Majority of Healthcare Organizations disappointed by ICD-10 Delay

The recent decision on delay of the ICD-10 deadline, a large number of healthcare organizations being reported unhappy and very disappointed. Right after the news which ICD-10 will likely be delayed, many healthcare organizations seems to be unhappy. This is surprising to some, because lot of the previous polls found providers were not prepared for the transition. Not more than 10% providers were ready as per the MGMA report in February.

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An opinion poll conducted by the Deloitte Center for the Health Solutions, inquiring providers about the way they considered the latest ICD-10 delay. Only 11% stated that they are happy, 21% stated they are not concerned with the delay but the majority over 50% (58%) stated to be unhappy with the delay. Further it inquired about the right time for the implementation, 49% stated October 2015, 30% needed the 2014 date to be reinstated, and simply 6% stated they will prefer the date to get moved ahead of October 2015. According to the Healthcare Informatics, 59% of providers say that they assume a lack of momentum because of the delay and 58% believe that there will be a great impact on their resources and funding. Whereas, 14% said that the delay will provide them time to compensate on testing for the latest coding system. What exactly the providers are planning to do since ICD-10 isn’t due till 2015 the following year? 30% say that they will stick to their initial strategy and keep going with their testing schedule. According to 26%, the delay will provide a chance to stop and allow them to reevaluate their plans. While 20% will make use of the extra time to slow down and choose their time while moving towards the implementation.

In the meantime, the Coalition for ICD-10 has sent a letter to HHS encouraging the department to reconsider the decision about the October 2015 deadline. Lynne Thomas Gordon, CEO at AHIMA and a Coalition member said in a statement that, as the transition to ICD-10 continues to be unavoidable, it is extremely challenging for organizations to make appropriate preparations and investments with no knowledge of the execution date and the announcement for the new implementation date would give the industry the understanding required to prepare within the mos economical, wise and also strategically.

A senior Vice President and CIO of children’s Medical Center Dallas, Pamela Arora stated that the delays of ICD-10 are concerning. She also said, ultimately both the delays might cost over $1 million to the hospital. With the use of this money, for an instance, they could manage to buy approximately 170 physiological monitoring devices and could have provided more tools into the hands of their physicians, she stated. Further, she said a majority of these kinds purchases will now be postpone if the funds are restricted. Overrun of 2 years of cost and missed deadlines will be called an effective project within the private industry concerned with profits, she added. Ralph Johnson, CIO at Franklin Community Health Network based in Maine and President at New England HIMSS, stated that he is certainly disappointed with the delay on the whole and also disappointed particularly the way it had been passed from the House and Senate. Further he said, nobody could glow light regarding the delay during the debates and was buried in the large legislation.

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Tools and Languages for Improving the Process of Creating JavaScript Applications

As a powerful client-side scripting language, JavaScript is used widely by developers to optimize user experience. The browser based language is coded within the web pages, and the output displayed to users without putting any stress on server. However, developers have to invest additional time and effort to write advanced JavaScript programs by overcoming the issues related to difference in web browsers. That is why; web developers use a library of pre-written JavaScript to rapidly build JavaScript-based applications for AJAX, while overcoming the issues related to browser compatibility.

Some of the Widely Used JavaScript Frameworks

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JQuery: It is one of the most popular JavaScript frameworks used by web developers across the world. JQuery is also used by some of the most reputable and largest companies like Microsoft, Google, IBM and Netflix. The library is designed with features to make it simpler for developers to use accomplish several common tasks without requiring additional code. They can simply wrap the tasks into methods, and call the method by writing a single line code. In addition to providing plug-ins for a wide variety of task, jQuery further allow users to manipulate HTML, CSS and DOM, create HTML event methods, and use AJAX.

Prototype: The open source JavaScript framework enables programmers to perform a variety of common task by using a single Application Programming Interface (API). The API comes with specific features and methods that can be used by programmers to manipulate DOM and AJAX. The library further enhances JavaScript by adding inheritance and classes.

MooTools: Like Prototype, MooTools also allows developers to use an Application Programming Interface (API) to write complex JavaScript programs within a short span of time. But the framework comes with a set of animation functions and lightweight effects. The library is further compatible with major web browsers including Firefox, Chrome, Internet Explorer, Opera and Safari.

Yahoo! User Interface (YUI): The open source library launched by Yahoo can be used by developers to develop interactive web applications by harnessing the power of JavaScript and CSS. Despite being modular and lightweight, YUI still comes with features required to build simple as well as complex JavaScript-based applications. It further supports six distinct types of components including YUI core, UI controls, utilities, CSS components, developer tools and build tools.

