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Web Development
Change is the only Constant

BEN DILLON, MBA | VICE PRESIDENT & EHEALTH EVANGELIST
Today’s Presenter
Ben Dillon, MBA | VP & eHealth Evangelist
Geonetric, Inc.
Ben is a vice president at Geonetric. He writes and speaks
extensively about healthcare technology trends, everything from
social media strategies to accountable care organizations. Ben is
a SHSMD board member, a member of the HIMSS Personal
Health Information Taskforce chairs the eHealth Special Interest
Group, is an inaugural judge of the Healthcare Internet Hall of
Fame and has judged the eHealth Leadership Awards for the
past ten years.
He’s also a Twitter junkie – follow him at @benatgeo.
Geonetric Clients
About Geonetric
Geonetric develops the VitalSite healthcare CMS,
and provides online marketing services to
hospitals, physician practices and health systems.
Video Of This Webinar
Watch the Video
This webinar compares the traditional redesign
approach with a more incremental approach. We
highlight the benefits of starting small and creating
a process of continuous improvement.

Visit our website to watch a free recording of our
popular webinar.

Watch the Web Development webinar!
New White Paper Available

Fill out the survey at the end of the
webinar and we’ll send one your way.
Request your free copy!
Web Development
Change is the only Constant

BEN DILLON, MBA | VICE PRESIDENT & EHEALTH EVANGELIST
<<Need some way to ease us
into the topic…>>
Big-Bang
Redesign
A Traditional Implementation
Project Kickoff
Stakeholder Interviews
Success Metrics
Weekly Status Calls

Populate

Preference Survey (IA)

(client determines)

Create

Preference Survey (Design)

Functionality Requirements

Dev Site
Stage Site
Hosting Configuration

Modules Implementation
and Configuration

Panel Integration
Forms Customization
Database Development
System Integration

Webinars

Writing for the Web
Roles & Permissions

Pages Training
Modules Training

Panel Training
Forms Training

Content &
Design

Information Architecture
Visual Site Map
Taxonomy
Naming Conventions
Content Plan

Page Content Optimization
Page Content Development
Module Content
Development
- Providers
- Locations
- Services
- Events
Image Loading

Software &
Functionality

Structure

Communication
& Training

Planning &
Management

Discover

Content Inventory

Visual Design
Usability Testing
Template Creation
Content Wrap-up
- Links
- Custom Panels
- Pages

Launch

Report

Link Checking

System Testing
Forms Testing
Integration Testing
This Process has Produced
Some Great Work

What’s Wrong with
the Big Bang Approach?
The Lag and Sprint Strategy
Leaves You Perpetually Behind
Redesign begin

Your site
New site re-launch
Time
The Waterfall Model
Discover
Structure

Populate
Create
Launch
The Slow Boat…
• Long process
– Disruptive to your staff
– Duplicate maintenance
– Disruptive to visitors
– Long payback

– The longer the process, the
more likely important things
will change!
Incremental Redesign
Incremental Change
• Incorporate site changes in small(er) chunks

• Push changes live as they are complete
• Watch behavior and use feedback
• Taking larger changes and rolling out incrementally
Isn’t this Inefficient?
Efficiency Can Be Counter-Intuitive
New Services Section

Oncology
Flaw

Otolaryngology
Flaw

Urgent/
Emergency
Care
Flaw

Obstetrics
Flaw

Diagnostic
Radiology
Flaw

Transplant

Orthopaedics

Virology

Endocronology

Pediatrics

Flaw

Flaw

Flaw

Flaw

Flaw

Cardiology
Flaw

Neurology
Flaw

Family
Medicine
Flaw

Gastroenterology
Flaw

Surgical Weight
Management
Flaw

Women’s
Services
Flaw

General
Surgery
Flaw

Mental
Health
Flaw

Dermatology
Flaw
“One Piece Flow”
Oncology
Flaw

Write

Edit

Post

Track

Write

Edit

Post

Track

Orthopaedics

Write

Edit

Post

Track

Cardiology

Write

Edit

Post

Track

Family
Medicine

Transplant
Real Efficiency
• Less work in process (WiP)

• Less rework
• Faster path to value
Incremental Improvement
Segmenting a Redesign
Brand
Elements

IA/Navigation
Content

Visual
Design
Functionality
Responsive Design
What Should I Do First?
Prioritize The Work
How we spend our time
High
Priority

