designing for adoption

DESIGNING FOR ADOPTION

Lena Mamykina, Lauren Wilcox, David Vawdrey

Daniel Stein, Sarah Collins, Stewin Camargo

Matt Fred, George Hripcsak, Steven Feiner

A Living Laboratory for Health IT

Outline Background

Innovation Cycle

Project Overviews

Insights to Share

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NewYork-Presbyterian Health Care System (NYP)

NYP 2 Academic Medical Centers

(Columbia & Cornell)

Multiple inpatient and outpatient sites

2,242 patient beds

111,764 discharges annually

Ranked among America’s Best Hospitals by U.S.News

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Health IT - HCI Engagement

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Formative studies

User-centered design

Evaluation studies

PrototypeCommercial ProductFixes Features

Research and

DevelopmentDeployment Evaluation

Living Laboratory

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Academic Medical Center

Research

Development

Deployment

Evaluation

Research and

DevelopmentDeployment Evaluation

Computerized Unified Patient Information Device (CUPID)

Including cardiology patients and their loved ones as part of the inpatient care team

Design and development of bedside technology facilitating patient views into the EHR, medications, care team info

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Computerized Unified Patient Information Device (CUPID)

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Medication Reconciliation

Achieving effective medication reconciliation across care settings

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We implemented an electronic process using our commercial EHR and improved documentation of medication reconciliation at hospital admission

(forthcoming paper)

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Medication Reconciliation

Next-Generation Electronic Documentation

Improving electronic documentation tools and assessing their use

SmartPaste

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Next-Generation Electronic Documentation

Improving electronic documentation tools and assessing their use

activeNotes

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Task management

Supporting collaborative management of tasks and interdisciplinary patient care goals

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Push notification

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Design Challenges/Opportunities Ongoing access to domain experts

Balancing innovation and familiarity

Technological ecosystem

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Implementation Challenges

Integration with outdates or proprietary technology

Conforming to standards

Protective overall ecosystem

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Evaluation Challenges/Opportunities Possibility to study long-term adoption

Complex study designs

Evaluation metrics

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T H A N K Y O U !

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