This document discusses the TURF framework for evaluating electronic health record (EHR) usability. It provides background on the evolution of EHRs and the need for improved usability. The TURF framework assesses EHR usability using four dimensions: task, user, representation, and function. It allows for evaluating existing EHR systems, identifying usability issues, and informing the design of new EHRs. Feedback from users found that TURF provides a robust yet flexible tool for comprehensive EHR usability analysis.
Warren Porter has experience as an independent consultant implementing production concepts for research using lipid bilayers. He previously worked as a graduate research assistant at the University of Minnesota establishing the clinical advantage of a new radiation sensor for an NIH project. He has also held engineering roles testing medical devices and managing federally regulated instrumentation designs.
This document describes a medical diagnostic system that takes user symptoms as input and outputs potential diseases. It contains the following key points:
1. The system crawls medical websites like WebMD and Mayo Clinic to build text files on diseases and their associated symptoms.
2. It uses tools like MetaMap and custom indexes to parse the crawled data and create forward and inverted indexes of diseases and symptoms.
3. A recursive AI system takes user symptoms as input, maps them to potential diseases, then asks the user additional questions to narrow the diseases list until a threshold is reached for likely conditions.
4. The whole system is integrated into a web application with a user interface for symptom input and disease output.
The document provides an agenda for a team meeting that will include introductions of team members, a discussion of the advantages of medical records systems based on case studies in Peru and Brazil, basic technical requirements for the system, and ways to differentiate it from other systems. The team includes a project manager, user interface designer, business analyst, programmer, medical database expert, and database designer.
The agenda covers team introductions, background on medical records systems, advantages of these systems, basic technical requirements, and ways to differentiate their system. The team includes a project manager, user interface designer, business analyst, programmer, medical database expert, and database designer. The advantages discussed are insights on medication problems and reduced medication errors from medical records in Peru, and tracking HIV medication delivery in Brazil.
Dr. Kurt Rossow - Disease Mapping for PRRSJohn Blue
Disease Mapping for PRRS - Dr. Kurt Rossow, DVM, Veterinary Diagnostic Laboratory, University of Minnesota, from the 2013 Minnesota Pork Congress, January 16-17, Minneapolis, MN, USA.
More presentations at http://www.swinecast.com/2013-minnesota-pork-congress
This document discusses the growing use of mobile apps in healthcare. It provides examples of apps used by patients and healthcare professionals, including apps that provide health information, monitor patient vitals remotely, and assist with cancer diagnosis and treatment. The document also addresses regulatory issues around mobile health apps and ways for healthcare professionals to stay updated on new developments in this area.
Everhealthier.org Women is a mobile web and text messaging tool designed to help women manage their health tasks and cancer screenings. It provides personalized recommendations and reminders tailored to a woman's age, gender, health factors and family members. Women can track tasks, test results, and share information with care teams. The tool was co-designed with users and is based on behavioral research to address barriers to preventive healthcare access, especially among minority women. It aims to make health promotion simple and straightforward through a mobile interface.
This document summarizes tools from the National Library of Medicine (NLM) that can help with meeting requirements for electronic health record (EHR) certification and meaningful use under the HITECH Act. It describes terminology standards and code systems like SNOMED CT, RxNorm, LOINC that are required for meaningful use. It also outlines related NLM resources like the Value Set Authority Center for value sets, MEDLINE Connect for patient education, and APIs for accessing the terminologies and standards.
Warren Porter has experience as an independent consultant implementing production concepts for research using lipid bilayers. He previously worked as a graduate research assistant at the University of Minnesota establishing the clinical advantage of a new radiation sensor for an NIH project. He has also held engineering roles testing medical devices and managing federally regulated instrumentation designs.
This document describes a medical diagnostic system that takes user symptoms as input and outputs potential diseases. It contains the following key points:
1. The system crawls medical websites like WebMD and Mayo Clinic to build text files on diseases and their associated symptoms.
2. It uses tools like MetaMap and custom indexes to parse the crawled data and create forward and inverted indexes of diseases and symptoms.
3. A recursive AI system takes user symptoms as input, maps them to potential diseases, then asks the user additional questions to narrow the diseases list until a threshold is reached for likely conditions.
4. The whole system is integrated into a web application with a user interface for symptom input and disease output.
The document provides an agenda for a team meeting that will include introductions of team members, a discussion of the advantages of medical records systems based on case studies in Peru and Brazil, basic technical requirements for the system, and ways to differentiate it from other systems. The team includes a project manager, user interface designer, business analyst, programmer, medical database expert, and database designer.
The agenda covers team introductions, background on medical records systems, advantages of these systems, basic technical requirements, and ways to differentiate their system. The team includes a project manager, user interface designer, business analyst, programmer, medical database expert, and database designer. The advantages discussed are insights on medication problems and reduced medication errors from medical records in Peru, and tracking HIV medication delivery in Brazil.
