"inspired ehrs: designing for clinicians" – making a usability guide for hit vendors,...
TRANSCRIPT
Inspired EHRs: Designing for Clinicians
inspiredEHRs.org
Jeff Belden MDUniversity of MissouriFamily physicianUsability Geek
Learning Objectives• Describe the process of creating Inspired
EHRs: Designing for Clinicians with HIT vendors, clinicians, and human factors researchers.
• List human factors principles often overlooked in modern EHR designs.
• List visual pre-attentive attributes that reduce cognitive load for healthcare providers.
Clinical Informatics Grand Rounds
Disclosure Summary
Jeffery L. Belden, MD has nothing to disclose.
Clinical Informatics Grand Rounds
Disclosure SummaryPlanning committee members who have nothing to disclose:• Vitaly Herasevich, MD, PhD, Director• Kim Jones, Program Coordinator
Disclosure Summary (the fine print)As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of CPD) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.
desirablefeasible
desirablefeasible
viable
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…free, online…
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…interactive eBook…
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…vendor developer teams…
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…who want to improve UX…
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…clinically inspired…
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…generously illustrated…
Inspired EHRs: Designing for Clinicians is a free, online, interactive e-book for vendor developer teams wanting to improve their user experience. It offers clinically inspired, generously illustrated, inspirational examples to work from.
…inspirational examples…
Quick Overview
on the web at inspiredEHRs.or
g
ChaptersMedication List
Medication Reconciliation
Allergy List
e-Prescribing
Drug Alerts
Human FactorsDesign Principles
Health IT Usability
Peek inside a chapter
Medication List
Clinical ScenariosEmpathize with the clinician’s thinking
ImagesBefore & After Comparisons
Links to HF Principles
Jump to HF Chapter
… with examplesgeneral example
… specific to EHRHIT specific example
…and prototypesto practice and explore
The Making ofInspired EHRs
Brought to you by
ONCSHARP-C Project
andCalifornia HealthCare
Foundation
Cast of Characters
Vendor participationincluding EHRA support & encouragement
2-Day Workshops
1 2 3
Health IT vendor
Core
Advisory Panel
Vendor Workshop Guests & Reviewers
Health IT vendorVendor
Core
Advisory Panel
Vendor Workshop Guests & Reviewers
Clinically inspiredPhysician Nurse PharmD
Core
Advisory Panel
Vendor Workshop Guests & Reviewers
Designer & HF guidedDesigner Human Factors
* Vendors will still need to do user testing
Iterating ideas
Failed medication timeline sketches
inspirationFinding
inspiration?
Where have you found
Timeline inspirationHipmunk
Timeline inspirationHipmunk
How can you useInspired EHRs?
Start at the topMedication ListMedication ReconciliationAllergy ListDrug Alerts (and CDS)e-Prescribing (and CPOE)Human FactorsDesign PrinciplesHealth IT Usability
or
Jump to a topicMedication ListMedication ReconciliationAllergy ListDrug Alerts (and CDS)e-Prescribing (and CPOE)Human FactorsDesign PrinciplesHealth IT Usability
or
Use like Wikipedia
A few examplesfrom
Inspired EHRs: Designing for Clinicians
Clinical ScenariosWalking through the tasks from clinician
perspective
Clinical ScenariosEmpathize with the clinician’s thinking
Before & After RedesignsShowing simple ways to improve the User
Experience
Before & After Redesigns
We explain our rationale in the text.
Before
After
Next mental taskin the larger clinic visit workflow
What thinking looks likeWhere the eye goes, the mental math, memory load…
What relief looks like
The Interactive Medication TableSort, filter, search
Sort by DiagnosisThe condition(s) for which the medication was
prescribed
Filter by “provider”or filter by “condition (diagnosis)”
Mini-TimelinesSee at a glance the history of the medication
Search for adverse effects
…filtering to show only those meds with that effect
Expand row to see Adverse Effects
Expand row to see Adverse Effects
…and find the term, with all other adverse effects
Medication TimelinePrototype
‘Challenge’ featureHandling issues that lack a clear answer
Want to learn more?Linking out to the Human Factors Chapter, for more depth.
pre-attentive attributes
Collecting Feedback
Confirming Impactfrom the Health IT community
What’s next?
Spread it around
Show your team.Show your leaders.
Take your pick
Web | PDF | Print
For printed copy, go to lulu.com
orbit.ly/print-inspired-EHRs
Participatemake it better
Inject code
Current projects
BP graphsMaking home BP primary, BP trends, annotations,
medication timeline
Give back my dashboardSingle view.
Printable “second screen”.
Starting over - CCDAsBack to basics with horrible usability
Starting over - CCDAsBack to basics with horrible usability
Questions
Questions
Contact us
University of Missouri-Columbia Jeff Belden
Richelle Koopman
Joi Moore
Nathan Lowrance
Involution Studios Juhan Sonin
Jen Patel
Shreeya Gangwal
University of Maryland Catherine Plaisant
University of Texas-Houston Todd Johnson
[email protected] toomanyclicks.com