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		<title>Horizontal Traceability: Connecting the Dots for Effective Software Development</title>
		<link>https://b24.jushka.com/horizontal-traceability-connecting-the-dots-for/</link>
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		<dc:creator><![CDATA[Karin Vizcarra]]></dc:creator>
		<pubDate>Thu, 07 Sep 2023 18:21:35 +0000</pubDate>
				<category><![CDATA[Software development]]></category>
		<guid isPermaLink="false">https://b24.jushka.com/?p=17062</guid>

					<description><![CDATA[For multiple iterations, Comments and Attachments added in each iteration is shown. On run test case, if there are multiple]]></description>
										<content:encoded><![CDATA[<p>For multiple iterations, Comments and Attachments added in each iteration is shown. On run test case, if there are multiple iterations, user can add comments in each iteration which can be seen by adding “Details” field from column options in Trace analysis and through “Report Designer” in Smart Report. Test cases and requirements must have identification numbers in your RTM. The best way to ensure that every project requirement is linked with a test case is to match requirement identification numbers to test case IDs. Repository or tool stack integration can present a significant challenge to maintaining traceability in a dynamic system. Horizontal Matrices allow teams to easily identify issues using a broader perspective.</p>
<p><img decoding="async" class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="https://www.globalcloudteam.com/wp-content/uploads/2023/01/hiring-ecommerce-developers-6-main-points-you-should-focus-on.webp" width="303px" alt="horizontal traceability"/></p>
<p>The goal of a requirements traceability matrix is to track the user requirements for the project, and it’s easiest to list them on a spreadsheet. For example, you can make sure your requirements have been tested or are compliant. You can also determine which requirements are impacted if something changes. Requirements are the tasks that must be done in order to deliver a final project. Tracing those features can ensure that none slip through the cracks, a process that’s best completed by using a requirements traceability matrix. After you’ve decided on your format, gathered your requirements, and created your tests, your team is ready to begin analyzing the project.</p>
<h2>Creatio Software: Overview – Features – Pricing</h2>
<p>No project should be without one, which is why we’ll take you through a step-by-step guide to making your own requirements traceability matrix. And it typically documents requirements, tests, test results, and issues. Requirements traceability is a sub-discipline of requirements management within software development and systems engineering. The status of the project refers to the effectiveness of your tests. It’s clear how important a requirements traceability matrix is for project management. Having a list of those requirements and being able to map them in whatever direction is best for your project ensures that all have been included.</p>
<p><img decoding="async" class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="https://www.globalcloudteam.com/wp-content/uploads/2021/06/394cc062-2937-41d4-bf92-91959f70d23c-300x200.jpg" width="307px" alt="horizontal traceability"/></p>
<p>Quickly create Traceability Matrices to capture end-to-end traceability and identify orphaned requirements. The first column outlines the requirements lists, the next has the tests and following that are the test results. This is the bare minimum and you can add more as needed for your project.</p>
<h2>Regulatory and auditability reports</h2>
<p>Fortunately, these documents will also help your project management team complete their projects faster. Because every test your team conducts <a href="https://day-trading.info/who-is-a-ux-engineer-i-work-as-a-ux-engineer-and/">Who is a UX Engineer</a> is recorded, RTM documents expedite communication. Issues are easier to identify and teams can work faster on completing their projects.</p>
<p><img decoding="async" class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="https://www.globalcloudteam.com/wp-content/uploads/2022/08/concepts-for-react-native-developers-1.jpg" width="303px" alt="horizontal traceability"/></p>
<p>Whenever you need a high-level view of the requirements and testing, you can look at our real-time dashboard. It automatically collects live data and crunches the numbers to show you six metrics in easy-to-read graphs and charts. Monitor your team’s workload, tasks and time while also checking on costs and more. The forward traceability matrix is used to see the requirements of the test cases. This allows for each of the requirements to have a test and also allows one to know that the project’s trajectory is positive.</p>
<h2>Product</h2>
<p>Hence, our system ensures that you have your test results readily available. By using Modern Requirements’ tools, you can show test information as virtual work items and link in MR for Trace Analysis and Smart Reporting. Use the Intersection Matrix to easily view, manage, and change relationships between work items in your project. Most often, the tools differ in their scope, ability, effectiveness, flexibility, and more. While some organizations settle on one comprehensive solution, others opt to use a combination of different tools. This is done to avoid scope creep and going beyond the initial requirements without cause to do so.</p>
<ul>
<li>So horizontal traceability you really need to be able to see for yourself how it works and whether it does what you need it to do.</li>
<li>By using Modern Requirements’ tools, you can show test information as virtual work items and link in MR for Trace Analysis and Smart Reporting.</li>
