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Indian Institute of Finance For Internal Circulation Only Case Analysis 602 Credit Card Attitudes and Behaviors of College Students
Indian Institute of Finance For Internal Circulation Only Case Analysis 602 Credit Card Attitudes and Behaviors of College Students
IS Organization
The IS division is headed by R.L. (Buck) Steubens, MIS vice President, who reports to
W.W. Johnson, V.P. of Finance, who reports to the president of B&G, T.J. Baker.
It is generally Accepted that Johnson delegates the IS responsibility totally to Steubens
and is not himself a factor in decision-making on IS matters. The two key IS directors are
Tom Mansfield and Harry Crowley. Mansfield is in charge of the application
development for these plants but report to Mansfield. Operations reports to Harry
Crowley. The outlying plants have their own operators, who report to local line
management. IS operations are highly centralized, however, such that processing is done
not locally, but via a telecommunications network to Cleveland’s central systems.
Buck Steubens was concerned about the way his IS group was organized and was
reviewing the following report, which was sent to him by a consulting firm he had asked
to look into the matter.
Organization
B&G has a rather unique organization with two directors managing the entire information
systems function. Missing is a third or coordinating element found in most organizations.
The third element is responsible for integrating services that span the IS division-services
such as standards, planning, education, project management, and often data base
administration. While where is nothing that says the B&G organization cannot work,
interviews suggest that major application developments have been implemented without
complete awareness of their fit with existing or future subsystems. Also there is a lack of
emphasis on planning and education, two functions that are vital to future progress.
To make this dual directorship concept work, standards and protocols must be better
established to facilitate proper communications and integration at the working levels. It is
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Case Analysis 602
conceivable that the CFO can be the integrating force, but this is too high a level in the
organization, particularly in light of the expanding duties of the office. The integration
must occur at lower levels.
The stated management organizational style at B&G is heavily people oriented. Thus, the
primary criterion for assigning a job is the track record of the individual in getting jobs
accomplished rather than as assessment of where the function best fits into the
organization or where there is the necessary expertise. The design of complex integrated
applications is a difficult task, and while the ability to get a job done is probably the
number one attribute, it is not the only one.
Another expressed organizational style is adversary management; the theory being that
pitting two competent managers against each other will result in a competitive drive to
get the work accomplished. The question raised here is does this approach work in a
functional area of the business that needs integration and communication so desperately?
Questions:
1. Comment on the company culture at B&G. Explain the pros and cons of this culture
and whether the
existing information system is suitable for such kind of culture?
2. Do you think the cost cutting mode is a given for IS? Is it wise to justify IS
expenditures on the
number of job eliminations?
3. “Organization structure and controlling has a very big impact on the success or
failure of MIS in any
organization” Explain the organization structure and comment on the controlling
implemented in the
organization for information system.
4. Explain whether in B&G there are group decision making enviornment of the
individual decision
making and the role of CIO(Chief Information Officer) in the success of
Information system in B&G.
Indian Institute of Finance
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Case Analysis 602
Health Management Information System in “Ganesh Medical Institute”
"Ganesh Medical Institute” (GMI) is one of India’s major medical teaching and research
facilities with an attached hospital of several hundred-bed capacity. In 1999, an
application of computers for patient registration was piloted, leading to development
from 2003 of a fully-fledged health management information system (HMIS).
Application Description
The HMIS was built with five main functional areas:
· Patient registration – registers the 4,000-5,000 out-patients and 100-150 in-
patients who attend the hospital each day, and allocates a unique ID number to
each one that is used track their transactions in labs and wards.
· In-patient data – records results for patients from pathology, microbiology,
radiology and biochemistry specialisms, and stores blood bank details.
· Operation scheduling – for use by all surgical specialties to plan and record
operations, including checking for blood availability and generating operating
theatre lists.
· Discharge summary – provides a printed summary report when the patient is
discharged from the Institute, particularly for use by supporting medical
services.
· Ward routines – provides computerised support for planning and recording of
nursing schedules and other ward-based activities.
