Clinical Content SymposiumJune 2018

Agenda

• Welcome & Introductions

• HTML Content Development

• Demo of new content

• Health Center Future Priorities

• Clinical Content Roadmap July 2018 – Dec 2018

• Help Desk and Content Request Process

Welcome & Introductions

• Intro of Health Center Attendees

• Name

• Role @ CHC

• If you could bring back one thing from your high school bedroom what would it be? Why?

Learning Health System, Innovation, & Human Centered Design

Holden et al 2016 Human Factors Engineering

Coproduction & User Experience Methodology

• Low Fidelity Framework = Draft of new content on paper or draft using a non-production (None EMR) software tool

• Minimal Viable Product = Early draft of content able to be loaded into a test EMR environment

• Testing of a Shippable Product = Final draft of content released for a TEST EMR environment

• Early Release Testing (Early Adaptors) = Release of content into a LIVE EMR environment

• General Release = Release of content into the LIVE EMR environment

Definitions

Health Center Users

• Journey Mapping

• Design Thinking Exercise

• Observations of the current workflow

Result:

Roadmap (area of focus)

Low Fidelity Prototype

Source: http://adaptivepath.org/ideas/the-anatomy-of-an-experience-map/

Discover & Design: Journey Map

20 July 2018GE Healthcare Confidential

Health Center Users

• Heuristic Testing of Low Fidelity Prototype

• Heuristic Testing of a Minimal Viable Product (M0)

Result

Feedback on a Low Fidelity Prototype

Creation of an MVP

Feedback on an MVP

From concept to design

Health Center Users

• Sprint Demos (M2)

• Pre-Release Testing (M3)

Result

Shippable Product for testing

M3 Testing (EAP Testing)

Health Center Implementation

Other Approaches to Usability Testing• Screen recording to develop workflow models.

• Eye gaze modeling

• In lab usability testing of specific tasks (i.e. errors, performance, task flow)

Lisa M.

PedsInternal

MedFamily

PracticeOB/GYN

Nita M. Tim L. Jeff P.

DentalBehavioral

Health

Andrew H. Andrew H.

Product Owners

Lisa M.

PedsInternal

MedFamily

PracticeOB/GYN

Nita M. Tim L. Jeff P.

DentalBehavioral

Health

Andrew H. Andrew H.

Product Owners

Demo of New Clinical ContentAllianceChicago Informatics Team

The Landing Page

• Purpose:

• Provide clinicians with “single” view of comprehensive patient information and the patient’s current status

• Surface/highlight key patient information to inform the care team

• Assist the provider and patient with planning the visit/care interaction

Simple Chart

• Purpose:

• Promote efficient documentation

• Promote consistency between providers

• Enhance Provider/patient communication

The After Visit Summary (AVS)

• Purposes:

• Promote effective communication

• Enhance patient memory of the content of interactions with Care Team

• Support patient engagement and self management

• Problem Statement:

• Patients need a more User-Friendly, easy to understand format!

How often is the AVS used?

• In 82 providers in the Alliance network

• 91% of providers printed an AVS for more than half of their patients

• 41% of providers had an AVS printed for 90% or more of their patients.

• Mean frequency of printing of the AVS was 79.9%

The After Visit Summary

Quotes from Health Center Patients

• “The most important things is for me to see my numbers”

• “I keep mine in my purse so if something happens to me, everyone knows how to care for me”

• “This feels like a medical report. I don’t understand some of it”

• “I feel like it always just reminds me of my problems”

• “Sometimes I don’t want it printed because I’m afraid I’ll lose it and people will know about my problems”

Enli Point of Care (initially for those sites that purchased forms)

• Purpose:

• Integrate the Enli Point of Care content for use along with the AllianceChicago Clinical Content

Sneak Peak at AllianceChicago / ENLIAdult Control Panel

Pains, Gains, and Jobs to be Done

Dr. Nita Mohanty

Background

• Journey Mapping exercise at the 2017 Alliance User Conference

“We Need Clinical Content that will Improve Workflows!”

Pains and Gains Framework

Write or Draw Us Your Story!

• Find the Template and Colored Pencils on

Your Table

• Indicate your Name and your Role at the

Health Center

• Share Pains with the Clinical Content

• Share Gains from the Clinical Content.

• What Job do you need the Clinical Content

to do for you?

An example:

Name: Nita MohantyRole: Pediatrician

The guidelines for Peds BP management changed in August 2017 and the EMR has Percentiles reflecting older guidelines.

I need the Peds BP content to help me use the correct percentiles and create a way for me to easily average BP measurements to practice guideline based care

The current content has new features I like such automated percentiles and historical display of previous BPs. An added way to average BPs would be a huge benefit.

Clinical Content RoadmapDr. Tim Long

Key Projects • Landing Page for Pediatric, OB, and other personas

• More Simple Chart (need to define)

• Pain Management (Session: Thursday @ 1:30pm)

• MAT (Session: Thursday @ 1:30pm)

• Content to Support Integration of Primary Care and Behavioral Health

• Behavioral Health/ IL Rule 132 – revised Assessment, Treatment Plan and Progress Notes

• Huddle & Pre-Visit Prep

• ePROs (electronic patient reported outcomes – PHQ9, Audit, Ages & Stages)

• Redesigned Dental Content

Goals for the Dental Redesign Project are to improve:

• Integration of dental and medical information into a single patient record

• Efficiency of documentation for dental users, including an enhanced user interface

• Integration and access to dental images

• Workflow and transfer of data from the dental EMR to the site’s billing system

• Focus on data capture to advance dental quality of care and reporting

Sneak Peak at Pain Management Content

Help Desk & Content RequestsShannon Pohl

Thank you for your participation and continued partnership!

Tim Long- tlong@alliancechicago.org

Andrew Hamilton- ahamilton@alliancechicago.org

Nita Mohanty- nmohanty@alliancechicago.org

Shannon Pohl- spohl@alliancechicago.org

Jaimie Bubb- jbubb@alliancechicago.org

Azin Tanni- atanni@alliancechicago.org

Sebastian Clavijo- sclavijo@alliancechicago.org

mailto:tlong@alliancechicago.orgmailto:ahamilton@alliancechicago.orgmailto:nmohanty@alliancechicago.orgmailto:spohl@alliancechicago.orgmailto:atanni@alliancechicago.orgmailto:sclavijo@alliancechicago.org

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