I presented to Clinical Informatics Grand Rounds: “Inspired EHRs: Designing for Clinicians – Making a Usability Guide for HIT Vendors, with Vendors” on April 11, 216 at the Mayo Clinic in Rochester, Minnesota. Great questions from the audience afterward.

1. Inspired EHRs:
Designing for Clinicians
inspiredEHRs.org

3. Jeff Belden MD
University of Missouri
Family physician
Usability Geek

4. Learning Objectives
• Describe the process of creating Inspired
EHRs: Designing for Clinicians with HIT
vendors, clinicians, and human factors
researchers.
• List human factors principles often
overlooked in modern EHR designs.
• List visual pre-attentive attributes that reduce
cognitive load for healthcare providers.

5. Clinical Informatics Grand Rounds
Disclosure Summary
Jeffery L. Belden, MD
has nothing to disclose.

6. Clinical Informatics Grand Rounds
Disclosure Summary
Planning committee members who have nothing to disclose:
• Vitaly Herasevich, MD, PhD, Director
• Kim Jones, Program Coordinator
Disclosure Summary (the fine print)
As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of CPD)
must ensure balance, independence, objectivity and scientific rigor in its educational activities.
Course Director(s), Planning Committee Members, Faculty, and all others who are in a position
to control the content of this educational activity are required to disclose all relevant financial
relationships with any commercial interest related to the subject matter of the educational
activity. Safeguards against commercial bias have been put in place. Faculty also will disclose
any off label and/or investigational use of pharmaceuticals or instruments discussed in their
presentation. Disclosure of this information will be published in course materials so those
participants in the activity may formulate their own judgments regarding the presentation.

7. desirablefeasible

8. desirablefeasible
viable

11. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.

12. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…free, online…

13. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…interactive eBook…

14. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…vendor developer teams…

15. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…who want to improve UX…

16. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…clinically inspired…

17. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…generously illustrated…

18. Inspired EHRs: Designing for Clinicians is a
free, online, interactive e-book for vendor
developer teams wanting to improve their user
experience. It offers clinically inspired, generously
illustrated, inspirational examples to work from.
…inspirational examples…

20. Quick Overview

21. on the web at
inspiredEHRs.org

22. Chapters
Medication List
Medication
Reconciliation
Allergy List
e-Prescribing
Drug Alerts
Human Factors
Design Principles
Health IT Usability

23. Peek inside a chapter

24. Medication List

25. Clinical Scenarios
Empathize with the clinician’s thinking

26. Images
Before & After Comparisons

27. Links to HF Principles

28. Jump to HF Chapter

29. … with examples
general example

30. … specific to EHR
HIT specific example

31. …and prototypes
to practice and explore

32. The Making of
Inspired EHRs

33. Brought to you by

34. ONC
SHARP-C Project
and
California HealthCare
Foundation

35. Cast of Characters

36. Vendor participation
including EHRA support & encouragement

37. 2-Day Workshops
1 2 3
Health IT vendor

38. Core
Advisory
Panel
Vendor
Workshop
Guests &
Reviewers
Health IT vendor
Vendor

39. Core
Advisory
Panel
Vendor
Workshop
Guests &
Reviewers
Clinically inspired
Physician Nurse PharmD

40. Core
Advisory
Panel
Vendor
Workshop
Guests &
Reviewers
Designer & HF guided
Designer Human Factors

41. * Vendors will still need to do user testing

42. Iterating ideas

43. Failed medication timeline sketches

44. inspiration
Finding

45. inspiration?
Where have you found

46. Timeline inspiration
Hipmunk

47. Timeline inspiration
Hipmunk

51. How can you use
Inspired EHRs?

52. Start at the top
Medication List
Medication Reconciliation
Allergy List
Drug Alerts (and CDS)
e-Prescribing (and CPOE)
Human Factors
Design Principles
Health IT Usability

53. or

54. Jump to a topic
Medication List
Medication Reconciliation
Allergy List
Drug Alerts (and CDS)
e-Prescribing (and CPOE)
Human Factors
Design Principles
Health IT Usability

55. or

56. Use like Wikipedia

57. A few examples
from
Inspired EHRs: Designing for Clinicians

59. Clinical Scenarios
Walking through the tasks from clinician perspective

60. Clinical Scenarios
Empathize with the clinician’s thinking

61. Before & After Redesigns
Showing simple ways to improve the User Experience

62. Before & After Redesigns
We explain our rationale in the text.

65. Next mental task
in the larger clinic visit workflow

66. What thinking looks like
Where the eye goes, the mental math, memory load…

67. What relief looks like
The Interactive Medication Table
Sort, filter, search

69. Sort by Diagnosis
The condition(s) for which the medication was prescribed

70. Filter by “provider”
or filter by “condition (diagnosis)”

71. Mini-Timelines
See at a glance the history of the medication

72. Search for adverse effects
…filtering to show only those meds with that effect

73. Expand row to see Adverse Effects

74. Expand row to see Adverse Effects
…and find the term, with all other adverse effects

76. Medication Timeline
Prototype

79. ‘Challenge’ feature
Handling issues that lack a clear answer

82. Want to learn more?
Linking out to the Human Factors Chapter,
for more depth.

85. pre-attentive attributes

86. Collecting Feedback

88. Confirming Impact
from the Health IT community

91. What’s next?

92. Spread it
around
Show your team.
Show your leaders.

93. Take your pick
Web | PDF | Print
For printed copy, go to
lulu.com
or
bit.ly/print-inspired-EHRs

94. Participate
make it better
Inject code

95. Will there be
more chapters?
Contact me at
feedback@inspiredEHRs.org
…if there’s funding.

96. Current projects

97. BP graphs
Making home BP primary, BP trends, annotations,
medication timeline

98. Give back my dashboard
Single view.
Printable “second screen”.

99. Starting over - CCDAs
Back to basics with horrible usability

100. Starting over - CCDAs
Back to basics with horrible usability

101. Questions

102. Questions
Contact us
University of Missouri-Columbia Jeff Belden
Richelle Koopman
Joi Moore
Nathan Lowrance
Involution Studios Juhan Sonin
Jen Patel
Shreeya Gangwal
University of Maryland Catherine Plaisant
University of Texas-Houston Todd Johnson
feedback@inspiredEHRs.org toomanyclicks.com