Title: Seeing stars: the creation of a core clinical support informatics product

Authors: James Jirjis, Neal R. Patel, Dominik Aronsky, Nancy Lorenzi, Dario Giuse

Addresses: Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Avenue Nashville, TN 37232, USA. ' Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Avenue Nashville, TN 37232, USA. ' Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Avenue Nashville, TN 37232, USA. ' Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Avenue Nashville, TN 37232, USA. ' Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Avenue Nashville, TN 37232, USA

Abstract: This chapter outlines an information technology creation process that begins with a concept of enhancing clinical workflow through information technology. The chapter outlines the organisational process adopted that paved the way for success. The product was initially tested with a small group in the Adult Primary Care Center (APCC) at Vanderbilt University Medical Center in Nashville, Tennessee, USA. Following the E.M. Rogers| diffusion theory, rapid diffusion occurred within the APCC. This was followed by a diffusion/spread strategy to the other outpatient clinics. Finally, two illustrations of how a core informatics product can be adapted to other clinical areas (Paediatric Critical Care Unit and the Emergency Department) are presented.

Keywords: clinical systems; diffusion strategy; innovation theory; information technology; clinical support; informatics.

DOI: 10.1504/IJHTM.2003.004170

International Journal of Healthcare Technology and Management, 2003 Vol.5 No.3/4/5, pp.284 - 295

Published online: 10 May 2004 *

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