The Secret Life   of EHRs     Scott Lind
20 minutes 3 things
20 minutes 3 things+1 d igression
design • culture • opportunity
acute care environment
28%pneumonia screenings
51%catheter-associated UTI
43%MRSA infections
self-actualization     esteem   belonging     safety  physiological
pleasurable  usable reliablefunctional              − Aarron Walter
pleasurable  usable reliablefunctional              − Aarron Walter
“   Does the patient smoke?   ”
design • culture • opportunity
design • culture • opportunityincrease safetyimprove outcomesreduce costs
thisisindexed.com
user roles
context of care
<digression>
Evaluator EffectJacobsen, Hertzum & John, 1998          4 evaluators          4 sessions       93 problems
severe problems on a single top ten list               56%
severe problems on all top ten lists                0
CUE-2   Molich, 1998    9 teams    3 weeks 310 problems
problems reported by more than one team               25%
problems reported by more than half of the teams                    2%
problems reported by all teams             0
CUE-8 2009    15 teams      5 tasks quantitative testing
Rent an intermediate size car at Logan Airport inBoston, Massachusetts, from Thursday 11 June 2009at 09.00 am to Monday 15...
time on task to rent a car500                                                                              451375         ...
time on task to rent a car500                                                                              451375         ...
usability   safety
</digression>
design • culture • opportunity
“   Creating good user experience is not a                                        ”    design problem, it’s a power strugg...
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 • culture • opportunity
pleasurable  usable reliablefunctional              − Aarron Walter
“   In the last six weeks, have you spent more    than two hours watching someone use your    design or a competitor’s des...
“                                    ”    You can observe a lot by watching.    − Yogi Berra
Simple          Meaningful    Easy to use            FastClean      Flexible    Time saving              ImpressiveEfficie...
2006       Marco Armant, August 2010
2007       Marco Armant, August 2010
2010       Marco Armant, August 2010
Escape Velocity− Amir Khella
thank you
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
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Scott Lind - The Secret Life of EHRs

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This presentation will look at what it’s like to implement design change within a large-scale EHR vendor, with examples of some of the challenges, techniques for building support, and opportunities for improvement.

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Scott Lind - The Secret Life of EHRs

  1. The Secret Life of EHRs Scott Lind
  2. 20 minutes 3 things
  3. 20 minutes 3 things+1 d igression
  4. design • culture • opportunity
  5. acute care environment
  6. 28%pneumonia screenings
  7. 51%catheter-associated UTI
  8. 43%MRSA infections
  9. self-actualization esteem belonging safety physiological
  10. pleasurable usable reliablefunctional − Aarron Walter
  11. pleasurable usable reliablefunctional − Aarron Walter
  12. “ Does the patient smoke?
  13. design • culture • opportunity
  14. design • culture • opportunityincrease safetyimprove outcomesreduce costs
  15. thisisindexed.com
  16. user roles
  17. context of care
  18. <digression>
  19. Evaluator EffectJacobsen, Hertzum & John, 1998 4 evaluators 4 sessions 93 problems
  20. severe problems on a single top ten list 56%
  21. severe problems on all top ten lists 0
  22. CUE-2 Molich, 1998 9 teams 3 weeks 310 problems
  23. problems reported by more than one team 25%
  24. problems reported by more than half of the teams 2%
  25. problems reported by all teams 0
  26. CUE-8 2009 15 teams 5 tasks quantitative testing
  27. Rent an intermediate size car at Logan Airport inBoston, Massachusetts, from Thursday 11 June 2009at 09.00 am to Monday 15 June at 3.00 pm. If askedfor a name, use John Smith, email addressjohn112233@hotmail.com. Do not submit thereservation.
  28. time on task to rent a car500 451375 323 328 306250 251 210 209 207 195 180125 157 148 133 134 108 0 A B C D E F G H J K L M N O P
  29. time on task to rent a car500 451375 323 328 306250 251 210 209 207 195 180125 157 148 133 134 108 0 A B C D E F G H J K L M N O P
  30. usability safety
  31. </digression>
  32. design • culture • opportunity
  33. “ Creating good user experience is not a ” design problem, it’s a power struggle. − Alan Cooper
  34. Dear AmericanAirlines − Dustin Curtis
  35. Everyone believes in UX
  36. Everyone believes in UX
  37. “ Your job as a user experience person is to cultivate a culture where good ” design has a leading voice at the table. − Aza Raskin
  38. design • culture • opportunity
  39. pleasurable usable reliablefunctional − Aarron Walter
  40. “ In the last six weeks, have you spent more than two hours watching someone use your design or a competitor’s design? ” − Jared Spool
  41. “ ” You can observe a lot by watching. − Yogi Berra
  42. Simple Meaningful Easy to use FastClean Flexible Time saving ImpressiveEfficient Responsive ComprehensiveFriendly Approachable Effortless Usable
  43. 2006 Marco Armant, August 2010
  44. 2007 Marco Armant, August 2010
  45. 2010 Marco Armant, August 2010
  46. Escape Velocity− Amir Khella
  47. thank you

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