Role of ICT
The patient registration pilot in 1999 ran on a small LAN with three terminals and a
server. During 2003-06, this pilot was expanded to provide 64 terminals throughout the
Institute (wards, major labs, clinical services, surgical services, ancillary services),
running the central applications on two 486-based servers. In 2005, the central server
was upgraded to a PIV machine. A system enabling academic access to the Internet,
using 25 PIV clients plus a high-end server was introduced at the same time, but remains
unconnected to the HMIS network.
Application Drivers/Purpose
In an overall sense, some drive for the system has come from GMI’s wish to be seen as
one of India’s leading medical institutions, with an expectation that this would be
reflected in its adoption of leading-edge management information systems. From the
early 1990s, this drive was supplemented by the advocacy of the regional director of
India’s National Informatics Centre, a central government organisation that undertook
most of the software development work for the HMIS.
Stakeholders
The core stakeholders are seen as patients and their families; medical professionals
(doctors, nurses); and specialist staff (especially in GMI laboratories and in medical
records). As noted above, the National Informatics Centre was involved. So too was the
World Health Organisation, providing a grant for development of the pilot registration
system.
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Health and the Poor
The HMIS cannot really be said to have made much difference to the lives of the poor.
Had the system been developed as intended, it would have provided a mechanism to
reduce the number of visits by poor patients, e.g. to collect laboratory reports. However,
this has not happened to date.
The status of each of the five HMIS functional areas by the start of 2007 was as follows:
· Patient registration – this continues to be operational after more than 10 years; it is
popular with medical records staff since it saves the time and effort of an earlier
system which required them to create aluminium ID tags for all patients (a
considerable task given the thousands of patients who attend each day).
· In-patient data – staff in the pathology lab and in the blood bank continue to use the
system: path. lab results for all referred patients can be accessed anywhere on the
system, as can information on general availability of blood supplies and specific blood
allocations for individual patients. GMI’s other specialist sections – microbiology,
radiology, biochemistry – have stuck to manual record keeping and report writing.
· Operation scheduling – the system is only used by the plastic and cardiothoracic
surgical teams; all others have stuck with manual working methods.
· Discharge summary – only used by around 10% of hospital wards: those which have a
functional printer attached. All other wards have no printer or a broken printer and are
stuck in a classic “Catch-22” situation: GMI management will only purchase
additional hardware if system usage rises from its current low levels, but usage cannot
rise unless new printers are purchased!
· Ward routines – now unused following an initial burst of enthusiasm when all 400
nurses were trained. Some nurses were still reluctant to use the system; others did but
then left or were promoted. New nurses were not trained and in most wards the UPS
power supply points for the HMIS terminals have been moved by nursing staff to
support other electrical appliances.
In all, then, the benefits of the system have been very limited.
There has been some development of in-house awareness and skills in GMI, not just the
ICT operational skills that staff have required for using the system, but also some higher-
level skills: for example, while in-patient registration was developed by NIC, it was GMI
staff who developed the out-patient registration module.
Constraints/Challenges
1. Absent enforcement during critical junctures. GMI administration provided the
support necessary to see the HMIS installed. However, they did not enforce use of
the system during a critical period in 2004/5 following implementation. Success of
the system at that point depended on pushing hospital staff to abandon their manual
working methods, and swap over to the computerised system. But many staff –
despite their IT training – felt uncomfortable with the new system and were reluctant
to use it. Yet management pulled back from forcing staff to toe the line. As a result,
the new system lost impetus and came to run in parallel with the manual system,
rather than supplanting it.
2. Staff turnover. In the mid-2000s, the intensive training programme achieved 100%
coverage of GMI medical staff. However, around 150 junior doctors leave GMI
every year, and up to half that number of nurses also depart. There needed to be an
ongoing training programme to cope with this situation but by 2006 there was no
training at all: NIC staff had moved on to other projects while computer-literate staff
in GMI felt they needed to focus on their main hospital jobs.
Recommendations
1. Plan beyond installation to ongoing operation. Too many e-health projects plan up to
the ‘grand opening ceremony’, but think no further: about how funding is going to be
maintained for the system; about how skills are going to be maintained; about the
need to upgrade the system on a regular basis to cope with ongoing technical change;
about how to truly institutionalise the system. All of this needs to be considered as
part of the preparation process.