Dr. Kurt Rossow - Disease Mapping for PRRSJohn Blue
Disease Mapping for PRRS - Dr. Kurt Rossow, DVM, Veterinary Diagnostic Laboratory, University of Minnesota, from the 2013 Minnesota Pork Congress, January 16-17, Minneapolis, MN, USA.
More presentations at http://www.swinecast.com/2013-minnesota-pork-congress
This document discusses the growing use of mobile apps in healthcare. It provides examples of apps used by patients and healthcare professionals, including apps that provide health information, monitor patient vitals remotely, and assist with cancer diagnosis and treatment. The document also addresses regulatory issues around mobile health apps and ways for healthcare professionals to stay updated on new developments in this area.
Everhealthier.org Women is a mobile web and text messaging tool designed to help women manage their health tasks and cancer screenings. It provides personalized recommendations and reminders tailored to a woman's age, gender, health factors and family members. Women can track tasks, test results, and share information with care teams. The tool was co-designed with users and is based on behavioral research to address barriers to preventive healthcare access, especially among minority women. It aims to make health promotion simple and straightforward through a mobile interface.
This document summarizes tools from the National Library of Medicine (NLM) that can help with meeting requirements for electronic health record (EHR) certification and meaningful use under the HITECH Act. It describes terminology standards and code systems like SNOMED CT, RxNorm, LOINC that are required for meaningful use. It also outlines related NLM resources like the Value Set Authority Center for value sets, MEDLINE Connect for patient education, and APIs for accessing the terminologies and standards.
Evidence-based Usability Guidelines for Promoting Safety and EfficacyUniversity of Maryland
The document discusses a workshop on measuring, evaluating, and improving the usability of electronic health records. It notes that evidence-based usability guidelines can promote safety and efficacy when designing electronic health records. The author and their lab have done work for NIH and ONC on topics related to health IT security, patient-centered cognitive support, and other areas. Usability guidelines have been shown to raise quality, promote consistency, and reduce errors for organizations like Apple, Microsoft, and government agencies. The document proposes publishing EHR guidelines, allowing examination of products, reporting on usability studies, promoting consistency with common guidelines, periodically reporting on failures using common metrics, and coordinating with government agencies.
This document outlines 10 principles of EHR usability: simplicity, naturalness, consistency, minimizing cognitive load, efficient interactions, forgiveness, feedback, effective use of language, effective information presentation, and preservation of context. Each principle is illustrated with examples of better and worse EHR interface designs. It also recommends building style guides, showcasing design patterns, and further research on visual display of data to improve EHR usability.
Usability of EHRs - Engdahl, Zack, Rushford, Flanagan, BreaKrisEngdahl
This document discusses usability challenges with electronic health records (EHRs) and how user-centered design principles can be applied to address them. It notes that while EHRs aim to digitize paper health records, poor usability can put patients at risk. The discussion centers around how to properly define and evaluate EHR usability given unique user populations and contexts of use. Key topics include identifying representative users for research and testing, addressing privacy concerns around real patient data, and determining appropriate summative evaluation methods post-deployment. The goal is to iteratively design EHRs using user input to improve ease of use, efficiency and safety.
Kaleidoscope Executive Design Director Chris Collins shares Meaningful Aesthetics: Our Ultimate Guide to Getting Comfortable with Uncomfortable Design Decisions
Equip yourself with tips and tools to make decisions that connect with users and ignite growth. Kaleidoscope Design Director Chris Collins shares best practices that will help you discover:
* A deeper understanding of aesthetics and why they matter
* How to embrace the design process to make exceptional design decisions
* Top methods for creating a user lens using Inspirational Design Targets (IDTs), Personas and more
* Actionable step-by-step tips to make informed decisions on behalf of users
EHR System Function and Information Model (EHR-S FIM) Release 2.1 Prototype H...Ed Dodds
Stephen.Hufnage.ctrl@tma.osd.mil , EHR WG facilitator
Nancy.Orvis@tma.osd.mil , DoD Point-of-Contact
February 9, 2012 – Original
March 1, 2012 – Last Update
3/1/2012 DRAFT WORKING DOCUMENT 1
Call for Participation, Executive Summary
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
Health professionals should record clinical care information in order to provide adequate patient assistance. Such recording process requires an Electronic Health Record (EHR) with complete and integral information adjusted to treatments performed on a patient. Moreover, availability and access to EHR are key features supporting decision making and improve patient care. Nevertheless, designing an EHR fulfilling a set of quality attributes is not an easy task. In fact, an EHR with low usability causes deficient clinical services and poor data quality on medical records. In this paper, an interpretation of the ISO 9241-210 standard, in the context of patients' care in an emergency situation, is presented. It considers three mid-level objectives: understanding, designing and evaluating. In this way, an alignment between high-level guidelines, offered by usability standards, and low-level activities to be followed during an EHR design, is achieved.
Case Study "Dignity Health: Implementation of an EHR Alliance Bridging Acute and Ambulatory Care"
This session will provide a unique learning opportunity focusing on the Dignity Health $1.8B implementation program to meet horizon 2020 as we transform healthcare. The initiative encompassed a 42 hospital health IT implementation in the acute care setting. Mr. Lowe will also review the challenges associated with governance and review lessons Learned from the project.
