Andrew Kirby Director, Healthcare Solutions Microsoft Services.

Andrew KirbyAndrew KirbyDirector, Healthcare SolutionsDirector, Healthcare SolutionsMicrosoft ServicesMicrosoft Services

Microsoft in HealthMicrosoft in HealthPatient Safety ChallengesPatient Safety ChallengesThe Patient Safety Principles Driving The Patient Safety Principles Driving MSCUIMSCUIDelivery Roadmap ReviewDelivery Roadmap ReviewExamples of MSCUI in UseExamples of MSCUI in UseCall to ActionCall to ActionQ&AQ&A

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A Microsoft funded collaboration with A Microsoft funded collaboration with the National Health Servicethe National Health ServiceA five year programme that started in A five year programme that started in 2004 and is focused on helping the 2004 and is focused on helping the NHS:NHS:

Increase patient safetyIncrease patient safetyIncrease clinician effectivenessIncrease clinician effectivenessIncrease the ease of adoption & Increase the ease of adoption & relevance of Microsoft Windows and relevance of Microsoft Windows and Microsoft Office to the NHSMicrosoft Office to the NHS

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• For Designers, Application Developers and Patient Safety professionals

• Provides rigorously researched and tested UI Guidelines• Provide pre-built .NET controls and samples• Enables the community to guide on-going development of guidelines

and controls

Clinical UI Guidelines

CommonControls &

Samples

Designer & DeveloperInnovation

Safer, Compelling, Clinical UI

Accelerated Development of Safe, Compelling Clinical User Experiences

Over 275,000 visitors to Over 275,000 visitors to www.mscui.net and over 27,000 design documents and over 27,000 design documents downloadeddownloadedOver 13,000 toolkit downloads from Over 13,000 toolkit downloads from www.codeplex.com/mscuiFour updates to MSCUI adding new Four updates to MSCUI adding new guidance, controls and demonstratorsguidance, controls and demonstratorsPatient Journey Demonstrator won best Patient Journey Demonstrator won best Silverlight 2 application awardSilverlight 2 application awardActive adoption and deployment by over 20 Active adoption and deployment by over 20 Healthcare software companies worldwideHealthcare software companies worldwide

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http://www.mscui.net/

http://www.codeplex.com/mscui

Microsoft Health Common User InterfaceMicrosoft Health Common User Interface

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UK National Audit Office, 2005 UK National Audit Office, 2005 www.nao.org.uk900,000 patient safety incidents per year, 8% result in 900,000 patient safety incidents per year, 8% result in deathdeath$4bn per year extra cost in bed days$4bn per year extra cost in bed daysAfter falls it is medication errors, record documentation After falls it is medication errors, record documentation error and communication failure that are the most error and communication failure that are the most common causecommon causeIT can reduce these errors by 53% - 83%IT can reduce these errors by 53% - 83%

Centers for Medicare and Medicaid ServicesCenters for Medicare and Medicaid ServicesUS National Health spending up to $1.9T in 2004 or US National Health spending up to $1.9T in 2004 or $6,280/person, up 7.9% to 16% of GDP$6,280/person, up 7.9% to 16% of GDP

Institute of Medicine (IOM)Institute of Medicine (IOM)Between 44,000 and 98,000 people die each year in the Between 44,000 and 98,000 people die each year in the US from inpatient medical errorsUS from inpatient medical errors

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http://www.nao.org.uk/

Clinicians are often required to use a Clinicians are often required to use a disparate set of systems from multiple disparate set of systems from multiple vendors to perform similar tasksvendors to perform similar tasksLack of consistency for commonly Lack of consistency for commonly performed and safety critical functions performed and safety critical functions within and across systemswithin and across systemsA need to increase clinician proficiency A need to increase clinician proficiency without increasing training or compromising without increasing training or compromising patient safetypatient safety

InformationDisplay &

Input

Terminology Coding

CPOEPatient Administratio

n

Medications Management

Knowledge & Decision Support

Clinical Noting

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Patient Safety Principles

1.The correct identification of a patient and the matching of a patient to their care elements

2.Prevention of patient care hand-over errors and safety during transition of care

3.Assuring medication accuracy during the giving of care to a patient

4.Performance of correct procedure at correct body site

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Clinical Focus Areas

Design Guidelines

Technology

http://www.who.int/en/


1.Medications• Medications Lists• Search and Prescribe• Drug Administration

2.Clinical Noting and Assessment• Allergies• Patient Admissions

3.Handover of Care and Responsibility

• Single Patient Handover• Multi Patient Handover

4.Consistent Navigation• Icons• Form Design• Tablet PC

5.Patient Identification• Patient Banner (Micro)• Patient Banner

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Design Guidelines

Technology

Design Guidelines

1. Over 1100 individual guidelines already published

2. Platform agnostic UI design guidance for healthcare application developers

3. Guidance ranges from atomic guidance points through to complex guidance such as medications, clinical noting, charting

4. Independently ratified and tested with clinicians, patient safety professionals and standards bodies

5. Distributed worldwide through WWW.MSCUI.NET 16



Design Guidelines

Technology

Technology

1. Facilitates adoption of Design Guidance

2. Make it easier to embrace new presentation technologies: Windows Presentation Foundation and Silverlight 2

3. Takes the form of Common Controls, Samples and Demonstrators

4. Free, downloadable installer provides binaries and source code for controls and samples

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Design Guidelines

Technology

• Guidance covers the broad spectrum of UI interactions

• All UI guidance is platform agnostic

• Guidance articulates what is required, how it should be structured and how not to use the guidance

• Rationale and evidence provided within each guidance document.

