Mitch Bishop Chief Marketing Officer irise Sherry Preston RN, MHA. ONC, CPHQ M.D. Anderson Cancer Center

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www.irise.com Mitch Bishop Chief Marketing Officer irise Sherry Preston RN, MHA. ONC, CPHQ M.D. Anderson Cancer Center

#1 IT Challenge in the 20th Century Operational efficiency

#1 IT Challenge in the 21st Century Innovation & Growth

Business Software is Supposed to Help Meet These Challenges But...

The Way That Business Software is Designed, Developed & Delivered is Fundamentally Broken In the last year, 70% of projects failed to meet deadlines, & 50% of projects failed to meet the needs of the business; 80% of the issues stem from poor requirements. Standish Group Chaos Report, 2007

# Business Users Don t Know What They Want Until They See & Interact With It

# Business Users Can t Interpret Text Specs., Use Cases, Screen Shots, etc.

The Impact is Dramatic Long cycle times Late stage rework Poor adoption Risky global sourcing Blown business plans Strained relationships

The Solution irise enables non-technical people to quickly assemble a working simulation of business applications & rapidly iterate with business stakeholders for fast consensus on what to build, without writing a single line of code.

irise Visualization Transforms Business & IT Communication

210+ Customers Tell Us: Visualization Delivers Get to market twice as fast Cut 30% of project cost Virtually eliminate rework Outsource more strategic development Improve customer experience Discover new innovations irise Company Confidential Copyright 2007 irise, Inc. www.irise.com

What Can You Visualize With irise? New custom applications Enhancements to existing systems SAP, Oracle extensions Mobile applications (e.g. iphone) Web 2.0 & rich Internet applications

Our Vision By 2020 all business software will be visualized prior to development, the same way that visualization is a common practice in the design of every car, airplane and semiconductor today 13

7 Years of Market Leadership 210+ customers Broadest portfolio of industries World s first patents awarded for application simulation (2007, 2008) Global community of 10,000+ visualization authors & 25,000+ reviewers Backed by Morgan Stanley Venture Partners & Deutsche Bank

Customer Success

Visualization & Agile Business Analysts: Lessons Learned at M.D. Anderson Cancer Center Sherry Preston RN, MHA, ONC, CPHQ

The University of Texas M.D. Anderson Cancer Center 2008 #1 Cancer Center- US News & World Report Making Cancer History-Mission Inpatient-Outpatient-Research FY 06 Statistics- 16,000 employees 521 Inpatient Beds 21,211 admissions 927,414 outpatient visits

Developing an Electronic Medical Record (EMR) Opportunities Focus on patient safety Policies & Procedures as guidelines Build in JCAHO & NPSG requirements Clinical metrics-output Specialty needs met Challenges No margin of errormust be right! Workflow changes & differences IP & OP Clinical SME time constraint

Healthcare Business Analysts Most EMR s are vendor solutions ClinicStation being developed internally Needs: Accurate, clear & concise requirements documentation with UML knowledge Domain experience is essential Feel comfortable in a healthcare environmentespecially working with physicians Where are YOU?

Business Analysts - Search Research- Google, Monster.com Job description variation Oil & Gas, Banking, IT general Healthcare not well represented Education-Certification PM Centers- U of H Master s Certification Tract for Business Analysts- Focused on 6 Knowledge areas of BA from BA BOK Enterprise Analysis Requirements Planning & Management Requirements Elicitation Requirements Communication Requirements Analysis & Documentation Solution Assessment and Validation

Building Our Healthcare BA Team All BA s attended U of H Master s Certification Tract for Business Analysts Diverse BA experience Pharmacy, Nursing, Medical Records, X-ray Changed Evaluation to focus on 6 essential BA skills Promote BA Certification Using irise tool to elicit requirements

Simulations & Iterative Approach Modified Agile ~ Iterative Development Start with basic, add on new functionality Validate- Enough functionality for this release? Simulations assist with workflow validation Don t show me the documents-show me irise Use Case, UI Spec, Test Case & Simulation- Documentation Package

Projects Using irise Order Entry Lab, X-ray, Consults, Medications, Order Sets Structured Clinical Documentation Procedure notes, Follow up notes Summary Page Clinical, general Nursing Assessment Admission, Shift to Shift

Project Outcomes Order Entry Started with Lab built on other order types Workflow did not support original design Able to make changes and add new functionality Structured Clinical Documentation Collapsible sections, validation of groupings Match dictation routine Summary Page Layout provide enough information Nursing Assessment Just starting to build

Lessons Learned Build review time into project plan Start broad and focus on workflow instead of GUI Reinforce this may not be what the GUI will look like after development Set expectations for iterative development Reusability with increased functionality Establish irise Super User early on

6 9 Thank you for attending Please submit questions now... Contact Information: www.irise.com mbishop@irise.com spreston@mdanderson.org