information related to the subrogation claims. It contains the health plan's member information, all involved insurance carriers, medical providers, medical claims, and all attorneys associated with the claim. Our team will be studying all aspects of this implementation, which was rolled out in phases. We will focus on the phase one rollout to determine what was successful and what could have been executed differently for a better outcome. At this time Optum does not have any plans to sell 3 PIR #2 Research Assignment: The Technology Environment SubroPoint to other subrogation vendors, this system will carry Optum into the future with respect to the subrogation industry. SubroPoint was included in Optum's purchase of Legacy Equian, with the intent to customize it to Optum's needs. Currently Optum does not intend to sell or lease SubroPoint to other subrogation vendors. SubroPoint will be used internally in Optum's subrogation and payment integrity departments. SubroPoint has its own IT support staff within Optum. Optum purchased SubroPoint along with Legacy Equian, who was a vendor for United Healthcare. Legacy Equian owned SubroPoint. The purchase of Legacy Equian and SubroPoint have not been published. The terms of the agreement have not been released to the public and is proprietary information. The implementation of Subro Point required many changes to allow it to be tailored to Optum's unique needs. Optum is a substantially larger company than Legacy Equian, with many more client's and supported health plans. After the purchase of Legacy Equian and SubroPoint, Optum quickly identified that Legacy Equian did not have their processes documented, used different diary titles, and lacked correspondence that Optum used on a frequent basis. This required managers from both organizations to work together to streamline both companies' process. Optum managers collaborated with the Optum IT staff to categorize what changes were most important and needed now verses the changes that could be rolled out in a later release. The Optum IT staff worked with Legacy Equian and Optum's data to restructure their coding and system requirements. Once this was completed, testing was performed using real-case scenarios which identified issues with the medical claims data load, as well as errors with membership. It took several months to resolve these issues. After the issues were resolved Optum was ready to "go live" in SubroPoint. SubroPoint is housed on United Healthcare servers. It is a GUI operating system that pulls data internally from several different server locations that are managed by United Healthcare. SubroPoint is PIR #2 Research Assignment: The Technology Environment housed on separate servers located in three different United Healthcare data centers. The three separate locations are maintained for the purpose of limiting latency, down time, and to provide backup servers in the event of an outage. If an outage does occur, the servers that remain working will take over until the down server is back up and running. United Healthcare has three separate server locations to provide optimal speed for its users. Depending on where the user is located determines which server they will automatically sync to. UnitedHealthcare maintains its own servers due to the sensitive information stored on them, for example personal health records of plan members. Due to the privacy requirements of the information, UnitedHealthcare prefers to maintain control of the servers to ensure the data remains protected. All the data contained in SubroPoint system is stored in an Oracle database, which is managed by the application. United Healthcare works off multiple claims systems, COSMOS, Facets, Iset and Unet. These claims systems are fed information from providers that are billing United Healthcare. These claims systems then feed claims information, including provider and member information, diagnosis codes, and payment information into SubroPoint and SubroPoint displays the information for the user by file. A file is set up per plan member. SubroPoint's main purpose is to have the information it displays contained in a centralized application so the information can be viewed and managed by multiple departments within the company. Additionally, SubroPoint works with a software called PCD Search. PCD Search is a claims reporting system used nationwide by insurance carriers. The information from PCD Search is imported into SubroPoint via an API connection to PCD Search's database. The information from PCD Search is related to automobile accidents, workers' compensation injuries and general liability injuries. The information related to these injuries claims then feeds into SubroPoint to assist Optum in identifying new subrogation claims as well as provide information for current subrogation claims. SubroPoint is not a stand-alone system, it gathers its information from multiple systems within the UnitedHealthcare organization. United Healthcare has chosen to only feed information into SubroPoint versus using it as a stand-alone system to protect the information from being accessed from an unauthorized party. Should one of the systems that feed into SubroPoint get maliciously accessed the entity accessing the information will only receive a piece of the information. UnitedHealthcare feels this is the safest way to protect the sensitive information it contains. Because SubroPoint gathers and stores the information from multiple other systems, it is the system that Optum uses to determine its inventory. SubroPoint's inventory consists of the items that are due now and in the future on each file. As users work with their files in Subro Point they complete and create to do items. The users' will come to their files based on to due items, or action items that were set in the past. A to due can be generated by any user in SubroPoint. Optum tracks its inventory and workload based on this system of action items. Optum would be able to tell how many new cases, settled cases and cases in litigation it has working in the system by product line and user. This process of tracking action items also allows Optum to identify how productive its employees are. Each user in SubroPoint has metrics to meet pertaining to production, this is tracked and graded by Optum via the action item system. Application Hosting and Capacity Requirements SubroPoint is housed on UnitedHealthcare servers, which are strategically placed in three separate locations around the United States. Theoretically, it is a cloud service, however, the cloud is owned, managed, and maintained by UnitedHealthcare. SubroPoint and its data are housed in a cloud data infrastructure, this is a private cloud storage owned, managed, and operated by United Healthcare. SubroPoint is not housed on UnitedHealthcare or PIR #2 Research Assignment: The Technology Environment Optum premises, however, it is a web-based system that is accessed via web browser in the intranet. This allows the user to only access the system after all security protocols have been meet. All employees or users must sign an agreement with UnitedHealthcare and Optum stating they will never access United Healthcare or Optum's mainframe via a public Wi-Fi or internet connection. This agreement also states the user will comply with all HIPPA regulations and while working at home will protect the information by having a room or office dedicated solely to their work. The users must agree 7 PIR #2 Research