Learning Objectives:
∙ Key implementation points
∙ Integration with Ambulatory strategies for a full market approach
∙ What’s next – business intelligence
Successful EHR Implementation - Strategy & TipsJames Muir
Implementing an EHR is a complex project that requires extensive planning and involvement from all stakeholders. Key steps include defining goals and metrics, analyzing workflows, selecting an appropriate vendor, and providing comprehensive training for end users. A successful implementation follows best practices such as establishing executive support, implementing in increments, thoroughly testing the system, and providing ongoing support and feedback after going live. Shadowing providers during training and post go-live periods is critical to ensure adoption and maximize benefits of the new EHR system.
Conducting a Summative Study of EHR Usability: Case StudyUXPA Boston
The document discusses conducting a summative usability study of an electronic health record (EHR) system. It notes the challenges in testing EHR usability at scale given the variety of users and tasks. The case study outlines how a company scoped their test to focus on common clinician tasks and representative users. They developed a standardized training approach, used de-identified realistic test data, and implemented best practices like multiple pilot tests and moderator preparation. The summary provides an overview of how the company met the challenges of EHR usability testing.
This document discusses Community Health Connections' implementation of an electronic health record system. It provides an overview of the organization and outlines their plan to implement OpenVista EHR software across three clinics by February 2011. It describes the anticipated benefits of EHR including reduced errors, improved workflows and access to patient information. The implementation plan includes teams for project management, hardware, software and stakeholders. It also covers training, data migration, technical infrastructure including servers and network upgrades, meeting meaningful use requirements and realizing financial benefits and savings.
This document discusses various techniques for creative thinking and problem solving. It describes critical thinking as the process of conceptualizing, applying, analyzing, synthesizing, and evaluating information to guide belief and action. Creative thinking is described as looking at problems from a fresh perspective to suggest unorthodox solutions. Other techniques discussed include divergent thinking to generate many ideas, convergent thinking to derive the best solution, brainstorming to produce quantity of ideas without judgment, and the six thinking hats method to separate thinking modes. The document provides examples and guidelines for effectively applying these creative problem solving techniques.
This document summarizes Netflix's business strategies. It includes a PEST analysis noting political issues like piracy and content licensing. A five forces analysis finds high threats from substitutes and new entrants. Netflix's core problem is the high threat from all five competitive forces, especially the bargaining power of suppliers and buyers. Netflix's strategy is to pursue market penetration through excellent service and low prices, focus on creating its own content, increase innovation spending, use pricing cautiously, transition fully to streaming, partner to optimize its platform, and maintain high availability distribution.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
As more and more people are coming to realize, there is far more to living a truly successful life than just earning a bigger salary and capturing a corner office. Our relentless pursuit of the two traditional metrics of success - money and power - has led to an epidemic of burnout and stress-related illnesses, and an erosion in the quality of our relationships, family life, and, ironically, our careers. In being connected to the world 24/7, we're losing our connection to what truly matters.
Drawing on the latest groundbreaking research and scientific findings in the fields of psychology, sports, sleep, and physiology that show the profound and transformative effects of meditation, mindfulness, unplugging, and giving, I show us the way to a revolution in our culture, our thinking, our workplace, and our lives.
This presentation is a visual excerpt of my book, Thrive. To read more, go to: http://thrive.huffingtonpost.com/
Here are a few tips on selling from David Ogilvy and other experts. Can you sell?
Enter the Search for the World's Greatest Salesperson. Deadline May 16, 2010 at youtube.com/ogilvy
We wrote this to give you a sense of IDEO’s culture—the ties that bind us together as coworkers and as people.
Read more: http://blog.slideshare.net/2014/01/08/culturecode-what-makes-a-company-great/
Computer aid in medical instrument term paper PPTKoushik Sarkar
The document discusses various computer-aided medical instruments and technologies. It describes several existing computerized instruments such as X-ray machines, CT scanners, MRI machines, and ECG machines. It also discusses challenges with existing instruments and ongoing research into 3D graphical interfaces for computer-assisted surgery, computer-aided surgery using robotics, direct brain interfaces between humans, and medical apps for Android mobile devices. The document emphasizes how computers and medical technology can help improve diagnosis, aid surgery planning and procedures, and enhance information access for healthcare providers.
Introduction to Computer Fundamentals:
Overview of Computer Fundamentals: Definition, importance, and evolution of computers.
Computer Hardware: Central Processing Unit (CPU), memory (RAM and ROM), input and output devices, storage devices.
Computer Software: Operating systems, application software, programming languages. Computer Applications in Healthcare
Evidence-based Usability Guidelines for Promoting Safety and EfficacyUniversity of Maryland
The document discusses a workshop on measuring, evaluating, and improving the usability of electronic health records. It notes that evidence-based usability guidelines can promote safety and efficacy when designing electronic health records. The author and their lab have done work for NIH and ONC on topics related to health IT security, patient-centered cognitive support, and other areas. Usability guidelines have been shown to raise quality, promote consistency, and reduce errors for organizations like Apple, Microsoft, and government agencies. The document proposes publishing EHR guidelines, allowing examination of products, reporting on usability studies, promoting consistency with common guidelines, periodically reporting on failures using common metrics, and coordinating with government agencies.
