EMR Usability - HIMSS Virtual Conf 09
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Slides from my closing keynote presentation at HIMSS Virtual Conference, November 4, 2009.
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EMR Usability - HIMSS Virtual Conf 09
- 1. Has no real or apparent conflicts of interest to report. Conflict of Interest Disclosure Jeff Belden MD
- 2. Understanding the Landscape of EMR Usability Implications for ARRA and Beyond
- 16. Simplicity
- 19. Minimize Cognitive Load Don’t make me think
- 23. Efficiency The most measurable
- 29. Hover Tool-tip
- 30. Windoid pop-up
- 34. Feedback
- 37. Acceptable
- 41. Effective Use of Language
- 45. Effective Information Presentation
- 46. Information presentation Vertical text harder to read
- 47. Information presentation Horizontal text easier to read. Takes up same space.
- 48. Naturalness
- 51. ARRA Usability Requirements for “meaningful use”
- 57. Shopping for EMR? Here are some tips
- 58. No online stores yet
- 68. Questions?
Editor's Notes
- We had similar arguments in the early days of health care quality improvement movement. “You can’t measure quality in health care!” It’s too subjective, can’t be quantified, patients don’t know how to judge it. Those claims turned out to
- Depends on knowing: User Tasks Environment
- http://www.nuance.com/healthcare/ehr-meaningful-use-study/ In fact, 90 percent of doctors surveyed said they are either “concerned” or “very concerned” about usability as a leading obstacle to EHR adoption . Following usability, issues related to cost, learning curves of a new system, increased time documenting care, and inability to use dictation to create medical notes were also identified as obstacles that need to be addressed. [June 18. 2009 Nuance Survey]
- ONCHIT currently contracts with a private organization, the Certification Commission for Health Information Technology, to certify EHRs as having the basic capabilities the federal government believes they need. But many certified EHRs are neither user-friendly nor designed to meet HITECH’s ambitious goal of improving quality and efficiency in the health care system. Tightening the certification process is a critical early challenge for ONCHIT. http://chilmarkresearch.com/2009/03/27/blumenthals-views-lock-down-on-hit-innovation/
- Personal communication, October 2009
- Create Clinical Scenarios Choose ones that matter (common, important) Acute sinusitis, UTI, well woman exam (for primary care, for example) Test them Hire help or read “Don’t Make Me Think” by Steve Krug, on doing discount usability testing. Do the “out of the box” templates cover your most common needs? Is customization required? Or is customization optional (preferred)?
- http://bit.ly/shopEMR
- http://bit.ly/UsabilityHIMSS Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating HIMSS EHR Usability Task Force June 2009
- Peachpit.com Steve Krug Don’t Make Me Think http://bit.ly/lo4Wn