Backbone.js: The framework provides models that can be used by developers to give structure to the internet applications. The models come with custom and key-value binding events. The API provide by Backbone.js can also be connected with your existing API over RESTful JSON interface. At the same time, the API also supports several views, functions and event handling features.

Spine.js: The simple and lightweight JavaScript framework supports Model View Controller pattern. So developers can use the library to keep business rules separate from presentation. Unlike other JavaScript libraries, Spine does not come with loads of complex widgets. The developers can avail the feature to save the time required to configure and setup the widgets.

AngularJS: The framework is designed to overcome the limitation of HTML. As HTML cannot be used for developing dynamic web applications, developers use AngularJS to extend the HTML vocabulary to complement the needs of their project. AngularJS further provides a set of tools required to create customized framework for the application development. The framework can be further integrated with other libraries to save the developers’ time and effort.

Agility.js: Like Spine.js, Agility.js is also designed with support for Model View Controller pattern. The developers can use the framework to increase the maintainability and reusability of their code. Despite being a small JavaScript file, Agility does not require programmers to write the entire code in JavaScript. They have option to include HTML, JavaScript and CSS within JavaScript objects.

On the whole, a developer has option to choose from many tools, libraries and languages to improve the process of creating JavaScript applications. But it is also important to evaluate the features of each JavaScript framework according to the nature and needs of the application.

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Will Automation Testing engulf Manual Testing processes?

A very important aspect of IT industry is software testing since it ensures whether everything is working well or not according to the standards and requirements. Software testing aims towards the yielding of desired results as per the business requirements; it should also be bug-free. The evaluation may be classified into two broad categories- one is automation and another manual. Any of the testing methods can be adopted but it actually depends on project budget and requirement. Accordingly it may be analyzed which method will yield more benefits for the project.

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Automation testing takes the help of automation tool so that test cases can be executed; it is perfect for large projects. The running tests repeat the predefined so that the program’s real and probable results can be matched. With alignment of results as well as prospects, you can assume that the behaviour is as it should be. In manual evaluation, the tests are run manually without the support of any tools. This is quite an old way to test software. Every software activity is initially tested in this way. However, it is quite cumbersome since several stages are required and each of the processes needs some qualities and innovative, creative, observant, patient and speculative skills. It also involves a lot of time as well as money. With these limitations, these days more and more companies as well as developers are opting for automation as the best means for testing of software. Here are some advantages that it has over manual that is leading to most people leaning in its favour.

Speed- After giving some effort initially towards writing of tests, the performance of automation is significantly faster when compared to corresponding manual ones. This is among the main reasons for most people who choose automation over it. In case of big systems the frequent as well as thorough execution of manual tests takes a long amount of time.

Cost-effective- In automation, the initial costs may be heavy but afterwards everything becomes smoother and there are no concurring costs. On the whole it leads to everything becoming cheaper since just one time payment has to be made; there is no need for multiple payments to be paid for same work. So effectively, automated tests’ cost comes fully-loaded, making it lower than the equivalent manual tests.

More versatile and powerful- It often becomes necessary to check whether performance requirements are met or not when it is used by many users. But for human testers it is impossible to create 100,000 users manually so that they can perhaps check whether statistics generation from the particular number of users will take the same amount of time when used by a single user. Similarly, in case of automation the creation date of objects located in the databases can be changed but the same is not applicable in case of manual testers. The behaviour of systems in future can also be checked. Some similar challenges can be easily tackled by automation but the existing user interface is restrictive when checking manually.

Reliability- Once a test is written and added to test suite performed for each deployment, it cannot be simply forgotten. However, when testing manually some particular tests may be forgotten to perform or some of them can be forgotten intentionally. This helps in reduction of technical as well as human risks. Thus your application is not dependent on the strength of your staff. Even if your staffs are changed, you may be sure that the evaluation will be carried on as usual.

The galore of benefits offered by automation makes it a far more superior alternative to evaluation done manually. It may engulf manual testing processes, but only up to a certain respect since there are some cases in which testing conducted manually yields far better and precise results, where automation does not really prove to be as beneficial.

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What do you look for in a software development company? Quality or Price?

