Jeff Belden MD. EHR Usability. Style Guide. Early edition

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1 Jeff Belden MD EHR Usability Style Guide Early edition

2 ibook

3 ibook & PDF

4 Suggest

5 Illustrate

6 Inspire

7 EHR Vendors

8 any HIT developer

9 Usability Pros

10 Our Process

11 On-site design workshops

12 Vendor participation in workshops

13

14 Our Team 2 physician UX geeks 3 HCI Experts 3 Designers (Involution Studios) 3+ Vendors (at workshops)

15 Medication List released Oct 2013

16 Preview

17 Writing Style Science Journalism

18 for example...

19 You can reduce the risk of error (missing one in the list) and lighten the mental effort (cognitive load) quite a bit by smart design features. In order of complexity, here are some solutions: Allow sorting the medication list by associated diagnosis. This groups them together and makes for far less reading, searching, and and relying on humans limited working memory (which can only hold 3 to 4 items).

20 You can reduce the risk of error (missing one in the list) and lighten the mental effort (cognitive load) quite a bit by smart design features. In order of complexity, here are some solutions: Allow sorting the medication list by associated diagnosis. This groups them together and makes for far less reading, searching, and and relying on humans limited working memory (which can only hold 3 to 4 items).

21 Clinical scenarios

22 Returning to the clinical scenario: What happened before today? The physician had determined that the blood pressure was too high, and an additional drug would be necessary. He wondered why lisinopril had not been chosen. So, turning to the timeline view, he toggles for Active Medications to Active + Inactive Medications view. He sees that lisinopril had been prescribed, but only for a few months. He wonders, Why was it stopped?

23 Returning to the clinical scenario: What happened before today? The physician had determined that the blood pressure was too high, and an additional drug would be necessary. He wondered why lisinopril had not been chosen. So, turning to the timeline view, he toggles for Active Medications to Active + Inactive Medications view. He sees that lisinopril had been prescribed, but only for a few months. He wonders, Why was it stopped?

24 Galleries

25

26

27

28

29 Prototypes

30 start with sketches

31 start with sketches

32 then mockups

33 then mockups

34 make interactive

35 make interactive

36 Live Widget Demo Demo

37 Coming Attractions Medication Drug eprescribing Allergy Alerts Reconciliation (& List CDS) (& CPOE)

38 Feedback

39 Survey tool

40 Expert Review Human factors researchers Data visualization researchers Physician usability experts Nursing informaticist Pharmacist

41 Target Audience Review

42 Praise for the first draft

43 It looks really good. Janet Campbell Epic it s terrific. strikes a good balance. both immediate practical and more advanced. the visual examples clearly communicate key points and reinforces the narrative. Glen Moy California HealthCare Foundation I really like the interactive list demo you're working on! Integrating a mini-timeline within the list of meds is brilliant! Jon Duke MD Regenstrief Institute Thanks for the opportunity to participate in this it is really great. John Beasley MD U of Wisconsin This would be great for any of our associates, whether C-suite, mid-level managers, or engineers! Megan Jacoby Cerner

44 and Constructive criticism

45 Coordinating - ONC SHARP-C Safety-Enhanced Design Briefs

46

47

48 Coordinating - ONC SHARP-C EHR Usability Website ehrusability.org

49

50 Thanks Funding sponsors California HealthCare Foundation SHARP-C project of ONC In-kind sponsorship EHRA Clinician Experience Workgroup EHRA Board Participating vendors at design workshops

51 Thanks Workshop 1 vendors NextGen athenahealth Workshop 2 vendors Cerner MedSocket PDS Cortex

52 Team members University of Missouri-Columbia Jeff Belden (Leader) Richelle Koopman Joi Moore Nathan Lowrance Involution Studios Juhan Sonin Jen Patel Shreeya Gangwal University of Maryland University of Texas-Houston Catherine Plaisant Todd Johnson

53 Questions & more Volunteer as a target audience reviewer bit.ly/ehrstyle Online widgets in development bit.ly/webehrguide My blog toomanyclicks.com My [email protected]

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