Healthcare Usability

Healthcare Usability Healthcare Usability -- The Future of Medicine is Easy to Use. Our team members are recognized leaders in User Interface R&D and are leaders for the next generation of web-based and smart phone applications, including wireless remote medical telemetry, HL7 compliant medical records, websites, training apps and disaster recovery apps.
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We can create a cultural change within your organization to be less engineering centric and focus more on the needs and goals of your end users. We can teach your organization about usability (ISO 9241) and user centered design. We can help you understand the requirements of ISO 62366. We can conduct and report on summative usability evaluations necessary for Meaningful Use Stage 2 funding. Usability Starts with "U"

Operating as usual

When it comes to usability, doctors give electronic health record (EHR) systems an “F”.  And that poor usability correla...
11/25/2019
AMA calls EHR fixes a 'national imperative' after doctors give 'F' for usability

When it comes to usability, doctors give electronic health record (EHR) systems an “F”. And that poor usability correlates with physician burnout, according to a study published today in Mayo Clinic Proceedings.

Researchers surveyed 870 U.S. physicians about EHRs and asked them to rank system usability with a score of 0 to 100. The mean score was 45.9, which is in the “not acceptable” range or a grade of an 'F', the study said.

See https://www.fiercehealthcare.com/practices/doctors-give-ehrs-f-as-poor-usability-linked-to-burnout

When it comes to usability, doctors give electronic health record systems an “F.” And that poor usability correlates with physician burnout, according to a study published today in Mayo Clinic Proceedings.

CMS Releases Final Rule for the 2019 Quality Payment Program | Healthcare Usabilityhttp://healthcareusability.com/articl...
05/16/2019
CMS Releases Final Rule for the 2019 Quality Payment Program | Healthcare Usability

CMS Releases Final Rule for the 2019 Quality Payment Program | Healthcare Usability
http://healthcareusability.com/article/cms-releases-final-rule-2019-quality-payment-program

The Centers for Medicare and Medicaid Services (CMS) issued its policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Final Rule. The provisions in the rule build on the foundation established in the first two years of the program, and are reflective...

05/06/2019

We’ve designed a lot of user interfaces over the course of our careers, and one theme has been present across them all--a desire to create something that is easy to use for the novice user. Can mom use it, many have asked?

This may be great for a small company or a simple website that users would only access once or twice. But what about mobile or web-based healthcare application where the clinical staff do “their work” each day?

Research that shows fundamental differences in the way novices and experts approach a problem. Forcing experienced users to muddle past a screen-by-screen flow of wizards or other simplifications can lead to a less than optimal user experience.

Not every novice user, however, evolves into an expert user. Most, in fact, become and remain intermediate users. They learn to interact with the application in a manner that best suits their “middle of the road” understanding of the application workflow.

That is why we say, “Aim for the middle.” Design your user interface to meet the needs of an intermediate user, your largest user population, while also providing some embedded assistance (to help the novices). perhaps some keyboard (or other) shortcuts and other advanced features to appease your experts.

06/20/2018

There is a common set of #usability issues seen in many of the ONC Safety-Enhanced Design evaluations we’ve conducted associated w/the “clinical information reconciliation” tasks.

We are looking for a co-sponsor for a Design Challenge to find solutions to these issues. #interoperability #HealthIT

User-Centered Design or Design Thinking for Healthcare IT http://www.healthcareusability.com/article/user-centered-desig...
04/24/2018
User-Centered Design or Design Thinking for Healthcare IT | Healthcare Usability

User-Centered Design or Design Thinking for Healthcare IT http://www.healthcareusability.com/article/user-centered-design-or-design-thinking-healthcare-it

The usability (or lack thereof) of Healthcare IT has been in the news a lot again. This time a research report published by JAMA (Howe JL ; Adams KT ; Hettinger AZ; et al. Electronic health record usability issues and potential contribution to patient harm. JAMA. 2018; 319: 1276-1278) researchers an...

The EHRA  publishes free personas to help developers consider #EHR #usability design from a variety of end-user perspect...
02/22/2018
EHRA publishes free personas to help developers consider #EHR #usability design from a variety of end-user perspectives | Healthcare Usability

The EHRA publishes free personas to help developers consider #EHR #usability design from a variety of end-user perspectives http://www.healthcareusability.com/article/ehra-publishes-free-personas-help-developers-consider-ehr-usability-design-variety-end-user

Personas enable clear understanding of the different users of a product and their goals, problems and backgrounds. The goals help to move the focus away from features onto what users are actually trying to accomplish and what users will ultimately use to evaluate the product. The problems highlight....

MIPS/MACRA Final Rule is published.  A carrot is better than a stick!  http://www.healthcareusability.com/article/mipsma...
06/22/2017
MIPS/MACRA Final Rule: A carrot is better than a stick! | Healthcare Usability

MIPS/MACRA Final Rule is published. A carrot is better than a stick! http://www.healthcareusability.com/article/mipsmacra-final-rule-carrot-better-stick

With the January 2018 deadline fast approaching and very few EHRs certified for the ONC 2015 Edition Certification, Doctors will get a one year extension so that they can continue to use 2014 edition of EHRs into next year. Instead of getting a 25 percent reduction in their reimbursement payment, th...