There are a lot of software development companies in the market. Each of them claims to be the best in the business. From one point of view, it will give a lot of options to choose from. However, from the other it may well leave a customer bedazzled at the end of the day. The customer, as a result may end up choosing a company which is not enough experienced to meet the requirements. Again, it may so happen that the customer selects a company that will charge an exorbitant price that will overshoot the budget by a substantial extent. Hence, it is imperative to select and adopt a definite way, when it comes to looking for the right software development company.

Experts are of the opinion that it is not right to put emphasis solely on the price of services. It is because there are a lot of companies that will promise to deliver service in shoestring budget. However, the quality of most of these ‘so called cheap’ services will be far from the expectation. Hence, what is needed is a right balance between the quality and price. In fact, it is imperative to give more emphasis on quality than price. However, when we speak of quality, there are certain factors that are needed to be focused on, before entrusting the responsibility. Let us discuss them in details.

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While putting more emphasis on the quality instead of price, the following aspects are to be taken into account.

First of all, it is crucial to make sure the developers associated with the service provider have a wide range of customers from various niches of industries. This will imply that the service provider has a wide range of experience. It is because the more experience the software developers will have across a wide range of businesses, the better will be their probability of providing higher quality services.

In this respect, it is important to guarantee that the company has the experience of using various types of technologies. It is definitely better to opt for the firms that have the experience of creating projects in Java, .Net, PHP, C++ for different platforms like web, iPhone, and desktops. In case someone is willing to opt for an organization that will be able to take up the responsibility of an application development, the customer should not opt for firms who have experience on solely that particular technology. Always, companies with a wide range of experience across various platforms or technologies should get preference.

Never opt for big or expensive names. These big names may have a pool of highly talented or experienced developers and technicians, but there is no assurance that your project will reach their desks. It may well be that your requirements will be taken care of by developers who are less talented and even fresher. These big shots will charge exorbitant amounts more because of their reputation and value of their brand name than the quality of work they will deliver. Frankly speaking, at the end of the day it may drill a deep hole in your purse while you do not get what you pay for.

It is better to invest money for companies that mainly use offshore labor. This means, these companies do not rely solely on experts and developers from the developed countries. When that happens, the cost automatically shoots up because of the high labor cost these countries charge. It is better to opt for companies that hire labors from the developing, yet technologically sound countries which charge much lower labor cost.

Companies that deliver quality service will not deliver the entire project once and for all. They will, instead, prefer small and frequent releases in installments. This makes your understanding easier and it can be made surely that the product that is being delivered is entirely glitch free. Besides, it also makes deployment much easier.

Do not opt for companies that have just a few developers. Solid teams that will be delivering the project in time are ideal as that will help in controlling the costs. Experts are of the belief that one should vouch for companies which are home to at least 3 to 4 times more technicians and developers than what is needed to complete the project on time.

A quality software developing firm must have an online tool that will help track and trace the progress of the development. The tool should come in handy when taking care of bugs or features, and will also help in keeping a track of the developers’ working hours or daily notes that is left on an hourly or day to day basis. The company should also make every document available online, including the agreements and the terms & conditions thereof, various invoices, payment details etc.

When it comes to agreements, firms that give the ownership are preferable. The company needs to hand over the resulting source codes and other inventions that come up out of the development.

When you are offering the responsibility of software development to a firm, you better put more emphasis on quality instead of price for it is quality that will make the difference at the end of the day. Again, when you are focusing on quality, all the factors will have to be taken into account to make sure that the software developing company is competent enough to provide you the quality service that you are eyeing for.

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ASP.NET Identity 2.0.0 – What’s there for Developers?

Microsoft released the final version of ASP.NET Identity 2.0.0 in March. It comes with a set of features to complement the most recent trends in web application development. In addition to enhanced security and account management features, the ASP.NET Identity 2.0.0 addresses the feedback received from the community of developers on earlier releases. Nowadays, users are not required to access applications through their username and passwords.

They can simply use their social identities to access the web application without going through lengthy registration process. So developers use redirection-based log-ins to authenticate the identity of individual users through Facebook, Twitter and other social networking sites. Microsoft designed the ASP.NET framework based on the Model-View-Controller (MVC) pattern to help developers in rapidly creating and testing robust internet applications.

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Important Features of ASP.NET Identity 2.0.0 that Web Developers Must Use

Support for Two-Factor Authentication
ASP.NET Identity 2.0.0 provides an additional layer of security to your web application by supporting two-factor authentication. While registering for a website, users often choose weak passwords. So there are always chances that their passwords may get compromised. When a user’s password gets compromised, the features will send code through SMS or email. You also have option to write your own code providers by using QR code generators. The code can be further validated through the authenticator app or the authentication feature of the mobile devices.