This document outlines 10 principles of EHR usability: simplicity, naturalness, consistency, minimizing cognitive load, efficient interactions, forgiveness, feedback, effective use of language, effective information presentation, and preservation of context. Each principle is illustrated with examples of better and worse EHR interface designs. It also recommends building style guides, showcasing design patterns, and further research on visual display of data to improve EHR usability.
Usability of EHRs - Engdahl, Zack, Rushford, Flanagan, BreaKrisEngdahl
This document discusses usability challenges with electronic health records (EHRs) and how user-centered design principles can be applied to address them. It notes that while EHRs aim to digitize paper health records, poor usability can put patients at risk. The discussion centers around how to properly define and evaluate EHR usability given unique user populations and contexts of use. Key topics include identifying representative users for research and testing, addressing privacy concerns around real patient data, and determining appropriate summative evaluation methods post-deployment. The goal is to iteratively design EHRs using user input to improve ease of use, efficiency and safety.
Kaleidoscope Executive Design Director Chris Collins shares Meaningful Aesthetics: Our Ultimate Guide to Getting Comfortable with Uncomfortable Design Decisions
Equip yourself with tips and tools to make decisions that connect with users and ignite growth. Kaleidoscope Design Director Chris Collins shares best practices that will help you discover:
* A deeper understanding of aesthetics and why they matter
* How to embrace the design process to make exceptional design decisions
* Top methods for creating a user lens using Inspirational Design Targets (IDTs), Personas and more
* Actionable step-by-step tips to make informed decisions on behalf of users
EHR System Function and Information Model (EHR-S FIM) Release 2.1 Prototype H...Ed Dodds
Stephen.Hufnage.ctrl@tma.osd.mil , EHR WG facilitator
Nancy.Orvis@tma.osd.mil , DoD Point-of-Contact
February 9, 2012 – Original
March 1, 2012 – Last Update
3/1/2012 DRAFT WORKING DOCUMENT 1
Call for Participation, Executive Summary
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
Health professionals should record clinical care information in order to provide adequate patient assistance. Such recording process requires an Electronic Health Record (EHR) with complete and integral information adjusted to treatments performed on a patient. Moreover, availability and access to EHR are key features supporting decision making and improve patient care. Nevertheless, designing an EHR fulfilling a set of quality attributes is not an easy task. In fact, an EHR with low usability causes deficient clinical services and poor data quality on medical records. In this paper, an interpretation of the ISO 9241-210 standard, in the context of patients' care in an emergency situation, is presented. It considers three mid-level objectives: understanding, designing and evaluating. In this way, an alignment between high-level guidelines, offered by usability standards, and low-level activities to be followed during an EHR design, is achieved.
Case Study "Dignity Health: Implementation of an EHR Alliance Bridging Acute and Ambulatory Care"
This session will provide a unique learning opportunity focusing on the Dignity Health $1.8B implementation program to meet horizon 2020 as we transform healthcare. The initiative encompassed a 42 hospital health IT implementation in the acute care setting. Mr. Lowe will also review the challenges associated with governance and review lessons Learned from the project.
Learning Objectives:
∙ Key implementation points
∙ Integration with Ambulatory strategies for a full market approach
∙ What’s next – business intelligence
Successful EHR Implementation - Strategy & TipsJames Muir
Implementing an EHR is a complex project that requires extensive planning and involvement from all stakeholders. Key steps include defining goals and metrics, analyzing workflows, selecting an appropriate vendor, and providing comprehensive training for end users. A successful implementation follows best practices such as establishing executive support, implementing in increments, thoroughly testing the system, and providing ongoing support and feedback after going live. Shadowing providers during training and post go-live periods is critical to ensure adoption and maximize benefits of the new EHR system.
Conducting a Summative Study of EHR Usability: Case StudyUXPA Boston
The document discusses conducting a summative usability study of an electronic health record (EHR) system. It notes the challenges in testing EHR usability at scale given the variety of users and tasks. The case study outlines how a company scoped their test to focus on common clinician tasks and representative users. They developed a standardized training approach, used de-identified realistic test data, and implemented best practices like multiple pilot tests and moderator preparation. The summary provides an overview of how the company met the challenges of EHR usability testing.
This document discusses Community Health Connections' implementation of an electronic health record system. It provides an overview of the organization and outlines their plan to implement OpenVista EHR software across three clinics by February 2011. It describes the anticipated benefits of EHR including reduced errors, improved workflows and access to patient information. The implementation plan includes teams for project management, hardware, software and stakeholders. It also covers training, data migration, technical infrastructure including servers and network upgrades, meeting meaningful use requirements and realizing financial benefits and savings.