2. Identify stakeholder incentives. Stakeholders involved with e-health systems always
ask themselves “Why should I: what’s in it for me?”. In this particular case, there
was no good answer for too many of GMI’s staff – they therefore stuck with, or
reverted back to, the manual method of working. As well as thinking about
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Case Analysis 602
technology, e-health planners must also work out a system of incentives or
disincentives for key stakeholders that will ensure that they use the new system. In
the initial instance, the carrots and sticks might need to be financial if that is feasible
within the public sector.
Questions :
1. Using tools of System Analysis, elaborate Patient Registration, one of the
subsystems of HMIS in detail.
2. Draw a detailed Feasibility study including Cost Benefit Analysis for the HMIS
for Ganesh Medical Institute as planned initially?
3. Elucidate the usage of HMIS for its various stakeholders.
4. Draw a Sample Discharge Summary report.
5. You are hired as a System Analyst, advice GMI administration on the following :
(a) Networking requirements
(b) Data structure for maintaining In-Patient Data.
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Case Analysis 602
Can DSS Help Master Card Master the Credit Card Business?
Credit (change) cards have been very big business for several decades. In 2001, over
$30 trillion in payments for goods and services were charged using credit cards. The cards
have made life easier for many people because they do not need to carry large amounts of
cash for most purchases. Many people also use the cards as a way to borrow money because
they need only pay a small percentage of the amount they owe each month, although they are
usually charged very high interest rates for the unpaid balance. The interest goes to the
issuing bank, making credit cards a very profitable service for them. However, the credit card
industry is intensely competitive, highly fragmented, and growing at a rate of 3 to 4 per year,
making those profits difficult to achieve.
Visa and MasterCard are associations of banks that issue the credit cards. They
market their cards, often several different cards, and provide support for the transactions,
making networks available to collect and use the data. The most popular credit card has been
Visa, with 44.5 percent of the business in 2001, while MasterCard is number two with 31.6
percent. Being very much second to Visa, MasterCard is trying to overtake it. While it had
been number two since the beginning, MasterCard began to emerge from "its doldrums" in
1997, according to Robert Selander, MasterCard's CEO. It bagan to realize it might really be
able to overtake Visa and become number one. To reach that goal, MasterCard needed to
present itself so that potential user will choose a MasterCard rather than a Visa. It also had to
spur the bank issuers to promote MasterCard cards rather than those of their competition.
In 1998, when MasterCard had only 28.8 percent of the credit card charge volume
while Visa's was over 50 percent, MasterCard decided it needed a new computer center,
partially to handle all the data as the company's business expanded as a result of its drive to
overtake Visa. It also foresaw growth as a result of its change in strategy. The ocmpany's new
strategy required a system that would be able to keep a record of every transaction of every
customer for three years. The strategy included ways MasterCard and its member banks
could use that data to increase their credit card business. MasterCard wanted to increase its
daily volume of 30 million transactions in 1977. At the time it had three separate computer
centers on four floors in the suburbs of St. Louis, Missouri, and it wanted to consolidate the
computer centers while enlarging the new center so that it would be able to handle both the
current volume and the planned volume as it expanded. At that time it was storing nearly 50
terabytes (50 trillion numbers and letters) of data, including the dollar amount, merchant,
location, and card number. MasterCard also planned to add other data fields, such as ZIP
codes,to make the data more useful. However, to protect MasterCard users, it did decide not
to include demographic data such as incomes and ages.
Nonetheless, "The credit card business lives and dies by data", said Ted Iacobuzio,
director of consumer credit research for the consulting and research firm, TowerGroup.
While both Visa and MasterCard had already been werehousing so much data, they
were both moving tward providing reports to their member banks. MasterCard's goal was to
give its members (the banks) direct access to their customers' data as well as toos to analyze
all of this data, all in order to persuade the banks to choose MasterCard over Visa. For
example, if banks could use MasterCard tools to improve their analysis of the profitability of
the cards in their portfolios or gain more customers and transactions to process, they would
be inclined to push MasterCard more often. Such analysis could help banks determine the
types of customers that were most profitable or find ways to appeal to more potential
MasterCard customers. Many banks issue both Visa Cards and MasterCard cards (sometimes
several of each), and if the banks can use this informatin from MasterCard while Visa does
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Case Analysis 602
not have or make available such information, the MasterCard company can gain a strategic
advantage. For example, in 2001, MasterCard persuaded Citigroup, the largest issuer of credit
cards, to push MasterCard over Visa so that 85 percent of its credit cards came from
MasterCard versus only 15 percent from Visa. J. P. Morgan Chase likewise was convinced to
use MasterCard for 80 percent of the cards it issued.
