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Case Study of Elsevier's Agile Product Development process
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PathConsult: a case study
Presented By: Jonathan ClarkDate: May 15th 2006
PathConsult
user understanding is critical iterative development keeps the
focus on the user think outside the book
But was it rapid? I’ll let you be the judge of that!
Understand the user, their tasks and their goals
Evaluate the UI,not the user
Design for the user, make sure
they can efficiently and
easily complete their tasks
Development starts & ends with the user
user-centred design
Librarian
Morning Lunch Afternoon After Hours
Researcher
Student
Practitioner
Significant generalizations; Use of Elsevier electronic products is much smaller
Example: Electronic Information Retrieval
It all started with a book..
3000 pages >8000 images organized by organ
system 9th edition includes diagnostic
pearls
Psychology of a Pathologist Prototypes for Obsessive-Compulsive Disorder
and Introversion Most are fanatical about their hobbies (eg,
cooking, wine-making) Typical work week for a Pathologist: 50 hours Pathologists HATE change more than most
physicians More like a surgeon than they care to admit Most feel as if they are the Rodney Dangerfields
of medicine
What does a pathologist do? 90% of what a pathologist does is:
Look at microscope slides & make a diagnosis If they cannot make a diagnosis, they:
Look up information or ask a colleague or order additional stains or send out to an expert
Why do they look up information? They’re not sure what they’re looking at They can’t decide between 2 or more possible diagnoses They know what the diagnosis is but need additional information They need help on what to do to determine a diagnosis
Pathologists at work
Life Goals Be good at my job
Experience goals Don’t waste my time Don’t be condescending
End goals Answer a specific question
about a possible diagnosis Find a picture Find a specific piece of
information for a case Be more efficient
Perry, Private Practice, 42• Has been in private practice for 8 years• Comfortable using computers, but currently doesn’t use them as much as his
books for pathology-related questions• Often has very specific questions related to thresholds, margins, staging,
grading; just wants the important bits, not all the background or foundation information
• Driving need: Needs something that can help him work more quickly, more efficiently, and more effectively.
Perry works in a private practice located in a medium-size hospital in the western suburbs of Chicago, Illinois. There are 6 pathologists in the office, plus a pathology assistant who handles gross. Perry is the “go to” person in the office for gastrointestinal cases, but everyone handles a bit of everything.
His day is incredibly busy, with sometimes as many as 60 cases to review. The majority of the cases are fairly straightforward, though sometimes he will have a rare diagnosis. Perry usually eats lunch at his desk around noon, but often won’t it finish until a few hours later because of the number of cases he has to finish in a day.
Perry has a large library of books and refers to them often. Usually he looks for a specific picture to match a case, trying to pinpoint a diagnosis. He gets frustrated having to read through lots of text to just find the one piece of information he’s looking for, and wishes he could just jump past all of the basic information right to the things he needs. Sometimes his work is interrupted, as colleagues ask for opinions on other cases. While this can be frustrating, he doesn’t mind, as Perry often asks them for help with areas about which they are more knowledgeable.
He tries to keep up with new developments in the field, but it’s not as important as when he was an attending, since he mainly sees the same types of cases. Still, it’s good to know about new immunostains and emerging areas like genetics, even if they’re not always useful in his day-to-day work. Perry works hard, and tries his best to leave on time to get home and spend time with his wife Jeanne and his three kids.
Primary Persona
Elsevier Agile Development Process
Iterative Development
Iteration 1 Iteration 2 Iteration 3 Iteration 4 Iteration 5 Deployment
Preparation Feedback / Usability Testing
Release!
Initiate Project
Architect/Developer (IT Lead)
Analyst
QA Specialist
Iteration Manager
Project Manager
Product Manager
Content Workflow Manager
UCD
Prototyping
Initial Story Writing
Initial Spikes
Content Planning
+
+
+
+
Release Planning
Write Stories & Tests
Review Stories
Kick-Off
Prioritize Stories
Functionality Review
Ranking/ Estimating
Design Session
Development
Select Story
Write Tests
Verify Story
Write Code
Monitor Progress
Testing
Run Functional
Tests
Run Regression
Tests
Fix/Correct
IterationShowcase
Update Stories
UsabilityTesting
Spike
pathologist
pathologist
pathologistconsultant
developers
product mgrthe boss
UCD developer
developers
High-level features & benefits list A website for pathologists should contain:
Lots of high-quality pictures, with descriptions Clear, concise, and current diagnosis info Ability to compare differential diagnoses Immunohistochemical stain information
For each diagnosis, pathologists want Clinical information Gross and microscopic description Prognosis Pictures Differential diagnoses, including pitfalls and tips on what to look for
Content has to be: Concise, bulleted style Differential diagnosis information Diagnostic pearls
High-level features & benefits list A website for pathologists should contain:
Lots of high-quality pictures, with descriptions Clear, concise, and current diagnosis info Ability to compare differential diagnoses Immunohistochemical stain information
For each diagnosis, pathologists want Clinical information Gross and microscopic description Prognosis Pictures Differential diagnoses, including pitfalls and tips on what to look for
Content has to be: Concise, bulleted style Differential diagnosis information Diagnostic pearls
Amyloidosis
Clear cell tumors
Hürthle cell (oncocytic) tumors
Hyalinizing trabecular adenoma and related lesions
LYMPHOID TUMORS AND TUMORLIKE CONDITIONS
Malakoplakia
Medullary carcinoma
MESENCHYMAL TUMORS
METASTATIC TUMORS
Other neuroendocrine tumors
Parathyroid tumors
Poorly differentiated carcinoma
Home >
Differential Diagnoses
Then, select up to 5 diagnoses to compare
Add
Remove
Follicular carcinoma
Follicular adenoma
Papillary carcinoma
First, select a body system
Thyroid Select a different body system
View Differential
Differential Diagnosis: low-fi prototype
Home > Differential Diagnoses >
Comparison
Image caption (stain, magnification)
Image caption (stain, magnification)
Image caption (stain, magnification)
• Diagnostic Pearl
• Diagnostic Pearl
• Diagnostic Pearl
25 additional images available
View complete diagnostic information for Follicular carcinoma
• Diagnostic Pearl
• Diagnostic Pearl
• Diagnostic Pearl
15 additional images available
View complete diagnostic information for Follicular adenoma
• Diagnostic Pearl
• Diagnostic Pearl
• Diagnostic Pearl
18 additional images available
View complete diagnostic information for Follicular carcinoma
Papillary carcinomaRemove from comparison
Follicular adenomaRemove from comparison
Follicular carcinomaRemove from comparison
Differential Diagnosis: low-fi prototype
As a Persona C
I want to be able to
view diagnostic information on a group of
conditions
so that I
can decide between possible diagnoses.
Story 7
Differential Diagnosis: as deployed
Differential Diagnosis: as deployed
3000 pages >8000 images organised by organ
system 9th edition includes diagnostic
pearls
From Pathology Book….
Online diagnostic clinical decision support covering general pathology.
Designed to be used at the point of work. Image based. Core is differential diagnosis tool to compare conditions. At launch will includes 500 most useful conditions based
on feedback from Pathologists
.....to Diagnostic Tool
Timeline Field study April 2005 Kick-off workshop July 5-7th, 2005 Lo-fi prototype July 13th, 2005 First customer demo September 7th 2005 Second customer demo November 10th 2005 Third customer demo February 17th 2006 Launch May 17th, 2006
PathConsult
Our lessons learned: that user understanding is critical that iterative development keeps the
focus on the user and to think outside the book
Thank [email protected]