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Iron ProgrammersAgile Programming for Web and Mobile<br />or…Why You Need to Hack More and Worry Less<br />DISCLAIMER: The...
+<br />HIT<br />
What is Agile Programming?<br />Rapid cycles of iteration<br />User-Centered DesignStrong customer focusand interaction<br />
Why are we talking about this?<br />Do your clinicians feel your current HIT system provides    the most efficient and hig...
Current ParadigmSlow evolution of EMR Systems<br />GAP<br />IdealEMR<br />Low Impact,High Usability<br />High Impact,High ...
Current ParadigmSlow evolution of EMR Systems<br />IdealEMR<br />Low Impact,High Usability<br />High Impact,High Usability...
Paradigm shiftFocused Innovation: Niche Solutionsfor High Impact Situations<br />IdealEMR<br />Low Impact,High Usability<b...
What if this Focused Innovation could…<br />Solve an immediate need <br />Provide an easy and cheap way to "pilot" or test...
The Story of ExpectED<br />
Create a software program which allows an outpatient physicians to easily send a “Handoff Note” to an Emergency Department...
Team One<br />Jon Baran<br />Ash Gupta<br />www.healthfinch.com<br />
Team Two<br />Hunter Whitney<br />Doug Naegele<br />
Innovation and Agile<br /><ul><li>Fail Fast, Fail Often, Fail Cheap.”</li></ul>– Innovation Mantra<br />
Innovation and Agile<br /><ul><li>Everything improved or new needs first to be testedon a small scale – that is, it needs ...
Innovation and Agile<br /><ul><li>Start with humans,Ask the right questions,Learn by making,Move ideas along quickly,Get w...
Tim BrownCEO and president of IDEO</li></li></ul><li>Innovation and Agile<br /><ul><li>Never tell people how to do things....
For further information…<br />Lyle Berkowitz, MDCEO & President,Back 9 Healthcare Consulting<br />Email: lyle@DrLyle.comWe...
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Agile Programming... Hack More and Worry Less

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A review of Agile programming philosophy.
This was then used as part of a presentation at HIMSS (Feb, 2011) called "Iron Programmers", in which two teams rapidly created a software tools to solve a challenge presented to them just about 2 weeks before the conference.

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Transcript of "Agile Programming... Hack More and Worry Less"

  1. 1. Iron ProgrammersAgile Programming for Web and Mobile<br />or…Why You Need to Hack More and Worry Less<br />DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.<br />©2011 Healthcare Information and Management Systems Society<br />
  2. 2. +<br />HIT<br />
  3. 3. What is Agile Programming?<br />Rapid cycles of iteration<br />User-Centered DesignStrong customer focusand interaction<br />
  4. 4. Why are we talking about this?<br />Do your clinicians feel your current HIT system provides the most efficient and highest quality way to practice? <br />Do your clinicians ever lookat your EMR system and say “How come it can’t do that”?<br />Do you ever feel like you can’t do anything outside the scope of your current EMR system because it would “distract”from your core competencies?<br />Do you feel like you can’tdo anything “extra” becauseit costs too much in time, resources and money?<br />
  5. 5. Current ParadigmSlow evolution of EMR Systems<br />GAP<br />IdealEMR<br />Low Impact,High Usability<br />High Impact,High Usability<br />MostEMRs<br />USABILITY<br />Low Impact,Low Usability<br />High Impact,Low Usability<br />IMPACT ON HEALTH<br />
  6. 6. Current ParadigmSlow evolution of EMR Systems<br />IdealEMR<br />Low Impact,High Usability<br />High Impact,High Usability<br />USABILITY<br />GAP<br />EMR<br />Evolution<br />Low Impact,Low Usability<br />High Impact,Low Usability<br />IMPACT ON HEALTH<br />
  7. 7. Paradigm shiftFocused Innovation: Niche Solutionsfor High Impact Situations<br />IdealEMR<br />Low Impact,High Usability<br />High Impact,High Usability<br />MostEMRs<br />USABILITY<br />FOCUSED<br />INNOVATION<br />Low Impact,Low Usability<br />High Impact,Low Usability<br />IMPACT ON HEALTH<br />
  8. 8. What if this Focused Innovation could…<br />Solve an immediate need <br />Provide an easy and cheap way to "pilot" or test out a new concept or workflow<br />Allow you to be more creative in your approaches to problem solving<br />Create the building blocksor direction to help guide development of morerobust solutions withinyour EMR system<br />
  9. 9. The Story of ExpectED<br />
  10. 10.
  11. 11.
  12. 12. Create a software program which allows an outpatient physicians to easily send a “Handoff Note” to an Emergency Department via Web or Mobile technology<br />Mandatory fields <br />Patient name<br />Physician name<br />Clinical Summary(Reason for sending to ED)<br />Optional fields <br />Patient DOB<br />Physician contact info(e.g. pager, cell…)<br />How evaluated by physician<br />Method of transport<br />Time expected in ED<br />Preferred consultants<br />When to contact Physician<br />Where is additional patient data available, Expected disposition<br />Requested outpatient follow-up<br />
  13. 13. Team One<br />Jon Baran<br />Ash Gupta<br />www.healthfinch.com<br />
  14. 14. Team Two<br />Hunter Whitney<br />Doug Naegele<br />
  15. 15. Innovation and Agile<br /><ul><li>Fail Fast, Fail Often, Fail Cheap.”</li></ul>– Innovation Mantra<br />
  16. 16. Innovation and Agile<br /><ul><li>Everything improved or new needs first to be testedon a small scale – that is, it needs a pilot test… and a champion… If the pilot test is successful… it is usuallyalso quite clear where to introduce the change and howto introduce it.”</li></ul>– Peter Drucker<br />
  17. 17. Innovation and Agile<br /><ul><li>Start with humans,Ask the right questions,Learn by making,Move ideas along quickly,Get work out of designers hands,Involve the whole community.”
  18. 18. Tim BrownCEO and president of IDEO</li></li></ul><li>Innovation and Agile<br /><ul><li>Never tell people how to do things. Tell them whatto do and they will surprise you with their ingenuity.”</li></ul>– George S. Patton<br />
  19. 19. For further information…<br />Lyle Berkowitz, MDCEO & President,Back 9 Healthcare Consulting<br />Email: lyle@DrLyle.comWeb: www.DrLyle.comBlog: www.drlyle.blogspot.com<br />

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