59
The Secret Life of EHRs Scott Lind

The Secret Life of Electronic Health Records

Embed Size (px)

DESCRIPTION

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.

Citation preview

Page 1: The Secret Life of Electronic Health Records

The Secret Lifeof EHRs

Scott Lind

Page 2: The Secret Life of Electronic Health Records

minutes 20things 3

Page 3: The Secret Life of Electronic Health Records

minutes 20things 3

+1 digression

Page 4: The Secret Life of Electronic Health Records

design • culture • opportunity

Page 5: The Secret Life of Electronic Health Records

acute care environment

Page 6: The Secret Life of Electronic Health Records

pneumonia screenings

28%

Page 7: The Secret Life of Electronic Health Records

catheter-associated UTI

51%

Page 8: The Secret Life of Electronic Health Records

MRSA infections

43%

Page 9: The Secret Life of Electronic Health Records

physiological

safety

belonging

esteem

self-actualization

Page 10: The Secret Life of Electronic Health Records

functional

reliable

usable

pleasurable

− Aarron Walter

Page 11: The Secret Life of Electronic Health Records

functional

reliable

usable

pleasurable

− Aarron Walter

Page 12: The Secret Life of Electronic Health Records
Page 13: The Secret Life of Electronic Health Records

Does the patient smoke?“ ”

Page 14: The Secret Life of Electronic Health Records
Page 15: The Secret Life of Electronic Health Records
Page 16: The Secret Life of Electronic Health Records

design • culture • opportunity

Page 17: The Secret Life of Electronic Health Records

design • culture • opportunityincrease safetyimprove outcomesreduce costs

Page 18: The Secret Life of Electronic Health Records

thisisindexed.com

Page 19: The Secret Life of Electronic Health Records

user roles

Page 20: The Secret Life of Electronic Health Records

context of care

Page 21: The Secret Life of Electronic Health Records

<digression>

Page 22: The Secret Life of Electronic Health Records

Evaluator Effect

4 sessions

93 problems

4 evaluators

Jacobsen, Hertzum & John, 1998

Page 23: The Secret Life of Electronic Health Records

severe problems on a single top ten list

56%

Page 24: The Secret Life of Electronic Health Records

0

severe problems on all top ten lists

Page 25: The Secret Life of Electronic Health Records

CUE-2 Molich, 1998

9 teams

3 weeks

310 problems

Page 26: The Secret Life of Electronic Health Records

25%

problems reported by more than one team

Page 27: The Secret Life of Electronic Health Records

2%

problems reported by more than half of the teams

Page 28: The Secret Life of Electronic Health Records

0

problems reported by all teams

Page 29: The Secret Life of Electronic Health Records

CUE-8 2009

15 teams

5 tasks

quantitative testing

Page 30: The Secret Life of Electronic Health Records

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 [email protected]. Do not submit the reservation.

Page 31: The Secret Life of Electronic Health Records

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

Page 32: The Secret Life of Electronic Health Records

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

Page 33: The Secret Life of Electronic Health Records
Page 34: The Secret Life of Electronic Health Records

usability safety

Page 35: The Secret Life of Electronic Health Records

</digression>

Page 36: The Secret Life of Electronic Health Records

design • culture • opportunity

Page 37: The Secret Life of Electronic Health Records

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

Page 38: The Secret Life of Electronic Health Records

Dear AmericanAirlines

− Dustin Curtis

Page 39: The Secret Life of Electronic Health Records
Page 40: The Secret Life of Electronic Health Records
Page 41: The Secret Life of Electronic Health Records

Everyone believes in UX

Page 42: The Secret Life of Electronic Health Records

Everyone believes in UX

Page 43: The Secret Life of Electronic Health Records
Page 44: The Secret Life of Electronic Health Records
Page 45: The Secret Life of Electronic Health Records

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

Page 46: The Secret Life of Electronic Health Records

design • culture • opportunity

Page 47: The Secret Life of Electronic Health Records

functional

reliable

usable

pleasurable

− Aarron Walter

Page 48: The Secret Life of Electronic Health Records
Page 49: The Secret Life of Electronic Health Records
Page 50: The Secret Life of Electronic Health Records

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

− Jared Spool

Page 51: The Secret Life of Electronic Health Records

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

Page 52: The Secret Life of Electronic Health Records
Page 53: The Secret Life of Electronic Health Records

Time savingEfficient

Easy to use

Usable

Simple

Responsive

Approachable

Flexible

Friendly

Clean

Meaningful

Effortless

Fast

Impressive

Comprehensive

Page 54: The Secret Life of Electronic Health Records

Marco Armant, August 2010

2006

Page 55: The Secret Life of Electronic Health Records

2007

Marco Armant, August 2010

Page 56: The Secret Life of Electronic Health Records

2010

Marco Armant, August 2010

Page 57: The Secret Life of Electronic Health Records

Escape Velocity− Amir Khella

Page 58: The Secret Life of Electronic Health Records
Page 59: The Secret Life of Electronic Health Records

thank you