Option to Lockout Users
ASP.NET Identity 2.0.0 further enhances the security of the website by locking out the users. If the user enters his passwords and two-factor authentication code incorrectly, he will be locked out. You have option to configure the features to set the number of invalid attempts and the lockout time span for the user. However, the feature can also be turned off if a particular website does not required additional and enhanced security.

Requires Account Confirmation
The most recent version of ASP.NET Identity system supports account confirmation. Thus, you can allow a user to access the internet application only after confirming his email. Nowadays, most websites require users to submit their email ids as part of the registration process. The users are further required to confirm the email id before completing the registration process. So the email confirmation will make it easier for you to prevent the creation of fake and bogus accounts. At the same time, the website can also use email as an effective mode of communication to interact with users.

Option to Generate Security Stamps
There are always chances that a user can change his password or any other information related to security. Also, a user has option to remove his Google, Facebook or Microsoft Account from the login credentials. Each time a user changes any security-related information, it becomes essential to invalidate the old password by generating cookies. ASP.NET Identity 2.0.0 makes it easier for you to generate a new token and invalidate the old token, each time a user changes his password. Additionally, you can compel the user to logout to make the website more secure. The user can be further logged out from all places where he is accessing the internet application from.

Optimized Password Validator
The password validator provided by earlier version of ASP.NET Identity was not comprehensive. The validator was effective in validating only the minimum length. But the updated version of ASP.NET Identity comes with an optimized password validator that enables you to control the complexity of passwords more tightly. The feature along with the two-factor authentication will make the security of your web application more comprehensive. At the same time, you also have option to add password policies according to the security needs of the website.

You have option to use ASP.NET Identity 2.0.0 in ASP.NET MVC, Web Forms, Web API and SPA. The framework can be used as project templates in the Visual Studio 2013. So it becomes easier to make your web application more secure without writing additional code.

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How Important Is Manual Testing These Days?

Before we discuss the importance of Manual Testing, at first let us know what actually it is. It is actually a process that is followed to detect and pick up errors as well as flaws within a particular software application. Since the detection is done manually, the individual who tests the application plays the most important role as an end user when it comes to verifying as well as evaluating the features or the behavior of the application in question under various circumstances. Though it is the preliminary stage of assessment, it is needed to be executed in a seamless way before switching over to automated testing.

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The principal objective of non-automatic evaluation is guaranteeing that the application that is subjected to test is free of glitches as well as defects and is working perfectly as per the specification of the requirements. Now let us see how important this type of software evaluation these days really is.

At present, even as the concept of automatic testing is fast gaining momentum in terms of popularity, this has not rendered the concept of manual evaluation totally useless. In fact, prior to starting the automatic assessment of a software application, there is an ardent need of setting up a base that will decide when and how to start the automatic evaluation. It is manual testing that forms that base and here lies its importance. This form of software evaluation helps to understand the reason behind testing, the role of quality as well as its reliability and the risks that are involved in the evaluation. Besides, it also helps in a better understanding of the risks that are associated. It also helps improving the testability through evaluation of the risk factors.

Although, there are a lot advantages that are associated with automated evaluation of software applications, the manual version has still not lost its importance and relevance whatsoever. In fact, there are certain instances where the manual variety is more important than the automatic variety. There are a number of software packages in the market, which are released successfully after solely depending upon manual testing without any type of automatic assessment whatsoever.

However, experts are of the opinion that the best way to evaluate a software application is by setting up a perfect combination of manual and automated testing and this makes manual evaluation so important in today’s context. Though you will find a lot of discussions regarding the efficacy or importance of automated discussion, there are certain cases where the manual version is more effective as well as more important than the automatic one. A perfect combination of the two varieties would provide you an error free software application with no regression bugs and this will allow you to give more thrust towards further development and enhancement of the application in question. In fact, there are certain bugs that can be detected only with the successful manual software testing.

The basic issue of non-automated testing is to know how to use each and every technique for solving various problems. Frankly speaking, when it comes to assessing whether a particular application can be used by human, the best answer is non-automated evaluation. This is because in most of the cases, automatic assessment is not able to decide whether the text or the information provided can be apprehended by the end user and here is where the importance of manual assessment comes into play. Even if there is an automatic process to do so that will be expensive. Hence, the popular notion is that, though it can well be automated, it is more feasible to manually test those effects, as this will very much provide more confidence to the users as well as much cheaper in terms of time that is taken.

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