• 1100 guidelines published

diltiazem – RETALZEM – modified-release tablet – DOSE 60 mg – oral – three times a day

Diltiazem – retalzem – modified-release tablet – DOSE 60 mg – oral – three times a day

paracetamol – 120 mg in 5 mL – suspension – DOSE 80 mg – oral – every 4 hours

cefotaxime – powder for solution for injection – intravenous – DOSE 400 mg – every 8 hours

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Medications

Clinical Noting

Consistent Navigatio

n

Patient Identificatio

nHandover

The correct identification of a patient and the matching of a patient to their care elements.

Prevention of patient care hand-over errors and safety during transition of care.

Assuring medication accuracy during the giving of care to a patient.

Performance of correct procedure at correct body site.

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May 08May 08 Jun 08Jun 08 Jul 08Jul 08 Aug 08Aug 08 Sep 08Sep 08 Oct 08Oct 08 Nov 08Nov 08 Dec 08Dec 08 Jan 09Jan 09 Feb 09Feb 09 Mar 09Mar 09 Apr 09Apr 09 May 09May 09 Jun 09Jun 09

MedicationsMedications Line

MedicationsSearch and Prescribe

Clinical NotingAllergies

Patient Identification



Consistent Navigation

Forms and Labels

Clinical NotingAdmissions


Clinical NotingGP Line





Sorting and Filtering

HandoverMulti Patient

HandoverResponsibility

Transfer

MedicationsDrug Administration


Icons





MedicationsTimelines


HandoverCare Transfer


Alerts & Reminders

Consistent NavigationTablet PC

MedicationsAlerts

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Jul 09Jul 09

Clinical Noting Controls

Patient IdentificationWPF & Silverlight

Clinical NotingControls



MedicationsControls

Consistent NavigationControls

MedicationsControls


Patient IdentificationControls

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May 08May 08 Jun 08Jun 08 Jul 08Jul 08 Aug 08Aug 08 Sep 08Sep 08 Oct 08Oct 08 Nov 08Nov 08 Dec 08Dec 08 Jan 09Jan 09 Feb 09Feb 09 Mar 09Mar 09 Apr 09Apr 09 May 09May 09 Jun 09Jun 09 Jul 09Jul 09



MedicationsControls



MedicationsClinical Noting


Patient Identification

Handover

• Medications Line• Medications Grid• Medications Detail• Look ahead / look behind

• Medications Grouping

• Patient Banner• Patient Search

• Date Display• Time Display• Time Input• Patient ID Display• Sex / Gender Display• Address Display• Date Input• Patient Name Display

Patient Journey DemonstratorPatient Administration

Primary Care Cardiac PatientSecondary Care Cardiac Patient

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Updated Delivery Roadmap and Change Record to reflect new Updated Delivery Roadmap and Change Record to reflect new guidance/controls guidance/controls Silverlight and WPF controls for Silverlight and WPF controls for PatientBannerPatientBanner, , AddressLabelAddressLabel, , ContactLabelContactLabel, , GenderLabelGenderLabel, , IdentifierLabelIdentifierLabel, , NameLabelNameLabelNew Design Guidance for ‘New Design Guidance for ‘Displaying Tables Displaying Tables and Graphs’ and ‘and Graphs’ and ‘Micro Micro Patient BannerPatient Banner’’Add Add PatientBannerPatientBanner and and ContactLabelContactLabel controls that now conform with controls that now conform with Telephone Display guidance.Telephone Display guidance.New sections onMSCUI.NET discussion Benefits, Core Principles, User New sections onMSCUI.NET discussion Benefits, Core Principles, User Research, and AdoptionResearch, and AdoptionNew MSCUI team blogNew MSCUI team blogChanges to the Patient Journey DemonstratorChanges to the Patient Journey Demonstrator

Incorporation of new controls in Patient Journey Demonstrator: Silverlight Incorporation of new controls in Patient Journey Demonstrator: Silverlight Patient Banner. MedsListView controlPatient Banner. MedsListView controlClinical noting example used to record a consultation with SNOMED Clinical noting example used to record a consultation with SNOMED encoding medications search and prescribing.encoding medications search and prescribing.Presence UI to all namesPresence UI to all namesNew measuring and annotation features in the Angiogram scenario New measuring and annotation features in the Angiogram scenario

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NHS Summary Record

Application

NHS Summary Record

Application


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Engage in the communityEngage in the communityDownload and review MSCUIDownload and review MSCUITell us what your patient safety priorities areTell us what your patient safety priorities areTell us what your Clinical UI priorities areTell us what your Clinical UI priorities areTell us how we can make the Guidance and Tell us how we can make the Guidance and Controls more useful for you ?Controls more useful for you ?

Please use the Codeplex CUI Community Please use the Codeplex CUI Community Project and Discussion Forums to tell us Project and Discussion Forums to tell us what you thinkwhat you think

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Health at Microsoft.com: Health at Microsoft.com: http://www.microsoft.com/health http://www.microsoft.com/health Health IT Industry Center: Health IT Industry Center: http://msdn.microsoft.com/health http://msdn.microsoft.com/health Microsoft Health Common User Interface Microsoft Health Common User Interface (MSCUI): http://www.mscui.net/ (MSCUI): http://www.mscui.net/ MSCUI Community Project on Codeplex: MSCUI Community Project on Codeplex: http://www.codeplex.com/mscuihttp://www.codeplex.com/mscuiMicrosoft NHS Resource Centre: Microsoft NHS Resource Centre: www.microsoft.com/uk/nhswww.microsoft.com/uk/nhs

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Andrew Kirby Director, Healthcare Solutions Microsoft Services.

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