Low Priority

How we should
High Priority

Low
Priority
Prioritization
• Big-bang projects blur prioritization

• In incremental redesign, prioritization must be based on
what drives value, not on squeaky wheels
Prioritize Initiatives
• In support of
strategic/business plan

• Implementation plan

• Measurable value

• Valid executive sponsor

• Resources/staff available

• Long-term support plan
Prioritization
Will Set You Free
Balancing
Short and Long-term Interests
“

Planning vs. Agility

…teams who focus on the long term are far more
likely to create designs that really pay off for the
organization. Short-term thinking gets the design
done, but the team ends up doing it all over again
months down the road. Long-term thinking deals
with the inevitability of changes and turns the site
into a living, breathing entity that grows with the
organization's needs.”
Jared Spool, User Interface Engineering
Build a Rolling Strategy with a
Long-Term Vision and Short-Term
Commitments
Last Quarter

Current
Quarter

Quarter +1

Quarter +2

Quarter +3

Completed

Committed
tasks

Planning
begun

Proposed

Proposed

Hold commitments to the last responsible moment
Maintenance, Management and
Governance
Example:
Ongoing Content Governance
• Ongoing program approach

• Inventory and audit content in sections
• Run individual pages through the process, not sections
(one piece flow!)
• Publish updated content as it is completed
• Key metric is number of pages
published, not “started” or “ready
to publish”

• Obsessive tracking of metrics
with feedback loops
Incremental Change Benefits
• Incremental change processes feel more calm!

• More manageable
– Easier to collect and manage content
– Easier to measure
– Easier to troubleshoot

• Allows for prototyping and experimentation
– Drop what doesn’t work

• Deployment of change to future sections increasingly
easy
If We’re Scrapping Everything,
Does Incremental Redesign
Really Make Sense?
When Should We Choose
the Big Bang?
When Should We
Start Clean?
• When there is very little of the current
site worth salvaging
• New information
architecture, navigation and site
organization

• When the organization goes through a
drastic change in identity
• New technical architecture…maybe
But AFTER that Redesign…
Go-Live is a Beginning, Not An End
This is not a sprint, it’s a
long-distance relay race
Even when you do a bigbang, continue with
incremental redesign
Stop Thinking About the Web
in Project Terms
Start Thinking About the
Web as a Program
This Just Might be the Last “Site
Overhaul” You Ever Do!
Questions?
Contact Ben:
800.589.1171
Ben.Dillon@geonetric.com
www.Geonetric.com
Geovoices.com

@benatgeo
Pinterest.com/benatgeo
Video Of This Webinar
Watch the Video
This webinar compares the traditional redesign
approach with a more incremental approach. We
highlight the benefits of starting small and creating
a process of continuous improvement.

Visit our website to watch a free recording of our
popular webinar.

Watch the Web Development webinar!
New White Paper Available

Fill out the survey at the end of the
webinar and we’ll send one your way.
Request your free copy!
The End

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Web Development: Change is the only Constant [WEBINAR]

