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The Issue Of Medicaid Expansion Reform - 1256 Words

Medicaid Expansion -Texas Why is Medicaid a huge topic in Texas and how does it relate to me? This is one important question to consider. Well this paper will help shed light to the matter and illustrate the urgency for action. Just recently Texas had an option to extend Medicaid, but hastily denied. Medicaid Expansion was part of the Obama care reform in which the federal government gave the 52 states an offer to expand the current Medicaid in was that it would include the coverage of low income adults not only children. The latest on the issue is Texas had agreed on a deal but only temporarily. The agreement on the reform has given Texas some light, but not enough to reach through the other side of the tunnel. Eventually, Texas†¦show more content†¦CHIP benefits are not as broad in some states. (Last tab) On the other side CHIP is considered to have more providers available under their network but the downside are the monthly premiums required. Under the new regime the expectation is for there to be â€Å"around 562,000 children†¦.to shift from CHIP to Medicaid as a result of the law† (LAST TAB). Therefore, such statistic would actually help push for some to quickly move for the deal but not too fast. Texas quickly declined to expand the Obama care reform in their state as so they claim. The state is considered to be more independent when it comes to government involvement. Texas is not the only state that such regard to the bill. Under the statistic illustrated under the white house website out of the 52 states only 32 states agreed to the bill and 20 of the remainder decided to decline. Texas origins describe a state that have gone through a lot and had being independent for quite some time before joining the United states back in 1945. The state has maintained it s independence from federal government through their success in oil, cotton, and even domestic food. In such instance its easily understandable to see the ruling they have on the agenda, but times have changed compared to those days. Although Texas believes in the more state friendly federalism; the dual federalism. In such instance they can take some exception to this matter. Under the Medicaid extension the states

The Crystal Shard 19. Grim Tidings Free Essays

Drizzt padded through the tunnels and past the bodies of the dead giants, slowing only to grab another hunk of mutton from the large table. He crossed through the support beams and started down the dim hallway, tempering his eagerness with common sense. If the giants had hidden their treasure down here, the chamber holding it might be behind a concealed door, or there might even be some beast, though not likely another giant, since it would have joined in the fighting. We will write a custom essay sample on The Crystal Shard 19. Grim Tidings or any similar topic only for you Order Now The tunnel was quite long, running straight northward, and Drizzt figured that he was now moving underneath the mass of Kelvin’s Cairn. He had passed the last torch, but he was glad for the darkness. He had lived the majority of his life traveling tunnels in the lightless subterranean world of his people, and his large eyes guided him in absolute darkness more accurately than in areas of light. The hallway ended abruptly at a barred, iron-bound door, its metal holding bar locked into place by a large chain and padlock. Drizzt felt a pang of guilt for leaving Wulfgar behind. The drow had two weaknesses; foremost was the thrill of battle, but a close second the tingle of uncovering the booty of his vanquished foes. It wasn’t the gold or gems that lured Drizzt; he didn’t care for wealth and rarely even kept any of the treasures he had won. It was simply the thrill of viewing them for the first time, the excitement of sifting through them and, perhaps, discovering some incredible artifact that had been lost to knowledge in ages past, or maybe the spellbook of an ancient and powerful mage. His guilt feelings flew away as he pulled a small lockpick from his beltpouch. He had never been formally trained in the thieving arts, but he was as agile and coordinated as any master burglar. With his sensitive fingers and acute hearing, he wasn’t particularly challenged by the clumsy lock; in a matter of seconds, it fell open. Drizzt listened carefully for any sounds behind the door. Hearing none, he gently lifted the large bar and set it aside. Listening one last time, he drew one of his scimitars, held his breath in anticipation, and pushed in the door. His breath came back out with a disappointed sigh. The room beyond glowed with the waning light of two torches. It was small and empty, except for a large, metal-rimmed mirror standing in its center. Drizzt dodged out of the mirror’s path, well aware of some of the strange magical properties these items had been known to exhibit, and moved in to examine it more closely. It was about half the height of a man but propped up to eye level by an intricately worked iron stand. That it was lined in silver and in such an out-of-the-way chamber led Drizzt to believe that there was something more here than an ordinary mirror. Yet his scrutinizing inspection revealed no arcane runes or markings of any kind that hinted at its properties. Able to discover nothing unusual about the piece, Drizzt carelessly stepped in front of the glass. Suddenly a pinkish mist began to swirl within the mirror, giving the appearance of a three-dimensional space trapped within the flatness of the glass. Drizzt jumped to the side, more curious than afraid, and watched the growing spectacle. The mist thickened and puffed as though fed by some hidden fire. Then its center mushroomed out and opened into a clear image of a man’s face, a gaunt, hollowed visage painted in the tradition of some of the southern cities. â€Å"Why do you bother me?† the face asked at the empty room before the mirror. Drizzt took another step to the side, further away from the apparition’s line of sight. He considered confronting the mysterious mage, but figured that his friends had too much at stake for him to take such a reckless chance. â€Å"Stand before me, Biggrin!† commanded the image. It waited for several seconds, sneering impatiently, and growing increasingly tense. â€Å"When I discover which of you idiots inadvertently summoned me, I shall turn you into a coney and put you in a pit of wolves!† the image screamed wildly. The mirror flashed suddenly and returned to normal. Drizzt scratched his chin and wondered if there was anything more he could do or discover here. He decided that the risks were simply too great at this time. * * * When Drizzt returned through the lair, he found Wulfgar sitting with Guenhwyvar in the main passage just a few yards from the closed and barred front doors. The barbarian stroked the cat’s muscled shoulders and neck. â€Å"I see that Guenhwyvar has won your friendship,† Drizzt said as he approached. Wulfgar smiled. â€Å"A fine ally,† he said, giving the animal a playful shake. â€Å"And a true warrior!† He started to rise but was thrown violently back to the floor. An explosion rocked the lair as a ballista bolt slammed into the heavy doors, splintering their wooden bar and blasting them in. One of the doors broke cleanly in half and the other’s top hinge tore away, leaving the door hanging awkwardly by its twisted bottom hinge. Drizzt drew his scimitar and stood protectively over Wulfgar as the barbarian tried to regain his balance. Abruptly a bearded fighter leaped onto the hanging door, a circular shield, its standard a mug of foaming ale, slung over one arm and a notched and bloodstained battle-ax poised in the other. â€Å"Come out and play, giants!† Bruenor called, banging his shield with his axe – as if his clan hadn’t already made enough noise to rouse the lair! â€Å"Rest easy, wild dwarf,† Drizzt laughed. â€Å"The verbeeg are all dead.† Bruenor spotted his friends and hopped down into the tunnel, soon followed by the rest of the rowdy clan. â€Å"All dead!† the dwarf cried. â€Å"Damn ye, elf, I knew ye’d keep all the play to yerself!† â€Å"What about the reinforcements?† Wulfgar asked. Bruenor chuckled wickedly. â€Å"Some faith, will ye, boy? They’re lumped in a common hole, though buryin’s too good for ’em, I say! Only one’s alive, a miserable orc who’ll breath only as long as ‘e wags ‘is stinkin’ tongue!† After the episode with the mirror, Drizzt was more than a little interested in interrogating the orc. â€Å"Have you questioned him?† he asked Bruenor. â€Å"Ah, he’s mum to now,† the dwarf replied. â€Å"But I’ve a few things should make ‘im squeal!† Drizzt knew better. Orcs were not loyal creatures, but under the enchantment of a mage, torturing techniques weren’t usually much good. They needed something to counteract the magic, and Drizzt had a notion of what might work. â€Å"Go for Regis,† he instructed Bruenor. â€Å"The halfling can make the orc tell us everything we want to know.† â€Å"Torturin’d be more fun,† lamented Bruenor, but he, too, understood the wisdom of the drow’s suggestion. He was more than a bit curious – and worried – about so many giants working together. And now with orcs beside them†¦ * * * Drizzt and Wulfgar sat in the far corner of the small chamber, as far from Bruenor and the other two dwarves as they could get. One of Bruenor’s troops had returned from Lonelywood with Regis that same night, and though they were all exhausted from marching and fighting, they were too anxious about the impending information to sleep. Regis and the captive orc had moved into the adjoining room for a private conversation as soon as the halfling had gotten the prisoner firmly under his control with his ruby pendant. Bruenor busied himself preparing a new recipe – giant-brain stew – boiling the wretched, foul-smelling ingredients right in a hollowed-out verbeeg skull. â€Å"Use yer heads!† he had argued in response to Drizzt and Wulfgar’s expressions of horror and disgust. â€Å"A barnyard goose tastes better ‘an a wild one cause it don’t use its muscles. The same oughta hold true for a giant’s brains!† Drizzt and Wulfgar hadn’t seen things quite the same way. They didn’t want to leave the area and miss anything that Regis might have to say, though, so they huddled in the farthest corner of the room, carrying on a private conversation. Bruenor strained to hear them, for they were talking of something that he had more than a passing interest in. â€Å"Half for the last one in the kitchen,† Wulfgar insisted, â€Å"and half for the cat.† â€Å"And you only get half for the one at the chasm,† Drizzt retorted. â€Å"Agreed,† said Wulfgar. â€Å"And we split the one in the hall and Biggrin down the middle?† Drizzt nodded. â€Å"Then with all halves and shared kills added up, it’s ten and one-half for me and ten and one-half for you.† â€Å"And four for the cat,† added Wulfgar. â€Å"Four for the cat,† Drizzt echoed. â€Å"Well fought, friend. You’ve held your own up to now, but I’ve a feeling that we have a lot more fighting before us, and my greater experience will win out in the end!† â€Å"You grow old, good elf,† Wulfgar teased, leaning back against the wall, the whiteness of a confident grin showing through his blond beard. â€Å"We shall see. We shall see.† Bruenor, too, was smiling, both at the good-natured competition between his friends and at his continued pride in the young barbarian. Wulfgar was doing well to keep pace with a skilled veteran like Drizzt Do’Urden. Regis emerged from the room, and the gray pall upon his usually jovial face deadened the lighthearted atmosphere. â€Å"We are in trouble,† the halfling said grimly. â€Å"Where’s the orc?† Bruenor demanded as he pulled his axe from his belt, misunderstanding the halfling’s meaning. â€Å"In there. He’s all right,† Regis replied. The orc had been happy to tell its new-found friend everything about Akar Kessell’s plans to invade Ten-Towns and the size of the gathering forces. Regis visibly trembled as he told his friends the news. â€Å"All of the orc and goblin tribes and verbeeg clans of this region of the Spine of the World are banding together under a sorcerer named Akar Kessell,† the halfling began. Drizzt and Wulfgar looked at each other, recognizing Kessell’s name. The barbarian had thought Akar Kessell to be a huge frost giant when the verbeeg had spoken of him, but Drizzt had suspected differently, especially after the incident at the mirror. â€Å"They plan to attack Ten-Towns,† Regis continued. â€Å"And even the barbarians, led by some mighty, one-eyed leader, have joined their ranks!† Wulfgar’s face reddened in anger and embarrassment. His people fighting beside orcs! He knew the leader that Regis spoke of, for Wulfgar was of the Tribe of the Elk and had even once carried the tribe’s standard as Heafstaag’s herald. Drizzt painfully recalled the one-eyed king, too. He put a comforting hand on Wulfgar’s shoulder. â€Å"Go to Bryn Shander,† the drow told Bruenor and Regis. â€Å"The people must prepare.† Regis winced at the futility. If the orc’s estimation of the assembling army had been correct, all of Ten-Towns joined together could not withstand the assault. The halfling dropped his head and mouthed silently, not wanting to alarm his friends any more than was necessary, â€Å"We have to leave!† * * * Though Bruenor and Regis were able to convince Cassius of the urgency and importance of their news, it took several days to round up the other spokesmen for council. It was the height of knucklehead season, late summer, and the last push was on to land a big catch for the final trading caravan to Luskan. The spokesmen of the nine fishing villages understood their responsibilities to their community, but they were reluctant to leave the lakes even for a single day. And so, with the exceptions of Cassius of Bryn Shander, Muldoon, the new spokesman from Lonelywood, who looked up to Regis as the hero of his town, Glensather of Easthaven, the community ever-willing to join in for the good of Ten-Towns, and Agorwal of Termalaine who held fierce loyalty to Bruenor, the mood of the council was not very receptive. Kemp, still bearing a grudge against Bruenor for the incident over Drizzt after the Battle of Bryn Shander, was especially disruptive. Before Cassius even had the opportunity to present the Formalities of Order, the gruff spokesman from Targos leaped up from his seat and slammed his fists down on the table. â€Å"Damn the formal readings and be on with it!† Kemp growled. â€Å"By what right do you order us in from the lakes, Cassius? Even as we sit around this table, the merchants in Luskan are preparing for their journey!† â€Å"We have news of an invasion, Spokesman Kemp,† Cassius answered calmly, understanding the fisherman’s anger. â€Å"I would not have summoned you, any of you, at this time of the season if it were not urgent.† â€Å"Then the rumors are true,† Kemp sneered. â€Å"An invasion, you say? Bah! I see beyond this sham of a council!† He turned on Agorwal. The fighting between Targos and Termalaine had escalated in the past few weeks, despite Cassius’s efforts to diffuse it and bring the principles of the warring towns to the bargaining table. Agorwal had agreed to a meeting, but Kemp was steadfastly against it. And so, with suspicions running high, the timing of this urgent council could not have been worse. â€Å"This is a pitiful attempt indeed!† Kemp roared. He looked around at his fellow spokesmen. â€Å"A pitiful effort by Agorwal and his scheming supporters to bring about a favorable settlement for Termalaine in their dispute with Targos!† Incited by the aura of suspicion that Kemp had infused, Schermont, the new spokesman from Caer-Konig, pointed an accusing finger at Jensin Brent of Caer-Dineval. â€Å"What part have you played in this treachery?† he spat at his bitter rival. Schermont had come into his position after the first spokesman from Caer-Konig had been killed on the waters of Lac Dinneshere in a battle with a Dineval boat. Dorim Lugar had been Schermont’s friend and leader, and the new spokesman’s policies toward hated Caer-Dineval were even more iron-handed than those of his predecessor. Regis and Bruenor sat back quietly in helpless dismay through all of the initial bickering. Finally Cassius slammed his gavel down, snapping its handle in two, and quieting the others long enough to make a point. â€Å"A few moments of silence!† he commanded. â€Å"Hold your venomous words and listen to the messenger of grim tidings!† The others fell back to their seats and remained silent, but Cassius feared that the damage had already been done. He turned the floor over to Regis. Honestly terrified by what he had learned from the captive orc, Regis passionately told of the battle his friends had won over the verbeeg lair and on the grass of Daledrop. â€Å"And Bruenor has captured one of the orcs that was escorting the giants,† he said emphatically. Some of the spokesmen sucked in their breath at the notion of such creatures banding together, but Kemp and some of the others, ever suspicious of the more immediate threats of their rivals, and already decided on the true purpose of the meeting, remained unconvinced. â€Å"The orc told us,† Regis continued grimly, â€Å"of the coming of a powerful wizard, Akar Kessell, and his vast host of goblins and giants! They mean to conquer Ten-Towns!† He thought that his dramatics would prove effective. But Kemp was outraged. â€Å"On the word of an orc, Cassius? You summoned us in from the lakes at this critical time on the threat of a stinking orc?† â€Å"The halfling’s tale is not an uncommon one,† Schermont added. â€Å"All of us have heard a captured goblin wag its tongue in any direction it could think of to save its worthless head.† â€Å"Or perhaps you had other motives,† Kemp hissed, again eyeing Agorwal. Cassius, though he truly believed the grim tidings, sat back in his chair and said nothing. With tensions on the lakes as high as they were, and the final trading fair of a particularly fruitless fishing season fast approaching, he had suspected that this would occur. He looked resignedly at Bruenor and Regis and shrugged as once again the council degenerated into a shouting match. Amidst the ensuing commotion, Regis slipped the ruby pendant out from under his waistcoat and nudged Bruenor. They looked at it and each other in disappointment; they had hoped that the magical gem wouldn’t be needed. Regis pounded his gavel in a call for the floor and was granted it by Cassius. Then, as he had done five years previous, he hopped up on the table and walked toward his chief antagonist. But this time the result wasn’t what Regis had expected. Kemp had spent many hours over the last five years reflecting on that council before the barbarian invasion. The spokesman was glad of the final outcome of that whole situation, and, in truth, realized that he and all of Ten-Towns were indebted to the halfling for making them heed his warning. Yet it bothered Kemp more than a little that his initial stance had been so easily swayed. He was a brawling type whose first love, even above fishing, was battle, but his mind was keen and always-alert to danger. He had observed Regis several times over the last few years and had listened intently to tales of the halfling’s prowess in the art of persuasion. As Regis approached, the burly spokesman averted his eyes. â€Å"Be gone trickster!† he growled, shoving his chair defensively back from the table. â€Å"You seem to have a strange way of convincing people of your point of view, but I’ll not fall under your spell this time!† He addressed the other spokesmen. â€Å"Ware the halfling! He has some magic about him, be sure!† Kemp understood that he would have no way of proving his claims, but he also realized that he wouldn’t have to. Regis looked about, flustered and unable to even answer the spokesman’s accusations. Even Agorwal, though the spokesman from Termalaine tactfully tried to hide the fact, would no longer look Regis straight in the eye. â€Å"Sit down, trickster!† Kemp taunted. â€Å"Your magic’s no good once we’re on to you!† Bruenor, silent up to now, suddenly leaped up, his face contorted with rage. â€Å"Is this, too, a trick, dog of Targos?† the dwarf challenged. He pulled a sack from his belt and rolled its contents, a severed verbeeg head, down the table toward Kemp. Several of the spokesmen jumped back in horror, but Kemp remained unshaken. â€Å"We have dealt with rogue giants many times before,† the spokesman replied coolly. â€Å"Rogues?† Bruenor echoed incredulously. â€Å"Two score o’ the beasts we cut down, orcs and ogres besides!† â€Å"A passing band,† Kemp explained evenly, stubbornly. â€Å"And all dead, so you have said. Why, then, does this become a matter for the council? If it is accolades you desire, mighty dwarf, then you shall have them!† His voice dripped with venom, and he watched Bruenor’s reddening face with deep pleasure. â€Å"Perhaps Cassius could make a speech in your honor before all of the people of Ten-Towns.† Bruenor slammed his fists onto the table, eyeing all of the men about him in an open threat to anyone who would continue Kemp’s insults. â€Å"We have come before ye to help ye save yer homes an’ yer kin!† he roared. â€Å"Might be that ye believe us and ye’ll do something to survive. Or might be that ye’ll hear the words o’ the dog o’ Targos and ye’ll do nothin’. Either way, I’ve had enough o’ ye! Do as ye will, and may yer gods show ye favor!† He turned and stalked out of the room. Bruenor’s grim tone brought many of the spokesmen to realize that the threat was simply too grave to be passed off as the deception of a desperate captive, or even as a more insidious plan by Cassius and some conspirators. Yet Kemp, proud and arrogant, and certain that Agorwal and his non-human friends, the halfling and the dwarf, were using the facade of an invasion to gain some advantage over the superior city of Targos, would not budge. Second only to Cassius in all of Ten-Towns, Kemp’s opinion carried great weight, especially to the people of Caer-Konig and Caer-Dineval, who, in light of Bryn Shander’s unshakable neutrality in their struggle, sought the favor of Targos. Enough spokesmen remained suspicious of their rivals and were willing to accept Kemp’s explanation to prevent Cassius from bringing the council to decisive action. The lines were soon clearly drawn. Regis watched the spectacle as the opposing sides volleyed back and forth, but the halfling’s own credibility had been destroyed, and he had no impact on the rest of the meeting. In the end, little was decided. The most that Agorwal, Glensather, and Muldoon could squeeze out of public declaration that, â€Å"A general warning should go out to every household in Ten-Towns. Let the people know of our grim tidings, and let them be assured that I shall make room within the walls of Bryn Shander for every person who so desires our protection.† Regis eyed the divided spokesmen. Without unity, the halfling wondered how much protection even the high walls of Bryn Shander could offer. How to cite The Crystal Shard 19. Grim Tidings, Essay examples

Compute Electronics Electrical Technologies -Myassignmenthelp.Com

Question: Discuss About The Compute Electronics Electrical Technologies? Answer: Introduction Telehealth project is introduced for enhancing the quality of health services in rural areas and the public hospitals of the rural regions by overcoming the challenge of long distance. Telehealth can provide convenient, cost-effective and real-time healthcare services. Telehealth project aims to enhance the patient outcomes (Steele Lo, 2013). Cloud based solutions will provide on-demand services and resources over the Internet in a cost-effective manner. This report discusses the non-functional requirements of Telehealth, strengths and weaknesses of cloud based solutions. It also suggests an SDLC approach for the project after discussing the pros and cons of predictive and adaptive SDLC approach. Non-Functional Requirements of the System Non-functional requirements can be considered to be the main qualities that need to be possessed by the system. It also specifies the constraints of the system. Non-functional requirements of a system focus on the system behaviour and how it works (Ameller et al., 2012). The Telehealth project has certain non-functional requirements that are discussed below. Functionality Functionality is one of the main requirements of the Telehealth project that identifies user needs and preferences. Telehealth should be able to improve the healthcare quality in the rural regions by providing high quality health services with the help of the cloud platform. It should overcome the issues that are faced by healthcare professionals as well as consumers such as time, cost and long distance via remote patient monitoring over the cloud platform. Telehealth project should create links among urgent health care centres in the rural areas with emergency departments at the hospitals through video conferencing. Flexibility and robustness are also included in the functionalities of Telehealth. Usability Usability can be considered to another main non-functional requirement of the Telehealth project. It can be considered to be the ease with which the healthcare professionals and the patients will be able to learn about the cloud based system of Telehealth and operate it. Accessibility, consistency and interface aesthetics are the main usability requirements of the Telehealth project. Telehealth cloud platform should be able to eliminate the communication gap that exists in the healthcare services by developing user-friendly and interactive cloud based portals that can be used by the patients and healthcare professionals in an effective manner (Chung et al., 2012). Telehealth project should eliminate the problem of distance via video conferencing and cloud platforms. Reliability Reliability of Telehealth will depend on its recoverability, accuracy and availability. Reliability is one of the most important non-functional requirements because Telehealth will deal with the lives of the patients. Telehealth cloud based system should have less possibility of failure, low downtime and should quickly recover in case of a failure. The Telehealth system should produce consistent result and improve the healthcare services via video conferencing and mobile patient monitoring. Telehealth system should be able to quickly recover health related data from the cloud storage during any emergency and should backup data on a regular basis. Performance Performance of Telehealth will depend on its throughput and response time (Chung et al., 2012). The After-Hours Urgent Healthcare Telehealth project should aim at providing uninterrupted high quality emergency services to the users. Telehealth services such as video conferencing should have a fast response time. Telehealth system should provide high quality real-time telecommunication facility to the patients and the healthcare professionals. The performance of Telehealth will be high when its cloud platform will have high throughput with quick response time. Security Security is an important non-functional requirement of the Telehealth project. Telehealth devices and cloud platforms will be used for conducting video conferences and remote patient monitoring. Any unauthorized access to the patient details and health records can adversely affect the treatments of the patients. Security policies and authorization process should be used for protecting the Telehealth devices and cloud platforms. The patient health details should be protected by implementing biometric authentication and passwords. Constraints Telehealth project will also have certain constraints. Project deadline is the main constraint of this project. Another constraint of Telehealth project will be the decision regarding choosing an appropriate cloud platform. Functional Requirements and Non-Functional Requirements Non-functional requirements deal with the system behaviour but functional requirements focus on the functions that should be performed by the system. Functional requirements mainly deal with the technical specifications of the system without which a system cannot be developed. One main functional requirement of Telehealth will be that the cloud platforms must be able to store voice records along with written documents. Authentication as well as authorization is an important functional requirement that allows the healthcare professionals to access the information of various patients but allows the patients to access only their own details (Kvedar, Coye Everett, 2014). Biometric authentication will enable users to access data based on their details. Non-functional requirements judge the system after delivering to the clients but functional requirements gives a description of the services of the system. It helps the systems to operate in smoothly. Functional as well as non-functional r equirements are required for proper implementation of the system. Cloud based solution of the Telehealth Project: Hybrid Cloud The Telehealth project focuses on enhancing the quality of healthcare services by overcoming the issue of long distance and providing after-hours urgent healthcare services in case of any emergency. The deployment environment chosen for Telehealth is the hybrid cloud deployment model because of the additional benefits that it provides over the public and private deployment environments. Hybrid cloud environment combines a public as well as a private cloud environment. Public cloud platforms are accessible to all the people without any restrictions. One of the major concerns of public cloud deployment model is the security (Chen Zhao, 2012). Telehealth system will deal with sensitive data of the patients and their health records. Urgent care centres will be able to link different emergency units of the nearby hospitals through video conferencing (AlZain et al., 2012). Public cloud will cause leakage of the confidential data. Therefore, a public cloud deployment environment would not be a suitable solution for the Telehealth project. Private cloud deployment model has several advantages. It also has certain constraints such as high deployment cost and vendor lock-in. To deploy the Telehealth project in the rural areas and across the state the cost of implementing private cloud environment will incur high cost. It would not be a feasible solution. The urgent care services will be provided only in case of emergency situations. If the after-hours urgent healthcare services are not required regularly due to reduction in the rate of emergency cases then the private cloud system would remain under-utilized and incur huge loss (Jadeja Modi, 2012). Therefore, optimizing the resource utilization would become a challenge for the Telehealth project. Vendor lock-in is another issue that would not allow Telehealth to migrate to another vendor. Therefore, private cloud deployment is not a suitable solution for the Telehealth project. Strengths Hybrid cloud is considered to be a cost-effective solution for organizations. It reduces the ownership cost and also improves the cost efficiency of the organization (Goyal, 2014). The hybrid model will enable the Telehealth services to use a pay-per-service model and save its cost. Hybrid cloud environment can securely store and access sensitive data. It can maintain data confidentiality and integrity (Li et al., 2015). The Telehealth project needs to maintain integrity and confidentiality of the health records and patient details. Therefore, Telehealth system will get benefitted from the improved security features of the hybrid cloud. Hybrid cloud will enable the Telehealth system to overcome technical barriers and minimize trade-offs. It will be able to improve the performance of the system (Garrison, Kim Wakefield, 2012). The mix of public cloud will enhance the scalability of the hybrid cloud environment. Hybrid cloud environment enhances the flexibility of the business. Weaknesses One of the main challenges of a hybrid cloud environment is ensuring that the private and public cloud services are complying with the security policies of organizations. Hybrid cloud environments are vulnerable to external attacks (Goyal, 2014). The movement of data occurs between the private and public cloud. An unauthorized access during the transmission of data between the private and public cloud can cause loss of confidentiality, privacy and integrity. Cost of implementing hybrid cloud models is expensive due to the presence of private cloud. It requires more cost as compared to the cost of implementing public cloud models. The presence of private and public cloud increases the networking complexity in an organization. Organizations are dependent on their internal IT infrastructure in case of outages. SDLC Approach SDLC or software development life cycle approach can be considered to be a conceptual model for describing various phases that are required for software development. There are several SDLC models such as waterfall and spiral models. The SDLC approach starts with feasibility analysis and ends with system testing. Predictive SDLC Waterfall models falls under the category of predictive SDLC approach. Predictive SDLC approach is used in developing projects where the project aim and phases are clearly defined. This approach is appropriate for developing similar systems where no new requirements will be needed (Balaji Murugaiyan, 2012). The project requirements and phases are clearly defined and fixed. Pros of Predictive SDLC It has an organized structure that will ensure project completion as per the project plan and schedule. Possibility of project delay is low in a predictive SDLC approach (Sakul-Ung Chutimaskul, 2017). The pre-determined phases of the projects will ensure effective tracking of project activities. It will also help in tracking the progress of a project. The project failure risk is low as the project aim and requirements are clear. Cons of Predictive SDLC It is not a flexible approach. Additional features cannot be added as it will cause disruption of the existing project plan (Mahalakshmi Sundararajan, 2013). Movement from one phase to a previous phase is not possible in a predictive SDLC approach. Absence of feedback mechanism can cause system failure leading to huge loss. Adaptive SDLC Adaptive approach is suitable for new projects where the project aim and requirements are not clearly defined. This approach does not need to follow sequential steps. There is scope for adding new features as per the change in requirements. Pros of Adaptive SDLC It is a flexible approach. It is capable of adapting to changing project needs (ztrk, 2016). Presence of a feedback mechanism helps in improvising the project plan and the system. There is less possibility of incurring huge loss due to system failure as the phases and project plan can be modified with the changing demand and need of the project. Cons of Adaptive SDLC Lack of proper documentation process causes issue in tracking the project activities and the project progress. Lack of pre-determined phases and plans can cause delay in the project completion. Recommendation The Predictive SDLC approach will be suitable for the Telehealth project because the project scope and requirements are clearly defined. The organized structure of the predictive approach will help in completing the project within a specified time. Conclusion This report concludes that the Telehealth project must implement a hybrid cloud environment as it is cost-effective and provides better security to the data. Furthermore, the project is suggested to be implemented by using a predictive SDLC approach for ensuring completion of the project without any delay. References AlZain, M. A., Pardede, E., Soh, B., Thom, J. A. (2012, January). Cloud computing security: from single to multi-clouds. In System Science (HICSS), 2012 45th Hawaii International Conference on (pp. 5490-5499). IEEE. Ameller, D., Ayala, C., Cabot, J., Franch, X. (2012, September). How do software architects consider non-functional requirements: An exploratory study. InRequirements Engineering Conference (RE), 2012 20th IEEE International(pp. 41-50). IEEE. Balaji, S., Murugaiyan, M. S. (2012). Waterfall vs. V-Model vs. Agile: A comparative study on SDLC. International Journal of Information Technology and Business Management, 2(1), 26-30. Chen, D., Zhao, H. (2012, March). Data security and privacy protection issues in cloud computing. InComputer Science and Electronics Engineering (ICCSEE), 2012 International Conference on(Vol. 1, pp. 647-651). IEEE. Chung, L., Nixon, B. A., Yu, E., Mylopoulos, J. (2012). Non-functional requirements in software engineering (Vol. 5). Springer Science Business Media. Garrison, G., Kim, S., Wakefield, R. L. (2012). Success factors for deploying cloud computing.Communications of the ACM,55(9), 62-68. Goyal, S. (2014). Public vs private vs hybrid vs community-cloud computing: A critical review.International Journal of Computer Network and Information Security,6(3), 20. Jadeja, Y., Modi, K. (2012, March). Cloud computing-concepts, architecture and challenges. InComputing, Electronics and Electrical Technologies (ICCEET), 2012 International Conference on(pp. 877-880). IEEE. Kvedar, J., Coye, M. J., Everett, W. (2014). Connected health: a review of technologies and strategies to improve patient care with telemedicine and telehealth.Health Affairs,33(2), 194-199. Li, J., Li, Y. K., Chen, X., Lee, P. P., Lou, W. (2015). A hybrid cloud approach for secure authorized deduplication. IEEE Transactions on Parallel and Distributed Systems, 26(5), 1206-1216. Mahalakshmi, M., Sundararajan, M. (2013). Traditional SDLC Vs Scrum MethodologyA Comparative Study.International Journal of Emerging Technology and Advanced Engineering,3(6), 192-196. ztrk, V. (2016). Flexible and Adaptive Life Cycle Framework for Software Development.JSW,11(9), 943-951. Sakul-Ung, P., Chutimaskul, W. (2017, February). A predictive model for successful software development projects with information technology strategic alignment. InProceedings of the 6th International Conference on Software and Computer Applications(pp. 39-45). ACM. Steele, R., Lo, A. (2013). Telehealth and ubiquitous computing for bandwidth-constrained rural and remote areas.Personal and ubiquitous computing,17(3), 533-54