InfoWell Patient Portal: A Case of Patient-Centred Design [05 Cr2 1100 Chan]

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InfoWell Patient Portal: A Case of Patient-Centred Design [05 Cr2 1100 Chan]

  1. 1. Chan, D. et al.: InfoWell Patient Portal: A Case of Patient-Centred Design <ul><li>This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team </li></ul><ul><li>Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com ) </li></ul><ul><li>Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php </li></ul>
  2. 2. InfoWell Patient Portal: A Case of Patient -Centred Design Deborah Chan, University Health Network Selina Brudnicki, Shared Information Management Services Presented on September 5, 2008 at Medicine 2.0 Congress
  3. 3. The Shared Information Management Services (SIMS) Partnership Healthcare Human Factors Group
  4. 4. InfoWell Patient Portal <ul><li>A secure website that provides patients with personalized health information and tools, care and treatment plans, education, and links to community programs to better manage their health and form closer relationships with their health care team. </li></ul>
  5. 5. Objectives <ul><li>To assist patients in their management of a chronic condition </li></ul><ul><li>To enhance the patient experience </li></ul><ul><li>To address the growing demand for greater access to health information for patients </li></ul>
  6. 6. InfoWell Patient Portal
  7. 7. Educational Information
  8. 8. Personal EHR Components
  9. 9. Personal Journal
  10. 10. Personal Health Profile
  11. 11. Self-Management Tools - Blood Pressure
  12. 12. Self-Management Tools - Food Intake
  13. 13. Medication Summary
  14. 14. Patient Groups 2004 2005 2006 2007 2008 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Breast Cancer Survivorship Dec 14, 2006 PMH Diabetes Apr 30, 2007 7 SIMS Partners Haematology Access to Test Results Nov 2007- Mar 2008 CHI: UHN,GRH, LHIN4 Chronic Kidney Disease Pilot: Feb 2006 PMH
  15. 15. Human Factors <ul><li>The study of how people interact physically and psychologically with products, tools, procedures and processes </li></ul><ul><li>Designing systems so that they are </li></ul><ul><li>natural to people and easy to use </li></ul>
  16. 16. Benefits of Human Factors <ul><li>Improve adoption </li></ul><ul><li>Improve patient safety </li></ul><ul><li>Improve efficiency, effectiveness, ease of use </li></ul><ul><li>Decrease the need for training </li></ul><ul><li>Create an enjoyable user experience </li></ul>
  17. 17. Usability <ul><li>Learnability </li></ul><ul><li>Efficiency </li></ul><ul><li>Memorability </li></ul><ul><li>Errors </li></ul><ul><li>Satisfaction </li></ul>
  18. 18. Patient-Centered Design Approach Concept Development Design Testing Implementation Evaluation
  19. 19. Concept <ul><li>Patients are engaged through surveys and one-on-one interviews </li></ul>Concept Develop-ment Design Testing Implementation Evalua-tion
  20. 20. Beliefs & Expectations <ul><li>Clinician </li></ul><ul><li>“ Patients using the portal are going to ask me more questions. It will have an impact on the clinic and my time. ” </li></ul>Patient “ What a difference it makes to be able to check the results in the privacy of my home just hours after the images are taken! No nerve-wracking wait in the clinic or waiting for my doctor's office to call me. ” “ Physicians should determine which results are released through the portal on to which type of patient. ” <ul><li>“ If we give patients their results they might think they are doing okay and not come in for their follow-up visit. ” </li></ul><ul><li>“ I want to see my test/lab results as soon as they are available. ” </li></ul><ul><li>“ We need to come in for follow up to see the clinician – giving our results makes us better prepared. ” </li></ul>
  21. 21. <ul><li>Iterative Design Cycle </li></ul>Design  Development  Testing Concept Develop-ment Design Testing Implementation Evalua-tion
  22. 22. <ul><li>Prototyping </li></ul>Design Concept Develop-ment Design Testing Implementation Evalua-tion
  23. 24. <ul><li>Card-sorting </li></ul>Development Concept Develop-ment Design Testing Implementation Evalua-tion
  24. 26. <ul><li>Usability testing </li></ul>Testing Concept Develop-ment Design Testing Implementation Evalua-tion
  25. 27. <ul><li>What patient liked </li></ul><ul><ul><li>Aesthetics, accessibility, ease of navigation </li></ul></ul><ul><ul><li>Access to lab results and interpretations </li></ul></ul><ul><ul><li>Doctor search tool </li></ul></ul><ul><ul><li>Information about their diagnosis </li></ul></ul><ul><ul><li>Medications list and explanation of drug effects </li></ul></ul><ul><ul><li>Calendar </li></ul></ul><ul><ul><li>Ability to access information from home </li></ul></ul><ul><ul><li>Information on support services </li></ul></ul>Usability Testing Results
  26. 28. <ul><li>Iterative Design Cycle </li></ul>Design  Development  Testing Concept Develop-ment Design Testing Implementation Evalua-tion
  27. 29. <ul><li>Patient enrollment </li></ul>Implementation Concept Develop-ment Design Testing Implementation Evalua-tion Concept Develop-ment Design Testing Implementation Evalua-tion
  28. 30. <ul><li>Research studies with patients </li></ul>Evaluation Concept Develop-ment Design Testing Implementation Evalua-tion Concept Develop-ment Design Testing Implementation Evalua-tion
  29. 31. Patient-Centered Design Approach Concept Development Design Testing Implementation Evaluation
  30. 32. InfoWell Patient Portal: A Case of Patient -Centred Design Deborah Chan, University Health Network (deborah.chan@uhn.on.ca) Selina Brudnicki, Shared Information Management Services Presented on September 5, 2008 at Medicine 2.0 Congress
  31. 33. <ul><li>Completion rates - 79% </li></ul><ul><li>Average confidence on completion of task - 5.5 </li></ul><ul><li>Average satisfaction - 5.5 </li></ul><ul><li>Average frustration - 2.4 </li></ul>Usability Testing Results
  32. 34. Medicine 2.0 <ul><li>Medicine 2.0 applications, services and tools are Web-based services for health care consumers, caregivers , patients , health professionals, and biomedical researchers, that use Web 2.0 technologies as well as semantic web and virtual reality tools, to enable and facilitate specifically social networking, participation , apomediation, collaboration, and openness within and between these user groups. </li></ul>

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