<li>As you might guess, a bidirectional traceability matrix is one that combines the forward and the backward traceability in one document.</li>
<li>When schedules are vertically traceable, lower-level schedules are clearly consistent with upper-level schedule milestones, allowing for total schedule integrity and enabling different teams to work to the same schedule expectations.</li>
<li>Every industry that produces software or hardware could use requirement traceability.</li>
<li>Once dependency identified it will be easy perform impact analysis.</li>
</ul>
<p>These Virtual work items are linked with existing work items using&nbsp;Virtual Link. The Requirement work item will be available when Requirement suite is created from the Test Hub. Whether an organization chooses to adopt a matrix or automated system, the efficacy of either method is greatly benefit from best practices. For each test case, you’ll need  to outline the steps to analysis, the intended result, and the post-test outcome. No matter what project you’re pursuing, though, you must include a few basic elements. You can choose to build Matrices by picking work items from a specific iteration or area path, or you can use Queries to gather exactly what information you want brought in.</p>
<h2>Back to the Roots: Linking User Stories to Requirements Elicitation Conversations</h2>
<p>Modern Requirements4DevOps&nbsp;includes the ability to generate test hub information reporting and trace analysis. Users can generate Smart Reports and Horizontal Traceability Matrix on Test Plans, Test Suite, Test Cases, Test Runs, Test Case Run,&nbsp;and Test Case Step Run details. This is a quickly evolving set of functions with new data being exposed from Azure DevOps as virtual Work Items and Links so that users can generate Smart Reports &amp; Traceability Reports. This reduces the testing effort, improves resource utilization, speed, and quality of the tests.</p>
<div style='text-align:center'><iframe width='560' height='315' src='https://www.youtube.com/embed/b3qPWGwfCwE' frameborder='0' alt='horizontal traceability' allowfullscreen></iframe></div>
<p>When you need more detail than the dashboard can deliver use our one-click reports. You can generate reports on status or portfolio status if you’re managing more than one project. All can be filtered to report on only the data you want to see to help you make more insightful decisions.</p>
<h2>What Is a Requirements Traceability Matrix (RTM)?</h2>
<p>In many projects, people use office tools like spreadsheets for managing traceability. These tools are error-prone when you have hundreds of requirements and multiple users working on a project. You may use specialized traceability tools for effective control of your projects.</p>
<p><img decoding="async" class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="https://www.globalcloudteam.com/wp-content/uploads/2022/08/osnovnye-trendy-ux-i-ui-dizayna-v-2022-300x200.jpg" width="308px" alt="horizontal traceability"/></p>
<p>Comments and Attachments added by the user against each of the iterations will be visible in the Traceability Matrix. In fact, the Intersection Matrix&nbsp;&nbsp;is objectively the fastest way&nbsp;to build relationships between two work items in Azure DevOps. This will allow you to increase coverage Requirements and their Test Cases, identify orphaned requirements and more. Prototype, wireframe, and mockup the interfaces your team needs to create.</p>
<h2>Marketing Project Management Software Buyers’ Guide</h2>
<p>The manually intensive aspect tightly links requirements matrices to version control; each time a requirements document is updated, the matrix must be thoroughly reviewed as well. Nonetheless, requirements matrices are quite useful for many organizations and analysts, depending on the size of the project and the level of granularity needed. You must also decide what information you want to include in your document. Requirements, test cases, and project status are necessities, but many teams choose to add other data to their RTMs.</p>
<h2>Quality criteria for just-in-time requirements: just enough, just-in-time?</h2>
<p>Forward traceability is typically where project management teams start. It can help you determine successes and, more importantly, identify errors. As mentioned above, you’ll be doing a lot of tests to verify the viability of your software projects. In order to ensure that you’ve tested every variable correctly, you need to use a RTM. These documents increase productivity by reducing team errors and gathering all essential data in one place. You’ve done the work and now you have to add it  to the requirements traceability matrix.</p>
<h2>Free Requirements Traceability Matrix Template for Excel</h2>
<p>This allows teams to better delegate tasks and transfer responsibilities without sacrificing quality. Homogenization of the software tool environment via an ALM tool – ALM tool chains cover the software development life-cycle and manage all artifacts of the software development process. Many companies have chosen a best-of-breed approach with task management, code management and numerous test automation tools. Companies that choose a best-of-breed approach solve the traceability challenge with requirements management (RM) tools that provide a complete traceability model and integrations for the best of breed tools. The requirements traceability matrix is a document that maps user requirements with test cases.</p>
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			</item>
		<item>
		<title>Defining And Implementing Value-based Health Care: A Strategic Framework Pmc</title>
		<link>https://b24.jushka.com/defining-and-implementing-value-based-health-care/</link>