MasterCard hoped it could persuade banks to use these data if they could see value
(increased profit) in the process. Joseph Caro, MasterCard's vice president of Internet
technology services, said that "little percentages" can be very profitable to banks. In one case,
a bank was requiring its merchants to verify the whole process by using the telephone to call
in one transaction out of 50 for approval (rather than using a telecommunications method),
while most banks were requiring only one transaction in 500. Because call-ins cost about $3
each, that bank could save $300,000 a year by switching over to the one in 500 method.
Another bank was turning down one one transaction out of five because so many call-ins
were timing out. The bank was able to discover that most of the customers turned down were
actually crediworthy. By changing its set up, the bank would be able to eliminate thousands
of unnecessary lost transactions.
About 28,000 banks and financial service companies issue MasterCard credit cards.
To draw these customers into using its credit card transaction data, MasterCard needed not
only to make each bank's data available to them, but it also needed to make available
appropriate analytic software. MasterCard assigned 35 full-time developers to the task of
identifying and creating software tools to accomplish this task. Drawing on Business Objects
WebIntelligence software in 2001, these developers created and programmed 27 tools for the
banks to use. (These tools are not free and they are not available to merchants.) One of
MasterCard's new tools, called the Business Performance Intelligence, is for operational
reporting and includes a suite of 70 standard reports that banks can use to analyze their daily,
weekly, or monthly transaction. The banks can then compare the results from one market
(such as a United States state or region, or a single country) with that of another market.
MasterCard also works with individual banks to create their own custom reports, enabling
them to concntrate on their own issues and concerne. Subscribing banks access the
MasterCard business intelligence system via a secure extranet.
The developers also created MarketScope, which are applications that have the goal
of helping banks and merchants work together to generate more purchases from the
merchants if they are paid for by MasterCard. One example they give is to enable Wal-Mart
stores to determine how many MasterCard holders spend $25 or more on sporting goods in
January and Februarty. Then, MasterCard's vice president of systems development, Andrew
Clyne, suggested that Wal-Mart could send these card-holders the right to obtain tickets to
their closest major league baseball team based upon future sporting goods purchase above a
certain dollar minimum. lacobuzio said that such a strategy should appeal to state and
regional banks. However, he believes it is likely that national and international banks would
have already developed and are using their own analytical software. But even they would
have a use for MasterCard's software as a kind of benchmark against which to measure the
effectiveness of their own systems.
Moreover, despite the increasing volume, the processing was much faster. As Caro
said, "If we can do thing faster, little percentages start moving in our direction."
Visa, however, is not sitting still, and is managing about 100 trillion terabytes of data
for its clients. Until recently, it mainly supplied the data online or on disks to its bank
customers, who used their own software and computers to analyze the data. Recently, Visa
started to run analyses for the banks on its own computers. In May 2002, Visa also
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Case Analysis 602
introduced a Web service called Resolve Online to help banks deal with disputed payments
and is working on providing banks with online analytic tools. "If MasterCard is ahead of the
game in any of this", says Iacobuzio, Visa "will have it in six months".
MasterCard's new data stroage site, which was opened in May 2002, is also in St.
Louis, in a single 525,000-square - foot building. The complex, which was built on open
land, cost MasterCard $135 million. The changeover to the new site happened over a
weekend with almost no problem, despite the purchases of about $4 billion each day.
Questions :
1. Analyze MasterCard using the competitive forces and value chain models. Briefly
summarize the problems that MasterCard was facing before 1998 that caused it to change its
business strategy.
2. Describe the new business strategy MasterCard developed. What is the role of
information systems in its new strategy?
3. What kind of decision-support systems did MasterCard develop? How are they
related to its business strategy?
4. Has MasterCard's strategy been successful? Can MasterCard hold on to its strategic
advantage? Explain your answer.
