The Secret Life of Electronic Health Records

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A look at what it's like to implement design change at a large-scale EHR vendor, with examples of some of the challenges, techniques for building support, and opportunities for improvement. Presented at the Healthcare Experience Design Conference in Boston, March, 2012.

Transcript of The Secret Life of Electronic Health Records

The Secret Lifeof EHRs

Scott Lind

minutes 20things 3

minutes 20things 3

+1 digression

design • culture • opportunity

acute care environment

pneumonia screenings

28%

catheter-associated UTI

51%

MRSA infections

43%

physiological

safety

belonging

esteem

self-actualization

functional

reliable

usable

pleasurable

− Aarron Walter

functional

reliable

usable

pleasurable

− Aarron Walter

Does the patient smoke?“ ”

design • culture • opportunity

design • culture • opportunityincrease safetyimprove outcomesreduce costs

thisisindexed.com

user roles

context of care

<digression>

Evaluator Effect

4 sessions

93 problems

4 evaluators

Jacobsen, Hertzum & John, 1998

severe problems on a single top ten list

56%

0

severe problems on all top ten lists

CUE-2 Molich, 1998

9 teams

3 weeks

310 problems

25%

problems reported by more than one team

2%

problems reported by more than half of the teams

0

problems reported by all teams

CUE-8 2009

15 teams

5 tasks

quantitative testing

Rent an intermediate size car at Logan Airport in Boston, Massachusetts, from Thursday 11 June 2009 at 09.00 am to Monday 15 June at 3.00 pm. If asked for a name, use John Smith, email address john112233@hotmail.com. Do not submit the reservation.

time on task to rent a car

0

125

250

375

500

A B C D E F G H J K L M N O P

328306

451

251

148195207

108

157

209210

323

134133180

time on task to rent a car

0

125

250

375

500

A B C D E F G H J K L M N O P

328306

451

251

148195207

108

157

209210

323

134133180

usability safety

</digression>

design • culture • opportunity

“Creating good user experience is not a design problem, it’s a power struggle.”− Alan Cooper

Dear AmericanAirlines

− Dustin Curtis

Everyone believes in UX

Everyone believes in UX

“ Your job as a user experience person is to cultivate a culture where good design has a leading voice at the table. ”− Aza Raskin

design • culture • opportunity

functional

reliable

usable

pleasurable

− Aarron Walter

In the last six weeks, have you spent more than two hours watching someone use your design or a competitor’s design?”“

− Jared Spool

You can observe a lot by watching.”“− Yogi Berra

Time savingEfficient

Easy to use

Usable

Simple

Responsive

Approachable

Flexible

Friendly

Clean

Meaningful

Effortless

Fast

Impressive

Comprehensive

Marco Armant, August 2010

2006

2007

Marco Armant, August 2010

2010

Marco Armant, August 2010

Escape Velocity− Amir Khella

thank you