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		<dc:creator><![CDATA[Karin Vizcarra]]></dc:creator>
		<pubDate>Fri, 20 May 2022 04:05:03 +0000</pubDate>
				<category><![CDATA[Software development]]></category>
		<guid isPermaLink="false">https://b24.jushka.com/?p=16904</guid>

					<description><![CDATA[A look at mature markets throughout the country could shed some light on the place the risk-bearing supplier market is]]></description>
										<content:encoded><![CDATA[<p>A look at mature markets throughout the country could shed some light on the place the risk-bearing supplier market is heading. It is worth noting that high quality and safety are mentioned individually in the framework, whereas many of the definitions of quality discussed above include safety as a core dimension of quality. For extra information about the connection between high quality and security, see also Chapter eleven. In fact, the scale of high quality of care have been the primary target of appreciable debate over the previous forty years. The next part focuses on this worldwide discussion across the dimensions of high quality of care.</p>
<p>SDM was essentially the most incessantly ranked high 1–3 alternative for each “tests and procedures” and “medications” domains. The sturdy patient desire for SDM we found confirms the similar finding that has been noted before. [21,22] Clinicians might need to pay more attention to this side of care in the future as they may begin to see better knowledgeable sufferers come prepared to engage in determination making somewhat than to passively obtain physician recommendations.</p>
<h2>Defining High Quality From Different Points Of View</h2>
<p>On Question 2 (patients’ private responsibility on health) sufferers had been asked to rank 3 choices so as of importance from 1(most important) to 3 (least important). On Question 3 (diagnostic tests) sufferers had been requested to rank three decisions so as of significance from 1(most important) to 3 (least important). On Question four (patient preferences regarding medications) sufferers were requested to rank 5 decisions so as of significance from 1(most important) to five (least important). On Question 5 (healthcare costs) sufferers had been requested to rank 3 choices so as of significance from 1(most important) to 3 (least important).</p>
<div style='text-align:center'><iframe width='560' height='319' src='https://www.youtube.com/embed/WXHiknYnUUw' frameborder='0' alt='definition of value-based quality' allowfullscreen></iframe></div>
<p>It additionally asks physicians to suppose differently about their function throughout the larger care group and in regards to the providers that group provides. The authors recommend medical faculties should incorporate education on the rules and implementation of value-based health care all through the undergraduate medical curriculum to prepare their graduates to guide the transformation to value-based well being care as they enter the doctor workforce. Value in health care is the measured enchancment in a person’s health outcomes for the price of reaching that enchancment. While some descriptions conflate value-based well being care and cost reduction, high quality improvement, or affected person satisfaction, these efforts—while important—are not the identical as worth, which focuses primarily on enhancing affected person well being outcomes. Two attainable explanations for this are that overall worth was conflated with excessive worth or that prime value was conflated with top quality.</p>
<h2>Defining Worth In Health Care: A Scoping Evaluate Of The Literature</h2>
<p>In an try and order these concepts, the table classifies its entries into core dimensions of quality, subdimensions that contribute to core dimensions of high quality, and other dimensions of well being system performance. Nonfinancial incentives can also encourage clinicians, well being techniques, and payers to improve high quality, safety, and price outcomes. For instance, participation in value-based care models that offer higher flexibility to ship the right care at the right time can contribute to providers’ sense of objective, mission, and professionalism. And, when well being care entities perform nicely in value-based care, it could possibly elevate their status as a provider of high-quality, inexpensive care. Value-based well being care connects clinicians to their purpose as healers, helps their professionalism, and is usually a highly effective mechanism to counter clinician burnout. Critics who characterize value-based health care as underpinning a mannequin of “industrial health care”5 distort the meaning of the time period value, misinterpreting it as targeted on value.</p>
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width="303px" alt="definition of value-based quality"/></p>
<p>Publicizing how well health care providers and well being plans carry out on sure measures can drive them to improve efficiency. For example, people can search Medicare.gov to seek out out the speed of complications for hip and knee replacement surgical procedures at a hospital. Or, in the occasion that they are looking to enroll in a selected Medicare Advantage plan, they could search the location to learn how members rate the plan. In value-based arrangements, health care organizations are incentivized, or rewarded, for meeting numerous, interrelated targets. If they’re not met, organizations could forfeit bonuses or lose a portion of their cost from payers like Medicare, Medicaid, or industrial health insurers. According to this approach, the title ‘quality’ ought to solely be attributed to those products and services that obtain the best requirements.</p>