Indian Institute of Finance
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Case Analysis 602
XO Hospital Management System
XO Infotech Ltd. has developed a core package – Hospital Management System
that addresses all major functional areas of Hospital. The development environment
ensures that XO HMS has the portability and connectivity to run on virtually all standard
hardware platforms, with stringent data security and easy recovery in case of a system
failure. XO HMS provides the benefits of streamlined operations, enhanced
administration and control, improved response to patient care, cost control, and increased
profitability.
Some of the Subsystem Modules in XO HMS:
Reception
The reception module handles various enquiries about the patient’s admission and
discharge details, bed census, and the patient’s movements within the hospital. The
system can also handle fixed-cost package deals for patients as well as Doctor
Consultation and Scheduling, Doctor Consultancy Fees and Time Allocation.
OPD, IPD Registration and Admission
This module helps in registering information about patients and handling both IPD and OPD
patient’s query. A unique ID is generated for each patient after registration. This helps in
implementing customer relationship management and also maintains medical history of the
patient.
Administration
This module handles all the master entry details for the hospital requirement such as consultation
detail such as doctor specialization, consultancy fee, and service charges.
Security
This module handles multi level security of XO HMS so that every admission and transaction can
be traced with the help of user ID.
Pharmacy Store
This module deals with all medical items. This module helps in maintaining Item Master
Maintenance, Receipt of Drugs/consumables, issue handling of material return, generating retail
bills, stock maintenance. It also helps in fulfilling the requirements of both IPD and OPD
Pharmacy.
Purchase
This module helps in raising purchase orders, maintaining purchase details and other purchase
related details.
Phlebotomy
This specific module caters in maintaining test requisitions, sample collection status and various
procedures for collection of sample for the tests prescribed.
Laboratory
This module enables the maintenance of investigation requests by the patient and generation of
test results for the various available services, such as clinical pathology, X-ray and ultrasound
tests. Requests can be made from various points, including wards, billing, sample collection and
the laboratory receiving point. The laboratory module is integrated with the in-patient/ outpatient
registration, wards and billing modules.
Emergency
The development of this module keeps in mind the criticality of this department. Every care has
been taken to ensure that minimum of time is taken to register the patient, so as to reduce the
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Case Analysis 602
tension of the already stressed out relatives. Neither any detailed contact information of the
patient is required nor any information about the payment type is solicited.
OT Management
This module deals with operation theatre activities such as equipment used detail, resource
ordering, drug order, gynecology detail recording, laboratory order and reports transfer
requisition, patient monitoring, blood request, new born baby detail and details of delivery.
Minor Surgery
This module is same in features as in OT management though the function is different. This
module deals with the surgeries minor in nature, which does not require complete anesthesia.
Blood Bank
The blood bank module provides information on the collection and storage of blood, results of
blood tests, cross-matching identifications, and transfusion reactions. It also enables the
maintenance of donor mailing lists and donation ledgers. It would also provide online stock of
blood available in three blood banks (GTB, LNJP and DDU
Ward Management
The ward management module takes care of medical equipment, doctor visit, vitals recording,
patient case sheet, diet ordering, blood requisition, transfer intimation and discharge intimation
etc. It also deals with the maintenance of the wards, inter- and intra-ward transfers.
OPD and IPD Billing
The billing module facilitates cashier and billing operations for different categories of patients
and automatic posting of charges for different services such as lab tests, medicines supplied,
consulting fees, food and beverage charges, etc. It enables credit party billing through integration
with the financial accounting module.
Intensive Care Unit (ICU)
This module caters to scheduling, maintaining ICU Record, drug orders, consultant details,
specific blood requests etc.
Food and Beverages
This module facilitates collection of information regarding various diet routines of patients and
identifies the resources required to satisfy diet orders. Depending on the diet orders and other
requests from canteen, the kitchen order plan can be prepared to decide the menu for the day.
Analysis of the consumption patterns helps in better and efficient management of the kitchen.
Discharge Summary
The module helps in generating patient’s discharge summary, which includes patient’s health at
the time of discharge, medical history, various diagnosis and drug prescriptions, history of
present illness and course in hospital.
Financial Accounting
This module deals with cash/bank, receipts/payments, journal vouchers, etc. Various books of
accounts, such as cashbook, bankbook and ledgers, can be generated and maintained using this
module. It can also generate trial balance, balance sheet, and profit and loss statements.