  • 1. Web Development Change is the only Constant BEN DILLON, MBA | VICE PRESIDENT & EHEALTH EVANGELIST
  • 2. Today’s Presenter Ben Dillon, MBA | VP & eHealth Evangelist Geonetric, Inc. Ben is a vice president at Geonetric. He writes and speaks extensively about healthcare technology trends, everything from social media strategies to accountable care organizations. Ben is a SHSMD board member, a member of the HIMSS Personal Health Information Taskforce chairs the eHealth Special Interest Group, is an inaugural judge of the Healthcare Internet Hall of Fame and has judged the eHealth Leadership Awards for the past ten years. He’s also a Twitter junkie – follow him at @benatgeo.
  • 4. About Geonetric Geonetric develops the VitalSite healthcare CMS, and provides online marketing services to hospitals, physician practices and health systems.
  • 5. Video Of This Webinar Watch the Video This webinar compares the traditional redesign approach with a more incremental approach. We highlight the benefits of starting small and creating a process of continuous improvement. Visit our website to watch a free recording of our popular webinar. Watch the Web Development webinar!
  • 6. New White Paper Available Fill out the survey at the end of the webinar and we’ll send one your way. Request your free copy!
  • 7. Web Development Change is the only Constant BEN DILLON, MBA | VICE PRESIDENT & EHEALTH EVANGELIST
  • 8. <<Need some way to ease us into the topic…>>
  • 10. A Traditional Implementation Project Kickoff Stakeholder Interviews Success Metrics Weekly Status Calls Populate Preference Survey (IA) (client determines) Create Preference Survey (Design) Functionality Requirements Dev Site Stage Site Hosting Configuration Modules Implementation and Configuration Panel Integration Forms Customization Database Development System Integration Webinars Writing for the Web Roles & Permissions Pages Training Modules Training Panel Training Forms Training Content & Design Information Architecture Visual Site Map Taxonomy Naming Conventions Content Plan Page Content Optimization Page Content Development Module Content Development - Providers - Locations - Services - Events Image Loading Software & Functionality Structure Communication & Training Planning & Management Discover Content Inventory Visual Design Usability Testing Template Creation Content Wrap-up - Links - Custom Panels - Pages Launch Report Link Checking System Testing Forms Testing Integration Testing
  • 11. This Process has Produced Some Great Work What’s Wrong with the Big Bang Approach?
  • 12. The Lag and Sprint Strategy Leaves You Perpetually Behind Redesign begin Your site New site re-launch Time
  • 14. The Slow Boat… • Long process – Disruptive to your staff – Duplicate maintenance – Disruptive to visitors – Long payback – The longer the process, the more likely important things will change!
  • 16. Incremental Change • Incorporate site changes in small(er) chunks • Push changes live as they are complete • Watch behavior and use feedback • Taking larger changes and rolling out incrementally
  • 18. Efficiency Can Be Counter-Intuitive New Services Section Oncology Flaw Otolaryngology Flaw Urgent/ Emergency Care Flaw Obstetrics Flaw Diagnostic Radiology Flaw Transplant Orthopaedics Virology Endocronology Pediatrics Flaw Flaw Flaw Flaw Flaw Cardiology Flaw Neurology Flaw Family Medicine Flaw Gastroenterology Flaw Surgical Weight Management Flaw Women’s Services Flaw General Surgery Flaw Mental Health Flaw Dermatology Flaw
  • 20. Real Efficiency • Less work in process (WiP) • Less rework • Faster path to value
  • 24. What Should I Do First?
  • 25. Prioritize The Work How we spend our time High Priority Low Priority How we should High Priority Low Priority
  • 26. Prioritization • Big-bang projects blur prioritization • In incremental redesign, prioritization must be based on what drives value, not on squeaky wheels
  • 27. Prioritize Initiatives • In support of strategic/business plan • Implementation plan • Measurable value • Valid executive sponsor • Resources/staff available • Long-term support plan
  • 30. “ Planning vs. Agility …teams who focus on the long term are far more likely to create designs that really pay off for the organization. Short-term thinking gets the design done, but the team ends up doing it all over again months down the road. Long-term thinking deals with the inevitability of changes and turns the site into a living, breathing entity that grows with the organization's needs.” Jared Spool, User Interface Engineering
  • 31. Build a Rolling Strategy with a Long-Term Vision and Short-Term Commitments Last Quarter Current Quarter Quarter +1 Quarter +2 Quarter +3 Completed Committed tasks Planning begun Proposed Proposed Hold commitments to the last responsible moment
  • 33. Example: Ongoing Content Governance • Ongoing program approach • Inventory and audit content in sections • Run individual pages through the process, not sections (one piece flow!) • Publish updated content as it is completed • Key metric is number of pages published, not “started” or “ready to publish” • Obsessive tracking of metrics with feedback loops
  • 34. Incremental Change Benefits • Incremental change processes feel more calm! • More manageable – Easier to collect and manage content – Easier to measure – Easier to troubleshoot • Allows for prototyping and experimentation – Drop what doesn’t work • Deployment of change to future sections increasingly easy
  • 35. If We’re Scrapping Everything, Does Incremental Redesign Really Make Sense?
  • 36. When Should We Choose the Big Bang?
  • 37. When Should We Start Clean? • When there is very little of the current site worth salvaging • New information architecture, navigation and site organization • When the organization goes through a drastic change in identity • New technical architecture…maybe
  • 38. But AFTER that Redesign…
  • 39. Go-Live is a Beginning, Not An End This is not a sprint, it’s a long-distance relay race Even when you do a bigbang, continue with incremental redesign
  • 40. Stop Thinking About the Web in Project Terms Start Thinking About the Web as a Program
  • 41. This Just Might be the Last “Site Overhaul” You Ever Do!
  • 43. Video Of This Webinar Watch the Video This webinar compares the traditional redesign approach with a more incremental approach. We highlight the benefits of starting small and creating a process of continuous improvement. Visit our website to watch a free recording of our popular webinar. Watch the Web Development webinar!
  • 44. New White Paper Available Fill out the survey at the end of the webinar and we’ll send one your way. Request your free copy!