<p>We’re trying to make healthcare proactive as an alternative of reactive, stopping problems earlier than they start. Overall wellness, high quality of care, and preventive screenings all are key to bringing about higher healthcare outcomes. Value-based care is a simple and proactive concept of improving take care of sufferers. With its core based on total wellness and preventive remedies, value-based care improves healthcare outcomes and reduces prices. This is reflected in two World Health Organization (WHO) stories printed in 2018, a handbook for nationwide high quality insurance policies and strategies (WHO, 2018) and a guide aiming to facilitate the global understanding of high quality as part of common health protection aspirations (WHO/OECD/World Bank, 2018). Differences in perspective also influenced definitions of value, as illustrated by Porter’s patient-centered definition and Gray’s societal definition.</p>
<p>For instance, CMS units guidelines requiring managed care plans to incorporate a certain number of providers of their network so Medicaid beneficiaries can access providers. CMS can require well being care entities to stick to the standard and security requirements  set by sure third events to take part in the Medicare or Medicaid programs. For instance, Joint Commission accreditation is required for hospitals and health methods to receive Medicare or Medicaid reimbursement. DMS’ curriculum additionally permits third-year medical college students (and different involved well being professionals) to complete a master’s degree in well being care transformation, focused on the rules and implementation of value-based well being care.</p>
<h2>What&#8217;s The Provider’s Position In Value-based Care?</h2>
<p>First, this was a scoping evaluate, and thus relied on title searches to identify related articles consultant of the breadth of literature on the subject. Second, a lot of the articles included are opinion items, which inherently include bias, though the intent of this evaluate was to explain subjective definitions. Finally, though three researchers have been involved within the planning of the examine, in resolving questions that arose regarding inclusion and exclusion criteria and in an initial review of a subset of articles, just one reviewer chosen articles for inclusion, making it vulnerable to researcher bias. However, our findings have been broad and diversified, suggesting that a extensive range of views had been efficiently recognized. Moreover, normal criteria for inclusion, standard extraction templates and evaluate of framework categorizations by two authors helped to mitigate this limitation. Costs usually included monetary costs of care, either limited to direct prices of care or inclusive of indirect costs.</p>
<p>To assess which qualities had been most important for patients under each of the five domains, the percentage of respondents who selected every quality as their number one selection were decided. Since patients had been pressured to prioritize among a listing of fascinating attributes, the qualities that were ranked as probably the most frequent second and third selection have been additionally determined. For questions that had greater than or equal to 4 choices (Questions 1 and 4), probably the most frequent first, second, and third choices were calculated whereas solely the most frequent first and second selections have been calculated for questions that had three selections (Questions 2, three and 5). The best result&#8217;s fewer readmissions and fewer frequent hospitalizations and journeys to the emergency room. It’s a proactive concept to keep healthcare prices down, produce better healthcare outcomes and most importantly, enhance your total well being and properly being.</p>
<p>Value-based care places higher emphasis on built-in care, that means health care suppliers work together to deal with a person’s bodily, psychological, behavioral and social needs. In this manner, providers treat a person as an entire individual, quite than focusing on a specific well being concern or illness. Payers and federal regulators can use quite a lot of incentives and mechanisms to motivate well being care suppliers and organizations to deliver higher-quality, cost-effective care. Episodic and condition-based capitation fashions ought to thrive as they continue to propel improved medical cost performance, as ought to specialty subcapitation models. Enabling and accelerating this pattern, specialty provider MSOs are developing (or integrating with) specialty benefit-management options to tackle extra population-level threat. In every scenario, sturdy secular growth tailwinds throughout most geographies might bolster the investment thesis.</p>
<p><img decoding="async" class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="https://www.globalcloudteam.com/wp-content/uploads/2023/07/ai-img-2.webp" width="307px" alt="definition of value-based quality"/></p>
<p>With matters related to you, it also offers a straightforward, streamlined method to find, take, track and report instructional actions. Participate actively in managing private health, and, when faced with care and therapy options, search assistance in understanding the expected outcomes. However, underneath a strategy of standardization or routinization (McDonaldization of Services), services are subject to a form of standard working procedures or models, which helps within the measuring of high quality. This strategy starts from the premise that high quality ‘lies in the eyes of the beholder’. Consumers have specific wants or needs and those products that finest meet their preferences are those who they view as having the very best high quality. The emphasis in the product-based method is on quality as a precise and measurable variable.</p>
