The Impact of an Enterprise Electronic Medical Record (EEMR) Model vs a Clinical Information System (CIS) Model on Usability, Efficiency, and Adaptability.

This paper describes a methodology that engages the clinical community into the design process of creating Clinical Information Systems (CISs) under a Clinical Team-Led Design (CTLD) approach in the context of using Immediately Adaptable (IA) system development technology. The methodology is contrasted against the Enterprise Electronic Medical Record (EEMR) model for usability, efficiency, and adaptability. The methodology was tested in a Breast Cancer setting where the CIS went through 4 rapid agile stages.