  Clinical software has become a significant contribution to support clinical
management and intra-hospital processes. In this regard, the success or failure
of clinical software is mostly yielded on a suitable requirements elicitation
process. Although several techniques and approaches address this process, the
complexity of clinical services and the variety of clinicians involved in those
services make it challenging to elicit requirements. To address this concern,
in our previous work, we have proposed the D&I Framework. This collaborative
technique translates clinical priorities into guidelines for eliciting software
requirements in the healthcare context using implementation and dissemination
strategies. This article evaluates the functionalities and tasks implemented in
a clinical bed management system whose requirements were elicited using the D&I
Framework. We focused on evaluating clinicians' usability expectation levels
using a specific questionnaire executed in 2018 and 2020. The results show
that, in comparison with the first release (2018) and the last one (2020),
clinicians perceive an improvement in the functionalities and tasks implemented
in the system. This study introduces the effects of implementation and
dissemination strategies to elicit pragmatic clinical requirements.