This document discusses various techniques for creative thinking and problem solving. It describes critical thinking as the process of conceptualizing, applying, analyzing, synthesizing, and evaluating information to guide belief and action. Creative thinking is described as looking at problems from a fresh perspective to suggest unorthodox solutions. Other techniques discussed include divergent thinking to generate many ideas, convergent thinking to derive the best solution, brainstorming to produce quantity of ideas without judgment, and the six thinking hats method to separate thinking modes. The document provides examples and guidelines for effectively applying these creative problem solving techniques.
This document summarizes Netflix's business strategies. It includes a PEST analysis noting political issues like piracy and content licensing. A five forces analysis finds high threats from substitutes and new entrants. Netflix's core problem is the high threat from all five competitive forces, especially the bargaining power of suppliers and buyers. Netflix's strategy is to pursue market penetration through excellent service and low prices, focus on creating its own content, increase innovation spending, use pricing cautiously, transition fully to streaming, partner to optimize its platform, and maintain high availability distribution.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
As more and more people are coming to realize, there is far more to living a truly successful life than just earning a bigger salary and capturing a corner office. Our relentless pursuit of the two traditional metrics of success - money and power - has led to an epidemic of burnout and stress-related illnesses, and an erosion in the quality of our relationships, family life, and, ironically, our careers. In being connected to the world 24/7, we're losing our connection to what truly matters.
Drawing on the latest groundbreaking research and scientific findings in the fields of psychology, sports, sleep, and physiology that show the profound and transformative effects of meditation, mindfulness, unplugging, and giving, I show us the way to a revolution in our culture, our thinking, our workplace, and our lives.
This presentation is a visual excerpt of my book, Thrive. To read more, go to: http://thrive.huffingtonpost.com/
Here are a few tips on selling from David Ogilvy and other experts. Can you sell?
Enter the Search for the World's Greatest Salesperson. Deadline May 16, 2010 at youtube.com/ogilvy
We wrote this to give you a sense of IDEO’s culture—the ties that bind us together as coworkers and as people.
Read more: http://blog.slideshare.net/2014/01/08/culturecode-what-makes-a-company-great/
Computer aid in medical instrument term paper PPTKoushik Sarkar
The document discusses various computer-aided medical instruments and technologies. It describes several existing computerized instruments such as X-ray machines, CT scanners, MRI machines, and ECG machines. It also discusses challenges with existing instruments and ongoing research into 3D graphical interfaces for computer-assisted surgery, computer-aided surgery using robotics, direct brain interfaces between humans, and medical apps for Android mobile devices. The document emphasizes how computers and medical technology can help improve diagnosis, aid surgery planning and procedures, and enhance information access for healthcare providers.
Introduction to Computer Fundamentals:
Overview of Computer Fundamentals: Definition, importance, and evolution of computers.
Computer Hardware: Central Processing Unit (CPU), memory (RAM and ROM), input and output devices, storage devices.
Computer Software: Operating systems, application software, programming languages. Computer Applications in Healthcare
This document provides an overview of hospital management systems and the benefits of web-based systems. It discusses that web-based systems allow for simultaneous access to data from various points and integration of all parties. The document then reviews characteristics of web-based systems like multiple autonomous components and points of control/failure. Benefits of a hospital management web-based system include improved patient care through increased access to records, improved cost control through standardized processes, and increased security of patient information.
This document presents the methodology for evaluating a minimum viable product (MVP) mobile application of the International Classification of Functioning (ICF) through multi-site user testing. The evaluation will assess usability, validity of functioning descriptions, and technology acceptance at test sites in multiple countries. Small groups of 30 users and 2-4 providers will provide feedback over 5 iterations to inform rapid app updates. Both formative and summative evaluations will gather opinions on information quality, system quality, and service quality. The results will contribute to evidence on health and quality of life impacts and efficiency gains from using the ICF mobile solution.
This document presents the methodology for evaluating a minimum viable product (MVP) mobile application of the International Classification of Functioning (ICF) through multi-site user testing. The evaluation will assess information quality, system quality, and service quality to inform further development. Small groups of 30 users and 2-4 providers at each test site will provide feedback over 5 iterations in 6 months. Evaluations in different countries will measure usefulness, ease of use, and acceptance using the Technology Acceptance Model. The results will contribute to understanding health outcomes from using mobile health tools in integrated care.
OpenMRS is an open source medical record system platform used around the world, especially in developing countries. It was first created in 2006 to support healthcare in Western Kenya. Some key features include a central concept dictionary to define data, user authentication and permissions, a patient repository to store demographic and clinical data, and a modular architecture that allows functionality to be extended through additional modules. The platform uses Maven for builds and has a variety of modules available depending on needs, from small clinics to large hospitals. Contributions are welcome through coding, testing, documentation, design, and other non-technical roles.
This document provides a 3-page handout for an RSM handheld computer workshop in January 2004. It includes sections on databases, database fields, example forms, security, risk analysis, further reading, and contact details. The document discusses features of the HanDBase relational database program, examples of how to design patient and lab result forms, an introduction to the UK's CRAMM risk analysis method, and various resources for further reading.