<p>For tests and procedures, understanding the importance of diagnostic exams was probably the most frequent first (50%) and second (39%) alternative. On question 4 assessing medications, understanding indication and side effects of medications was the most frequent first (80%), second (57%) and third (41%) alternative. For query five on healthcare cost, knowing what insurance coverage covers (58%) was probably the most frequent first alternative whereas understanding costs (43%) was probably the most frequent second selection. [2–7] Thus, another method of looking on the core precept behind patient centeredness is the intentional alignment of health service delivery with what issues to sufferers most. Population well being solely improves when the health outcomes of many individuals enhance, which is the focus of value-based well being care. By  organizing teams to care for individuals with comparable wants, a value-based strategy allows expertise and efficiency, quite than rationing, to drive costs down.</p>
<ul>
<li>In this new voluntary program, providers are required to develop a plan to improve take care of underserved communities and are rewarded for offering high-quality, well-coordinated care to Medicare beneficiaries.</li>
<li>Stay competitive by adopting a strategic method, restructuring the supply of care, and measuring prices and outcomes to extend affected person worth.</li>
<li>Our Scorecard ranks every state’s health care system based mostly on how nicely it supplies high-quality, accessible, and equitable well being care.</li>
<li>However, under a process of standardization or routinization (McDonaldization of Services), companies are subject to a form of standard operating procedures or models, which helps within the measuring of high quality.</li>
</ul>
<p>It is likely that the patient would consider high quality of life as a core aspect of outcomes and indirect costs of treatment as core aspects of prices. Finally, we can apply the framework to define the value of a proposed government policy. In this case, the angle is the policymaker, and components of the worth definition are more doubtless to incorporate alternative prices (i.e. funding taken away from different authorities initiatives), direct prices to the government and measurable direct outcomes. As shown through these examples, this framework may help in selecting the way to define value in a considerate manner.</p>
<h2>Defining And Implementing Value-based Health Care: A Strategic Framework</h2>
<p>The effectivity afforded by structuring care around patient segments frees clinicians from scrambling to coordinate companies that are needed routinely. The added bandwidth allows them to personalize providers for individual patients who could have considerably completely different needs. A query that asks patients to indicate their desire for figuring out what their insurance covers and one which asks their preference to knowing what they&#8217;re being charged for (two choices for Q5) is doubtlessly complicated as one selection might be seen as a subset of the other. Despite that, it&#8217;s clear that virtually all patients do care about the worth of care, particularly the portion lined by insurance coverage and/or themselves. Only a minority of these surveyed (11%) prioritized minimizing their healthcare expenditure which can indicate a associated idea to the frequent health economics remark of moral hazard- where insured patients (virtually all our patients) could typically lack an incentive to prioritize healthcare value minimization.</p>
<p>Benefits and harms, as subsets of outcomes, were also commonly used to outline worth. The time period ‘harm’ was used because the counterpoint of benefit, representing ‘adverse effects, pointless care, or care that finally hurts the patient’ [58] and sometimes was utilized in definitions of low-value care. For example, Badgery-Parker outlined low-value care as ‘use of an intervention where evidence suggests it confers no or little or no benefit to sufferers, or risk of harm exceeds probably profit, or, extra broadly, the added prices of the intervention do not <a href="https://www.globalcloudteam.com/">https://www.globalcloudteam.com/</a> provide proportional added benefits’ [42]. As mirrored on this definition, the phrases ‘benefit’ and ‘harm’ have been typically utilized in a way that suggested weighing alternatives. For occasion, MacStravic described that a benefit ‘depends on what folks ascribe positive value to and on whatever they like and desire’ [35]. Importantly, benefits and harms might embrace long-term penalties similar to illnesses averted or quality-adjusted life years gained [59].</p>
<p>Compared with different high-income nations, the U.S. has the highest fee of toddler deaths in addition to the very best rate of preventable deaths. And a history of inequality in entry to care has meant that people of shade and people with low earnings are extra probably to expertise antagonistic well being outcomes than the rest of the inhabitants. Routine scientific apply doesn&#8217;t dictate, nor can it assist, the voluminous health outcome measure units used in scientific analysis. Instead, clinicians need <a href="https://www.globalcloudteam.com/glossary/value-based-quality/">value based definition</a> to concentrate on measuring the outcomes that define well being for their sufferers. Those outcomes cluster by affected person segment—the outcomes that matter most to sufferers with congestive coronary heart failure are strikingly constant while also markedly totally different from the outcomes that matter most to girls who are pregnant. Within any given affected person phase, although, sufferers define health by way of capability, comfort, and calm, as described above, and these dimensions could be normally captured in three to five measures.</p>
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