Clinical Content Symposium -...
Transcript of Clinical Content Symposium -...
-
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- [email protected]
Andrew Hamilton- [email protected]
Nita Mohanty- [email protected]
Shannon Pohl- [email protected]
Jaimie Bubb- [email protected]
Azin Tanni- [email protected]
Sebastian Clavijo- [email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
-
Please make sure to fill out an evaluation online: https://events.bizzabo.com/alliancechicago/page/1352666/evaluations
This Photo by Unknown Author is licensed under CC BY-SA
https://events.bizzabo.com/alliancechicago/page/1352666/evaluationshttp://creativesolvibrations.com/how-to-change-your-life-in-a-few-dayshttps://creativecommons.org/licenses/by-sa/4.0/