This document describes a cloud-based personal health record (PHR) system called MyPHRMachines. The system allows patients to securely store and access their lifelong health records in the cloud from any location. After uploading medical data to MyPHRMachines, patients can access the data through remote virtual machines and share access with selected caregivers. The system aims to improve health record portability and access over time. It uses attribute-based encryption to encrypt health data and ensure privacy and security of records in the cloud.
The document discusses the development of an open-source medical device integration platform using Python and ROS to enable closed-loop fluid management. A GUI was created to simplify human interaction. Device drivers were developed for an infusion pump and patient monitor to retrieve and store data. Dongles successfully enabled bilateral communication between devices over ROS. The integrated system was tested to demonstrate individual functions like device communication, networking, and interfacing. Future work involves adding algorithms for automated multi-parameter closed-loop control and facilitating animal trials.
During the tranSMART Annual Meeting 2015, Kees van Bochove, chair of the tranSMART Foundation Architecture Working Group, presented on the future roadmap for the tranSMART platform in a co-presentation with Keith Elliston, CEO of tranSMART Foundation.
EHR Implementation, VT Medical Society 2007teburdick
The document discusses the history of electronic health records from the 13th century to modern times. It outlines key developments in computer technology and early electronic health record systems from the 1940s onward. It also provides advice and considerations for selecting an electronic health record system, implementing the system, customizing it, and ensuring clinical staff are involved in the process.
This document discusses usability challenges with electronic health records (EHRs) and how to apply user-centered design principles to improve EHR usability. It notes that while EHRs aim to digitize paper health records, poor usability can put patients at risk. The discussion defines EHR users, considers how to conduct user research and testing given privacy constraints, and debates how to evaluate EHR usability post-deployment across different systems and contexts. The goal is to start with an understanding of users and iteratively design, test, and collect data to develop highly usable EHRs that meet the needs of healthcare providers and support safe and effective patient care.
This document discusses usability challenges with electronic health records (EHRs) and how user-centered design principles can be applied to EHR development and evaluation. It notes that while EHRs aim to digitize paper health records, their usability is important for patient safety and provider efficiency. The discussion covers defining EHR usability based on user goals and tasks, challenges in user research and testing given privacy concerns, and appropriate methods for collecting usage data after deployment, such as summative testing and surveys. References are provided on EHR usability guidelines and its relationship to patient safety.
This document summarizes a presentation on personal health record (PCHR) platforms. It discusses how PCHRs have evolved from static portals into applications platforms that give patients access to and control over their health data. Examples of PCHR platforms like Indivo are presented, as well as how they can integrate with electronic health records through standards like SMART. The presentation argues that PCHRs can promote patient engagement, data sharing, and the development of new healthcare applications if they are designed as open platforms like the iPhone.
This white paper discusses how to evaluate the usability of electronic medical record (EMR) applications. It provides a 7-step framework for objectively measuring usability, including identifying key user groups and tasks, benchmarking tasks, and conducting usability testing. The paper also summarizes a case study where a usability evaluation found that modifying an EMR's interface to reduce clicks and improve feedback reduced task completion times from 15 to 6.5 minutes and improved accuracy from 70% to 95%. Overall, the paper advocates applying user-centered design principles to improve the usability, effectiveness, efficiency, and adoption of EMR applications.
IRJET- Electronic Health Record System Single Page Web Application Front EndIRJET Journal
This document summarizes a student paper on designing a single page web application front end for an electronic health record system. It discusses the benefits of electronic health records such as improved quality, safety and lower costs compared to paper records. It also reviews relevant literature on electronic health record systems and architecture. The proposed system would allow healthcare providers to easily access patient test results, enter orders, manage appointments and prescriptions electronically. It is intended to improve communication between doctors, nurses and patients while maintaining security of patient information. The backend would be implemented with MySQL and the front end using Angular and PHP programming.
STUDY PROTOCOL Open AccessSafety Assurance Factors for Ele.docxhanneloremccaffery
STUDY PROTOCOL Open Access
Safety Assurance Factors for Electronic Health
Record Resilience (SAFER): study protocol
Hardeep Singh1*, Joan S Ash2 and Dean F Sittig3
Abstract
Background: Implementation and use of electronic health records (EHRs) could lead to potential improvements in
quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks.
Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm
occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to
develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and
effective.
Methods/Design: This work is conceptually grounded in an 8-dimension model of safe and effective health
information technology use. Our first aim is to develop self-assessment guides that can be used by health care
institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input
from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will
subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine
the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site
evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived
usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated
output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable,
checklist-type items.
Discussion: Proactive assessment of patient safety risks increases the resiliency of health care organizations to
unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the
assessment guides are expected to be helpful to organizations that are beginning the EHR selection and
implementation process as well as those that have already implemented EHRs. Findings from our project, currently
underway, will inform future efforts to validate and implement tools that can be used by health care organizations
to improve the safety of EHR-enabled clinical work systems.
Keywords: Electronic health records, Health information technology, Patient safety, Risk assessment, Resilience
Background
Several countries have made recent multi-billion dollar
investments in electronic health record (EHR) infra-
structure to transform their health care delivery systems.
