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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.
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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 [email protected]. 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