Abstract: Designing effective Clinical Decision Support (CDS) tools in an Electronic Health Record (EHR) can prove challenging, due to complex real-world scenarios and newly-discovered requirements. Deploying new CDS tools shares much in common with new product development, where “agile” principles and practices consistently prove effective. Agile methods can thus prove helpful on CDS projects, including time-boxed “sprints” and lightweight requirements gathering with User Stories. Modeling CDS behavior promotes unambiguous shared understanding of desired behavior, but risks analysis paralysis: an Agile Modeling approach can foster effective rapid-cycle CDS design and optimization. The agile practice of automated testing for test-driven design and regression testing can be applied to CDS development using open-source tools. Ongoing monitoring of CDS behavior once released to production can identify anomalies and prompt rapid-cycle redesign to further enhance CDS effectiveness. The workshop participant will learn about these topics in interactive didactic sessions, with time for practicing the techniques taught.

Learning Objective 1: Explain benefits of employing agile principles and practices during new product development; evaluate how CDS development for a local practice environment shares characteristics with new product development.

Learning Objective 2 (Optional): Iteratively refine CDS requirements with requestors using User Stories and acceptance criteria.

Learning Objective 3 (Optional): Identify which models/diagrams prove most helpful during CDS design, and practice applying them to a realistic CDS design and development scenario.

Learning Objective 4 (Optional): Recognize the value of automated testing in iterative development projects, and practice writing CDS "business rules" testable using open-source automated testing software.


Mujeeb Basit (Presenter)
University of Texas Southwestern Health System

Vaishnavi Kannan (Presenter)
University of Texas Southwestern Health System

DuWayne Willett (Presenter)
University of Texas Southwestern Health System

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