However, implementation of EHR-related initiatives has
encountered greater than expected challenges [1-4].
Although successful transformations have occurred in a
few pioneering healthcare organizations across the globe,
[5,6] the vast majority of organizations are still in the
process of implementing.
Heart Touching Romantic Love Shayari In English with ImagesShort Good Quotes
Explore our beautiful collection of Romantic Love Shayari in English to express your love. These heartfelt shayaris are perfect for sharing with your loved one. Get the best words to show your love and care.
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1. EHR Implementation &
The TURF Framework for Usability
McKenzie Wilson, Kara Morris, Sarah Riley Saint, Jennifer Firmin
2. The Information Age
● Internet: 1970s
● World Wide Web: 1990s
● Electronic Mail
http://www.ushistory.org/us/60d.asp
3. Evolution of EHR
● Early use: 1960s
o Many efforts to streamline medical data entry process
● HITECH Act: 2009
o American Recovery and Reinvestment Act: 2009
o Meaningful Use
● Technological Advancements
o Mainframe computers: large companies and corporations
o Mini-computers & personal computers: affordable
o Internet: secure communication and data sharing
o Microprocessors: hand-held technology, availability
http://library.ahima.org/
4. Purpose of EHR
● Electronic Medical Record (EMR) & Personal Health
Record (PHR)
o Not interoperable: managed by provider and one by consumer
Multiple EMR & Unreliable PHR
● Electronic Health Record (EHR): comprehensive view of
an individual’s health care
o Point-of-care information
o Reduction of errors
o Interoperability
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793588/
5. Why do we need EHRs?
● Better Physician decisions and more coordinated care
http://www.healthit.gov/providers-professionals/benefits-electronic-health-records-ehrs
6. Barriers to Implementation
● User attributes
● System attributes
● Support from others
● Organizational support
● Environmental factors
● **Usability: used to accomplish goals and extent to perform
necessary tasks
● **Workflow: the systematic sequence or process through which a
piece of work passes from initiation to completion
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3220192/
7. What is TURF?
● Task, User, Representation, Function
● TURF is an integrated toolkit:
o Usability evaluation, testing, measurement, and
design
● Developed by SHARPC research group: addressing
usability and workflow
● Two primary functions:
o Evaluate usability of existing EHRs
o Provide framework for new EHRs
https://sbmi.uth.edu/nccd/turf/
9. How does well TURF work?
“I found TURF to be a versatile, robust tool for EHR usability analysis. Its seeming
complexity masks an ability to work in various settings and tackle hosts of problems.
If you aren’t happy with your EHR’s interface, TURF gives a remarkable tool to
show what’s wrong and what you want. Indeed, with some adaptation you could use
TURF to analyze almost any program’s usability. Not bad for a freebie”
Carl Bergman
President, Silver Soft, Inc. Managing Partner, EHRSelector.com. Specializes in EMR/EHR systems
10.
11. Why does TURF work?
● User Sessions
● Administration
● Testing for Specifics
● Comparing Steps
● Reporting
Editor's Notes
Where are we?
The United States is in a period of time currently known as the Information Age.
Began with the internet in the 1970s where computers could be operated from other terminals for scientific and military advantage.
-This was owned by the government until 1984
Not open for commercial use until the WWW was created in the 1990s, which was used for corporations to promote and sell their products.
eMails became a more convenient form of communication between colleagues and friends.
Soon, technology was available for everyone to use. By the end of the 90’s the world was fast wired
Picture: International Connectivity in 1995: How the internet has connected the world in just 20 years.
How does this impact healthcare?
The beginnings of EHR technology can be traced back to the late 1960s with many different efforts at streamlining the medical data entry process. The efforts over the next 50 years were fragmented and not successful until the early 2000s.
The evolution of EHR’s has been rapidly increased since the passage of the HITECH Act of 2009, a part of the American Recovery and Reinvestment Act of 2009, which was passed to increase the adoption and meaningful use of healthcare information technology.
The meaningful use EHR Incentive Program also was enacted to ensure that the money given to promote EHR adoption was used in a useful and beneficial way.
According to the The American Health Information Management Association, there are four technological advancements that have assisted in the shift towards the implementation of EHR technology:
-Mainframe computers: only available to large companies and corporations
-Mini-computers and personal computers: smaller software that was more affordable
-Internet: secure communication and data sharing
-Microprocessors: hand-held technology: availability and efficiency of information
So what and why? How does this benefit patients and physicians? How do EHRs improve our overall quality of healthcare?
In an effort to streamline the health care process and consolidate the vast amount of knowledge that advances in healthcare made us available to, online databases were created to help both patients and physicians manage their health in a simpler more efficient way. This was done through an Electronic Medical Record and a Personal Health Record
-Electronic Medical Record: an online record of the encounter of a patient and a physician during an episode of patient care.