Assignment: The Technology Environment to lock their computers any time they step away from them and keep their room or office secured from visitors. During the day as SubroPoint users enter data into the system, that data is then stored on the server that is located the closest to that user. Almost immediately, the data is then synced with all SubroPoint servers at all data centers. While the information is synced between the separate data centers instantly, every night there is one complete back up of all the data servers completed. If there is an error in the back up process the data remains live on the servers, therefore, the servers will still be accurate. Because the data remains accurate and live on the servers, in the event of a backup failure, an error message to be sent to SubroPoint's IT department, identifying the failure. This allows the IT department to initiate another manual back up to be completed. Application Maintenance and Performance Monitoring The IT department at Optum has specific staff designated only for SubroPoint. This group of IT staff only supports SubroPoint. The SubroPoint staff provides system maintenance and executes the release of enhancements. If a user has a support issue with SubroPoint they will contact the Optum help desk. The help desk at Optum is supported by Optum employees. Any employee at Optum can use the help desk as needed. If an employee using SubroPoint has an issue with the system, they are required to open a ticket with the help desk. When an employee opens a ticket, they must describe their issue in detail, identify the system affected as well as identify any sensitive data that may be involved in the issue. Once the ticket is opened and the system is identified as Subro Point, the ticket will be routed to the IT team that supports SubroPoint. Additionally, SubroPoint has an internal product manager who supports the needs of the subrogation department. The product manager works with the business managers and directors of the various subrogation teams to implement and schedule updates, fixes, and new releases. The Subro Point 8 product manager also communicates problems or issues with the software to Optum employees. For instance, if the SubroPoint is experiencing latency issues (running slow) and multiple tickets have been opened, which identifies the issue is affecting multiple users, the product manager will take charge of relaying down time as well as the expected time it will take to resolve real-time issues. The SubroPoint product manager also relays information to the subrogation department regarding upcoming, fixes, patches, enhancements, and new releases. SubroPoint's fixes and scheduled maintenance are identified by the business managers, through their staff, who are the main users of Subro Point. Once a fix or required maintenance is identified the business manager then gives the information to the SubroPoint product manager who identifies when the fix will be implemented. The fix is then given to SubroPoint's IT department to be rolled out; their standard security processes would apply and are not made public across Optum. The SubroPoint IT department will work with the product manager to determine when the fix will be implemented, and the timeframe expected for the fix (how long Subro Point will be down). With respect to scheduled fixes that are not affecting users during the workday, the fix usually takes place in the evening after 7 o'clock. SubroPoint users will receive notification from the product manager that the fix will occur that evening, via an email sent out by the product manager the day before the scheduled fix and the morning of the scheduled fix. Users will also receive am email notification from the SubroPoint product manager after the fix has completed. SubroPoint has already had a new release and will likely have another in the near future. After the completion of the phase one roll out there was a new release of Subro Point to address problems, issues and wants of the users. The same process will be applied to the phase two roll out. After phase two is rolled out, a new release of SubroPoint will be completed. What that release will contain will be determined as the second release rolls out. As Optum rolls out its release of SubroPoint, which is 9 PIR #2 Research Assignment: The Technology Environment occurring in multiple phases, by client, due to the size of the information contained, new needs and issues are identified, these needs are typically client specific and almost impossible to predict prior to bringing that client on in SubroPoint. As new issues and needs are identified, the SubroPoint product manager, business managers, and users work together to determine what is needed to improve SubroPoint for Optum and its users. This process continues to tailor SubroPoint to Optum's specific needs. Is Subro Point requires a change, that process is initiated by the business managers. After a business manager identifies a needed change, the request is given to the SubroPoint product manager. The business managers and SubroPoint product manager will host multiple meetings with the Optum change control committee. The change control committee is made up of front-line workers, business managers, directors, the SubroPoint product manager and the IT department. The goal of the change control committee is to improve all processes across Optum, this includes the SubroPoint system. The change control committee at Optum is an open discussion for users to identify what is working for them and what is not as well as to voice their opinions on upcoming fixes and releases. Many new ideas to improve SubroPoint are brought to attention during this meeting. The results of the change control committee are then discussed between the business managers, directors and the SubroPoint product manager to determine need, urgency, and cost. Once the need and urgency has been identified, the SubroPoint product manager will then work with the SubroPoint IT department to implement the change. UnitedHealthcare and Optum maintains an active log while also completing data base activity monitoring, tokenization, and data masking to ensure full data encryption. Tracking Components and Performance SubroPoint only houses information, bar coding hardware and RFID tracking is not used with the system. The IT department manages all software licenses for company employees and users. A license is 10 PIR #2 Research Assignment: The Technology Environment only granted to a user based on need. Once an employee's manager identifies their need to have access to a specific system, they create a request which is then approved by the employee's director and submitted to the IT department to grant access to the user. SubroPoint's IT department and product manager have the ability to run usage and audit reports on the servers to determine the capacity they are running at. This helps SubroPoint's IT department to maintain the servers and assist them in running at their optimal performance level. The IT department and the product manager would be able to identify a potential user issue in the future which are able to address before the issue occurs. The SubroPoint product manager is responsible for with working with the IT department to identify tasks and their urgency. The product manager and business managers will then create a timeline for completing the identified task which would include any and all Optum staff assigned to the project. Conclusion