Agile Management of a Mobile Application Development Project for Surgeon Workflows

Agile Management of a Mobile Application Development Project for Surgeon Workflows

Andrew A. Tawfik (Concordia University, USA), Jeffery L. Belden (University of Missouri, USA) and Joi L. Moore (University of Missouri, USA)
DOI: 10.4018/978-1-4666-4237-9.ch014
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This case describes the agile management methods for an iPhone software development project. The overall objective was to design a smartphone solution that allowed surgeons access to dynamic Electronic Health Record (EHR) data to optimize their workflow. Three separate organizations distributed the responsibilities. Specifically, the lead organization, Cerner Corporation, collaborated with the University of Missouri Health Care and University of Missouri Information Experience Lab to create the technology. Project goals included increased surgeon satisfaction; improved task efficiency, as measured by time spent retrieving lab and vital sign data on morning rounds; dynamic data accessibility; and increased revenue from new product sales. To accomplish these goals, agile project management was utilized, applying iterative usability methods to create deliverables within a short development cycle. Each development cycle focused on user-centered design principles. Several challenges were encountered related to the user-centered design methods, usability data extraction, academic collaborations, and interface design choices.
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Setting The Stage

Across the US, hospitals and large healthcare organizations have been progressively adding sophistication to their use of health IT. By and large, the technical capacity for sharing health information across different Electronic Health Records (EHR) is in its infancy. Federal incentives have promoted the development of health information exchanges, but they are in the early developmental stages, often limited to data exchange within a single vendor, and limited to a highly constrained core data set and exportable/importable CCDA (Consolidated Clinical Document Architecture). Since 2003, University of Missouri Health Care (UMHC) has been using at least some components of the Cerner product line. New functionality had been added stepwise over the years. Electronic availability of lab and imaging results were widely used among all physician groups. However, electronic clinical documentation by physicians was uneven, with family medicine and internal medicine among the early adopters. Some departments had special documentation needs (e.g. photographs, research protocol documentation, etc), which slowed the initial adoption of electronic clinical documentation. Physician satisfaction with the product line was low, because of concerns about system responsiveness, dependability, and learnability of the complex EHR. Other concerns expressed by the physician EHR users included: Slow responsiveness; poor dependability; large increases in time demands for daily record keeping; poor information display and general usability; and poor matching of features to user groups’ workflow needs. As such, Cerner had begun vigorous efforts to improve dependability and responsiveness on a corporate level.

As the Living Lab team considered new opportunities, four domains were considered: Market opportunities, new technology capabilities, local UMHC needs, and product-line gaps not being addressed by the larger Cerner organization. In particular, a mobile application (app) aimed at the needs of surgeons seemed a good fit. Surgeons in particular were unlikely to carry personal laptops in their daily workflow of early morning rounds and surgical cases (planned and unplanned) throughout the day. Moreover, smartphone apps from a few EHR vendors were beginning to appear, so the competitive environment made it an ideal project for Cerner to undertake.

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Editorial Advisory Board
Table of Contents
Angela D. Benson, Joi L. Moore, Shahron Williams van Rooij
Chapter 1
Shahron Williams van Rooij, Joi L. Moore, Angela D. Benson
Technology plays an important role in the delivery of education and training in school and non-school settings. Educational technology projects... Sample PDF
Project Management of Educational Technology Projects
Chapter 2
Margaret L. Rice, Deborah Camp, Karen Darroch, Ashley FitzGerald
A P-12 school district implemented a pilot program providing e-readers to 45 students in a 4th and a 5th grade class. The school district... Sample PDF
Planning and Implementation of a Small-Scale 1-to-1 Pilot Program for Using E-Readers in Elementary School Classrooms
Chapter 3
Jenny Lamont
Mindset Network is a non-profit organization that develops educational resources in several sectors, including the schooling sector. In 2011... Sample PDF
The Production of Learning Resources for the Study of Information Technology with Limited Project Management Capacity
Chapter 4
Angela D. Benson, Sharon Y. Tettegah
Public and private K-12 schools are turning to course management systems to provide enhanced classroom and online learning opportunities for... Sample PDF
Implementing a Course Management System in a Religious School Cooperative
Chapter 5
Margaret L. Rice, Connie Bain
A southeastern school district technology committee was tasked with designing and implementing a project to develop 21st century classrooms... Sample PDF
Planning and Implementation of a 21st Century Classroom Project
Chapter 6
Tawnya Means, Eric Olson, Joey Spooner
Educational technology projects undertaken by higher education institutions range in complexity, scope, and impact. The Edison project created a... Sample PDF
Discovering Ways That Don’t Work on the Road to Success: Strengths and Weaknesses Revealed by an Active Learning Studio Classroom Project
Chapter 7
Patricia McGee, Michael Anderson
Meeting the demands of students who expect convenience, affordability, and a quality education has required that institutions of higher learning... Sample PDF
Project Realities: Shifting Course Delivery Method
Chapter 8
Renee Drabier, Daniel E. Burgard
The University of North Texas Health Science Center (UNTHSC) completed a project to transform traditional, print-centric library space into an open... Sample PDF
From Stacks to Collaborative Learning Commons: Transforming Traditional Library Space with a Planned Infusion of Digital Technology
Chapter 9
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Project Management Methods for the Implementation of an Online Faculty Development Course
Chapter 10
Autumm Caines
Projects that focus on changing existing technology, rather than introducing new technology, have unique challenges and opportunities. These... Sample PDF
Piloting the Change: Migrating a Learning Management System while Discovering a Project Management Protocol
Chapter 11
Herbert Thomas, Jessica Hollis
This case involves the implementation of an automated capture solution, aimed at replacing a manual lecture capture service at the University of... Sample PDF
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Chapter 12
Lesley G. Boyd, Jill W. Fresen
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An Integrated Management Approach in a Higher Education Technology Support Unit
Chapter 13
Elizabeth A. Fisher
The University of Alabama at Birmingham’s (UAB) growth initiative to increase access and enrollment in part through online education prompted its... Sample PDF
An Online Initiative Goes Viral
Chapter 14
Andrew A. Tawfik, Jeffery L. Belden, Joi L. Moore
This case describes the agile management methods for an iPhone software development project. The overall objective was to design a smartphone... Sample PDF
Agile Management of a Mobile Application Development Project for Surgeon Workflows
Chapter 15
Jackie Dobrovolny, Marianne Horner, Lee Ann Kane, Margaret Miller, Travis Chillemi
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Volunteer Subject Matter Experts (SMEs) on an eLearning Development Project: The Effect on Timelines, Quality, and Project Management
Chapter 16
Nancy El-Farargy
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Chapter 17
Stephen R. Rodriguez, Dennis A. Thorp
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Chapter 18
Camille Dickson-Deane, W. Andrew Deane
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Implementing Infrastructure-Related Education Technology Solutions at the Government Primary and Secondary School Level
Chapter 19
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