-Unique to each practice or provider that makes it
-Personal Health Record: medical record maintained by the patient
-PHR contains any personal health documentation provided to them by their physician
Point out that these two are not interoperable. One is managed by the provider while the other is managed by the consumer.
There needed to be a system that overcame this interoperability barrier and united these two together in order to for both the patient and the provider to have a holistic view of an individuals health care. That’s when EHRs were created.
-Electronic Health Records: a comprehensive view of an individuals health care that combines their EMR with their PHR
-Point of care information: Having all information about a patient, such as previous health visits, current medication, allergies, previous surgeries, etc. all available at each visit to each practice.
-Reduction of errors: Reduce paperwork that gets lost in filing as well as thats difficult to send from one practice to another
-Interoperability: connecting patient information, client scheduling, lab results, billing information, pharmacies, etc. together to make each clinical visit more efficient and effective for the patient, physician, the payer, everyone involved.
As technology advances we must keep up. EHR’s help the healthcare system ‘catch up’ to everyday changes in technology to benefit both patients and physicians
According to a study done by Dr. Richard Holden in 2011, there are 5 main categories of facilitators/barriers to the implementation of EHRs in healthcare settings:
-user attributes: barriers related to individual users
-Learning: time, repetition, and effort… cost
-Understanding: knowing how to navigate
-system attributes: barriers related to the EHR system and the hardware and software supporting it
-support from others: barriers related to support received from others
-organizational support: barriers related to organizational factors such as management and compensation
-environmental factors: barriers related to physical or social work environment
But according to our research, the two biggest barriers are Usability and Workflow
-Usability: which is the extent to which the record can accomplish a set of goals in the work domain and the extent to which a system can be used to perform necessary tasks
-The barrier here comes when the users don’t know how to effectively and efficiently use the EHR so that it can’t accomplish goals or perform necessary tasks
-Workflow: the systematic sequence or process through which a piece of work passes from initiation to completion
-The barrier here comes when the transition from paper charts to EHRs changes the way that a practice runs its daily organization.
But studies show that the benefits of EHRs, when used correctly, far outway the costs that it take to implement them into a system. That’s why the National Center for Cognitive Informatics and Decision Making in Healthcare created a framework to help assess, and hopefully amend some of these burdens. This framework is called TURF.
So what is TURF?
Turf stands for Task, user, representation, and function
It’s an integrated toolkit for usability evaluation, testing, measurement, and design of EHRs.
Turf has been developed by the SHARPC research group dedicated to addressing the usability and workflow challenges of Health Information Technology.
We believe that TURF is the best way to overcome the barriers to EHR implementation. Our project evaluated the two primary functions of TURF:
-to evaluate the usability of already existing electronic health records
-to provide a framework for designing new and better electronic health records
TURF focuses on redesigning how EHR’s work to make them most effective.
TURF isn’t about making the user fit the EHR, it’s about making the EHR fit the user and their needs
How does it do this?
Task – In evaluation, it’s important to make a detailed analysis of each step in using an EHR, both the physical and the mental tasks. For one thing, a task analysis is critical for figuring out which screen representation is best for each task.
User – This is where it all starts in TURF, understanding the human being who interacts with the software and the machine.
Representation – Bottom line, this means the EHR’s user interface. Developers expend so much effort representing the work domain on a computer screen, and users spend so much time interacting with this representation of their working world, that we consider this the essence of usability. Representation is “where the rubber meets the road”.
Function – Analyzing the functions in the work domain, the basic structure of the work that the user and the system will perform together, is critical in improving usability of the system. Functions are key to the EHR’s usefulness.
How does TURF overcome the potential barriers to implementation?
Dr. Jiajie Zhang, the University of Texas Health Science Center at Houston’s National Center for Cognitive Informatics and Decision Making (NCCD) has developed several tools for measuring usability. Funding for the project comes from ONC’s Strategic Health IT Advanced Research initiative.
They stated it was easy to adapt to, administration functions were a big plus
http://www.emrandhipaa.com/emr-and-hipaa/2013/10/22/turf-an-ehr-usability-assessment-tool/
Usability can not only be defined under a coherent, unified theoretical framework, it can also be measured objectively and systematically. We presented a set of studies we did in the past to demonstrate how EHR usability could be evaluated and measured in a scientific and systematical way
TURF’s designers have created a system that not only tracks use, but also adds these major functions:
User Sessions. TURF captures live screens, keystrokes, mouse clicks and can record a user’s verbal comments in an audio file.
Administration. The tool is designed for testing by groups of users as well as individuals. It captures user demographics, consent forms, non disclosures, etc. All of these can be tailored.
Testing for Specifics. TURF allows managers to test for specific problems. For example, you can see how users eprescribe, or create continuity of care documents.
Comparing Steps. Managers can set up an optimum selection path or define the steps for a task and then compare these with user actions.
Reporting. TURF builds in several counting and statistical analysis tools such as one way ANOVA.
TURF can help explain what cognitive scientists call the “representation effect”, that is, how and why two different EHR’s can represent the same work domain so very differently. More to the point, TURF can point the way to the best representation for the task, the user and the function – the essence of usability.