06/07/2016
EHR usability Gaps -- Specified Context of Use | The Usability People

The efficient and effective use of Electronic Health Records are essential, as these systems are increasingly becoming a central tool for patient care.

The Health Information Technology for Economic and Clinical Health (HITECH) Act provided providers with a significant financial incentive to increase the adoption and use of EHRs. EHR vendors were required to conduct and report on a summative usability evaluation of their system as part of the Stage 2 Meaningful Use program (The ONC 2014 Edition Certification). However, a recent report funded by the Agency for Healthcare Research and Quality (AHRQ), identified several “issues” with the certified EHR vendors in the processes, practices and use of standards and best practices with regard to usability and human factors.

According to recent reports, medical mistakes are now the 3rd largest cause of death. We all can imagine a situation where the lack of usability of a Health IT vendor product can become a patient safety issue. The usability of health IT system, however, is more than the responsibility of just the EHR vendor.

Health IT is a critical tool that needs to be examined in its entire context of use. Vendors, and providers and implementers need to take a more holistic approach in examining all of the human “touch points” with the entire system and work hard to create systems that help reduce errors and save lives.

We’ve identified several of these “touch points” that are not clearly addressed in the ONC certification program, and provide some thoughts below on how we think they should be addressed.

http://www.theusabilitypeople.com/thought_leadership/ehr-usability-gaps-specified-context-use

The efficient and effective use of Electronic Health Records are essential, as these systems are increasingly becoming a central tool for patient care. The Health Information Technology for Economic and Clinical Health (HITECH) Act provided providers with a significant financial incentive to increas...

03/29/2016
AHRQ Announces Interest in Research on Health IT Safety | Healthcare Usability

AHRQ Announces Interest in Research on Health IT Safety

http://www.healthcareusability.com/article/ahrq-announces-interest-research-health-it-safety

The Agency for Healthcare Research and Quality is seeking grant proposals to generate new knowledge on health IT safety.

AHRQ is interested in funding applications to conduct research on safe health IT practices specifically related to the design, implementation, usability, and safe use…

Don't gamble with Patient Safety. Embrace the User-centered Design approach and save lives with more user-friendly Healt...
02/24/2016

Don't gamble with Patient Safety.

Embrace the User-centered Design approach and save lives with more user-friendly HealthIT.

Learn more @ www.HealthcareUsability.com

With the recent Andy Slavitt of CMS announcement that Meaningful Use is likely going to be phased out, I'm scared that E...
01/14/2016

With the recent Andy Slavitt of CMS announcement that Meaningful Use is likely going to be phased out, I'm scared that EHR vendors will abandon their usability testing and user-centered design process (if they even had one) because it is no longer 'required.'

Many EHRs really do suck, as ZDoggMD described in his very popular parody video 'EHR state of Mind'. But without some nudge towards an improved user experience many of the "less than optimal" EHRs will only get worse as they grow and Engineering-centric developers add more and more features on top of a poorly designed information architecture.

Vehicles are not allowed to be sold in the USA unless they have meet strict safety standards, why isn't this the same for EHRs?

Don't like 30 clicks to order Ambien? How about 50!

Usability in healthcare is critical to patient safety, but way too many vendors have short-cut their "Safety-enhanced Design" (ONC's euphemism for Usability) in order to get their clients Meaningful Use funding. MU Stage 3 at least has some teeth with regards to SED. We hope it isn't dead and buried.

Is it just greed? Do EHR vendors choose to ignore the research and develop a product that doesn't match the mental model of their users? Or are they just uninformed? Do they choose to be uninformed? Is ignorance really bliss?

We've had the tag line "Usability starts with you" for a while--and remember when a senior developer wrote back "that it ends in "Y.""

In healthcare the why is obvious - it saves lives.

Don't believe me? See the Joint commission alert 54

7 HIT Recommendations in the New Institute of Medicine Safety Report - Health Data Management http://tinyurl.com/o5tx8kj
09/23/2015
7 HIT Recommendations in the New Institute of Medicine Safety Report

7 HIT Recommendations in the New Institute of Medicine Safety Report - Health Data Management http://tinyurl.com/o5tx8kj

In its latest report on improving the quality and safety of medical treatment, the Institute of Medicine focuses on better diagnoses. Information technology will play an important supporting role to numerous recommendations made by the Institute of Medicine. Here are the health IT recommendations at…

ONC wants to know what HIT issues grind your gears - ModernHealthcare.com http://tinyurl.com/q9er9o4
09/16/2015
ONC opens window to hear health IT grubles

ONC wants to know what HIT issues grind your gears - ModernHealthcare.com http://tinyurl.com/q9er9o4

The Office of the National Coordinator for Health Information Technology is launching an online portal to gather complaints about issues with usability, interoperability and patient safety related to technology.

CHIME Pushes Congress to Address Stage 3 Meaningful Use Problems - Healthcare Informatics http://tinyurl.com/oj37ftw
08/04/2015
CHIME Pushes Congress to Address Stage 3 Meaningful Use Problems

CHIME Pushes Congress to Address Stage 3 Meaningful Use Problems - Healthcare Informatics http://tinyurl.com/oj37ftw

On July 29, Rep. Renee Ellmers (R-NC) introduced into the U.S. House of Representatives a bill that would reform the meaningful use program under the HITECH (Health Information Technology for Economic and Clinical Health) Act and delay rulemaking for Stage 3 of meaningful use.

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