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Writer's pictureSherwin Gaddis

A LEAN, agile EMR project management approach

A "LEAN, agile EMR project management approach" combines principles from the LEAN methodology and Agile framework to efficiently plan, execute, and deliver an Electronic Medical Records (EMR) system while minimizing waste and maximizing value. Here’s a breakdown:


Developing the EMR in smaller, manageable chunks

1. LEAN Principles in EMR Projects


The LEAN methodology focuses on eliminating waste and optimizing processes to deliver maximum value to the customer. In the context of EMR project management, this could involve:


  • Reducing Unnecessary Steps: Streamlining workflows to focus only on essential processes that add value (e.g., avoiding over-engineering features that clinicians don't need).

  • Continuous Improvement: Regularly analyze and refine processes to ensure efficiency (e.g., revisiting configuration steps to simplify the setup).

  • Customer-Centric Approach: Designing the EMR to meet the specific needs of the end-users—doctors, nurses, and administrative staff—rather than generic assumptions.

  • Optimizing Resources: Prioritizing the allocation of time, budget, and manpower effectively to avoid overspending or underutilizing talent.


2. Agile Principles in EMR Projects


Agile is about being flexible, collaborative, and iterative. Here’s how it applies to

EMR project management:


  • Incremental Delivery: Developing the EMR in smaller, manageable chunks (e.g., starting with core functionalities like patient records and later adding modules like billing or analytics).

  • User Feedback Loops: Regularly engaging with stakeholders to gather feedback on the EMR system as it's being developed, ensuring it aligns with their needs.

  • Adaptability to Change: Being open to changes in scope or requirements (e.g., updating features based on new regulations or user feedback).

  • Cross-Functional Teams: Encouraging collaboration between developers, clinicians, IT staff, and administrative users.


Benefits of Combining LEAN and Agile


  • Efficiency and Value: LEAN reduces waste, while Agile ensures adaptability and user-centric design.

  • Rapid Delivery: Agile’s iterative sprints allow faster delivery of usable components.

  • Cost Control: LEAN principles help manage resources wisely, reducing overages.

  • Improved User Satisfaction: By integrating frequent feedback loops, the EMR system is tailored to actual user needs.


Practical Example


Imagine deploying an EMR system in a clinic using this approach:


  1. Start with a pilot project for a small department, focusing on critical workflows (LEAN).

  2. Build the system incrementally, releasing usable features every 2-4 weeks (Agile).

  3. Gather real-time feedback from clinicians to adjust and improve the system in subsequent iterations (Agile).

  4. Analyze data and processes after each sprint to identify and eliminate inefficiencies (LEAN).


By blending LEAN’s efficiency focus and Agile’s flexibility, this approach ensures that the EMR implementation meets user expectations, adapts to changes, and stays within budget and timeline constraints.




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