Marketing Module
This module ensures that the hospital gets maximum exposure to the general public and vice
versa. This module keeps track of the enquiries made at the reception and follows the lead.
Doctor’s Module
This module helps the doctors to keep a track of the entire medical history of a particular patient.
Details such as the medicines prescribed, general medical records, previous consultations are all
available to the doctor.
HR Management
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Case Analysis 602
Various MIS Reports are generated on the above modules for the smooth functioning of the
hospital management so that checks can be made on any irregularity done in the hospital.
Questions :
1. Using tools of System Analysis elaborate any one of the subsystems of HMS in
detail.
2. Draw any Patient registration form and any one sample MIS report.
3. Prepare the Data dictionary for the Doctors Master file.
4. Elucidate the conceptual plan for implementation of the Hospital Management
System.
5. You are hired as a System Analyst, advice on the following :
(a) Networking requirements
(b) Database model requirements
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Case Analysis 602
FDX Corp. is a new $15 billion holding company, provides transportation, logistics and
supply chain management solutions. FDX Corp. subsidiaries are Federal Express Corp.
(FedEx), the world’s largest express transportation company; RPS, Inc., business-to-
business ground small package carrier; Roberts Express, Inc., critical-shipment carrier;
Viking Freight, Inc., supplier of western U.S. freight services; Caliber Logistics, Inc.,
contract logistics provider; and Caliber Technology, Inc., supplier of information service.
Federal Express realized early on that for a speed-hungry world, information about
package delivery was as important as the delivery itself. So, it pioneered the use of bar-
code technology, put computers in delivery vans and shared its software with customers.
In doing so, the company turned package tracking into a high art and gave new meaning
to the term "customer service" by empowering customers to serve themselves. Giving
customers access to FedEx information systems raised performance and lowered costs on
both sides.
With annual revenues of $20 billion, FedEx Corp. is the premier global provider
of transportation, e-commerce and supply-chain management services. The company
offers integrated business solutions through a network of subsidiaries operating
independently, including FedEx Express, the world's largest express transportation
company; FedEx Ground, North America's second-largest provider of small-package
ground delivery service; FedEx Freight, a leading provider of regional less-than-
truckload freight services; FedEx Custom Critical, the world's largest provider of
expedited, time-critical shipments; and FedEx Trade Networks, a provider of customs
brokerage, consulting, information technology and trade facilitation solutions.
Internet solutions company Ampersand Software, Glendale, Calif., has announced that
zeroCode, Ampersand's browser-based development environment that automatically
builds Web-based applications from database schemas, was used by FedEx to develop a
tracking system, saving the company 94 percent of its development time.
Ampersand enables its customers to harness the power of technology to build outstanding
business solutions. The company constructs e-business enabling systems for its enterprise
customers, while providing product co-development services for technology companies.
It provides software services that span custom application development, e-business
consulting, eCRM & SCM implementation services, mCommerce application
development and re-engineering services in communications, distribution, entertainment
and health care.
FedEx selected zeroCode to create a system to track maintenance records and
performance statistics for fleets of various airlines, including Northwest, Delta, United,
FedEx and UPS. FedEx will use an existing application to populate this database with
raw information, while the zeroCode-built Web-based application allows all participating
companies to view and interact with the data.
Using zeroCode, FedEx engineer Richie Bailey spent a total of 51 hours developing the
tracking system -- 30 hours of which were spent transforming the existing database from
Microsoft Access to Oracle and refining the graphical HTML front-end.
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Case Analysis 602
"Using traditional programming tools, this project would've probably taken 800 hours to
complete," said Bailey. "4GL tools could have cut that time down to half, possibly;
zeroCode took only a little over 50 hours, including training. zeroCode saved me 85
percent to 94 percent of my development time on this project, and helped me quickly and
easily design a top-quality, reliable database system."
Bailey further elaborated, "This application works out to about 120 function points,
which would normally mean a nearly five man-month development effort. With
zeroCode, I completed the whole project in just over a man-week, and that includes the
learning curve on a product I never touched before."
Previously this year, zeroCode won the prestigious Java Developer's Journal "World
Class Product" award. The publication deemed zeroCode "a significant step toward the
goal of developing applications with minimal handwritten
code."
Question: