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Monday, August 5 • 14:00 - 14:30
Scaling agile for larger electronic health record based initiatives (Vaishnavi Kannan, DuWayne Willett)

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Abstract:
With rapid evolution of healthcare knowledge, best clinical practices, and care delivery methods, how can the electronic systems underpinning modern healthcare delivery keep up? Over the last decade, use of Electronic Health Record (EHR) systems became nearly universal. Large EHR vendor software systems now pervasively support multiple workflows: clinical, operational, and financial. So given the rapid pace of environmental change in healthcare, how can one best innovate and adapt on top of one of these vendor EHR platforms?
Agile methods increasingly enable rapid-cycle, responsive configuration and evolution of EHR features (such as clinical decision support tools) by individual teams. But can scaling agile EHR configuration in a healthcare organization leverage principles proven effective in scaling at other types of organizations? In this report, we describe our experience scaling up agile EHR configuration at a large academic medical center, and share lessons learned in four areas: team collaboration, governance, shared architectural modeling and design, and tooling to support our journey towards scaled agile.

Lessons Learned from Your Experience:
  • Team Collaboration: Pros and cons of shared iteration schedules, shared release schedules, or both.
  • Governance: Coordinating organizational span of a given project/initiative with the corresponding level of EHR and operational governance groups.
  • Shared Architectural Modeling and Design: Value of high-level 1-page scoping models such as Use Case Diagrams, Feature Breakdown Structures, Workflow Diagrams (with nested diagrams as needed) for effective cross-team and multi-stakeholder collaboration.
  • Tooling: Challenges and benefits of shared tooling. Providing visibility into backlog and progress relevant to specific customer subgroups in the setting of multi-stakeholder, multi-jurisdictional governance over a single EHR platform.

Attachments:

Speakers
avatar for Vaishnavi Kannan

Vaishnavi Kannan

Data Scientist (Clinical Informatics), UT Southwestern Medical Center
I am a Data Scientist (Clinical Informatics) and lead Clinical Decision Support Specialist at UT Southwestern, developing clinical decision support features within our electronic health record. I work closely with clinicians and the Medical Informatics group on CDS design and patient... Read More →
avatar for DuWayne Willett

DuWayne Willett

Chief Medical Informatics Officer, University of Texas Southwestern Health System
DuWayne Willett is the Chief Medical Informatics Officer (CMIO) at the University of Texas Southwestern Health System in Dallas. DuWayne led the initial design and implementation of the Health System Data Warehouse at UT Southwestern, and first become a student of agile methodologies... Read More →


Monday August 5, 2019 14:00 - 14:30
Chesapeake 7/8/9

Attendees (60)