Agile model driven development of electronic health record-based specialty population registries

Research output: Chapter in Book/Report/Conference proceedingConference contribution

4 Scopus citations

Abstract

The transformation of the American healthcare payment system from fee-for-service to value-based care increasingly makes it valuable to develop patient registries for specialized populations, to better assess healthcare quality and costs. Recent widespread adoption of Electronic Health Records (EHRs) in the U.S. now makes possible construction of EHR-based specialty registry data collection tools and reports, previously unfeasible using manual chart abstraction. But the complexities of specialty registry EHR tools and measures, along with the variety of stakeholders involved, can result in misunderstood requirements and frequent product change requests, as users first experience the tools in their actual clinical workflows. Such requirements churn could easily stall progress in specialty registry rollout. Modeling a system's requirements and solution design can be a powerful way to remove ambiguities, facilitate shared understanding, and help evolve a design to meet newly-discovered needs. «Agile Modeling» retains these values while avoiding excessive unused up-front modeling in favor of iterative incremental modeling. Using Agile Modeling principles and practices, in calendar year 2015 one institution developed 58 EHR-based specialty registries, with 111 new data collection tools, supporting 134 clinical process and outcome measures, and enrolling over 16,000 patients. The subset of UML and non-UML models found most consistently useful in designing, building, and iteratively evolving EHR-based specialty registries included User Stories, Domain Models, Use Case Diagrams, Decision Trees, Graphical User Interface Storyboards, Use Case text descriptions, and Solution Class Diagrams.

Original languageEnglish (US)
Title of host publication3rd IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2016
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages465-468
Number of pages4
ISBN (Print)9781509024551
DOIs
StatePublished - Apr 18 2016
Event3rd IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2016 - Las Vegas, United States
Duration: Feb 24 2016Feb 27 2016

Other

Other3rd IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2016
CountryUnited States
CityLas Vegas
Period2/24/162/27/16

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management

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    Kannan, V., Fish, J. C., & Willett, D. L. (2016). Agile model driven development of electronic health record-based specialty population registries. In 3rd IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2016 (pp. 465-468). [7455935] Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/BHI.2016.7455935