Notes de l'éditeur

  1. Web Development: Change is the only ConstantA lot of hospitals are contemplating a website redesign. But it’s a big undertaking – months of planning that lead up to one big reveal. What if there was a different way to keep your site updated without blowing up and starting over? Attend this webinar and compare the traditional redesign approach with a more incremental approach. We’ll highlight the benefits of starting small and creating a process of continuous improvement.In this webinar, you’ll learn how to:Give your site a fresh, new lookAssess approaches for your redesign projectTackle common challenges when redesigning your siteTake an iterative approach to site development
  2. This slide shows some of our current clients which includes small community hospitals (like Pella Regional Health Center in Pella, IA – a 25 bed facility), specialty hospitals (Lubbock Heart Hospital and Childrens Hospital Colorado) and health systems like Altru in the Dakotas and HCA Virginia Health System. Are there any that stand out?
  3. We provide marketing services to leading healthcare systems, hospitals, and practices. &lt;http://www.geonetric.com/services/&gt;We create VitalSite, the Healthcare CMS for hospitals, systems and healthcare organizations. &lt;http://www.geonetric.com/vitalsite/cms/&gt;
  4. Unable to attend the webinar? No problem…we recorded it!https://www.geonetric.com/resources/webinars/2013/web-development/
  5. https://www.geonetric.com/resources/white-papers/download-responsive-campaigns/
  6. Redesignsare a big deal. And no small amount of effort.This is the scenario that I see over and over. Site is in terrible shape. Blow it up and start over. Heroic efforts to get it live.Then we’re so tired…Move to other things2 years later…
  7. Used to typically be 9-12 months. Today more typically 6 months. Longest I’ve seen was close to 18 months which included a client maternity leave and the authoring of their own content library.Truth is, we can do everything other than the content in about 6 weeks.
  8. Small errors early get magnified – become big issues later! Very hard to go back upstreamIt’s very difficult to address bad assumptions or changes in the environment
  9. …change – staff leaves. Exec teams turn over. Buy other organizations. Get bought. Start a major rebranding.
  10. You can change this back if you want. Just not a fan of worms. 
  11. What is….Behavior – user input in process
  12. You write and write and write – and then you push it live.It might be brilliant. But it might require tweaking – different CTA, different layout, different total approach to the problemSo it took a long time. You didn’t see value from it that project for how long…months(?)Now, you’re faced with a massive re-write
  13. Value fasterIdentify issues early in the jobReduced switching costsReduced WiPOften reduced actual steps in the processTurns out this is faster, less waste, less rework!
  14. Minimal tweaking to UIAn optimized experience for all usersBetter user satisfaction, loyalty, conversion and referralCost savings Improves SEO
  15. Billpay – finance people on board. Processes in place.Giftshop – are the blue-haired ladies ready?Academic mc – lots of experiments, but sometimes no resources/motivation to roll out to the organizationYou need a way to prioritize.This needs to be accepted.Is it strategic? Important?Without a plan, you’ll simply do what you’re doing now. In most cases, the big, important projects will fall by the wayside while quick-hit, immediate (and typically lower value) items continue to dominate. A few simple elements will help you to make the most of the resources you have.  
  16. Many are Inclined to skip planning -
  17. Shorter term = focusTalk about LRMIt’s a little Dilbert-esqueLearn more about Agile Strategy in our webinar:https://www.geonetric.com/resources/webinars/2013/web-strategy/
  18. So, doing this in small bits, pushing live all along the way. This is feeling more like management or a governance program than it is a redesign.
  19. Manageable – especially for small teams
  20. Platform change – big work
  21. Unable to attend the webinar? No problem…we recorded it!https://www.geonetric.com/resources/webinars/2013/web-development/
  22. https://www.geonetric.com/resources/white-papers/download-responsive-campaigns/