designing for adoption
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
Lena Mamykina, Lauren Wilcox, David VawdreyLena Mamykina, Lauren Wilcox, David Vawdrey
Daniel Stein, Sarah Collins, Stewin Camargo Daniel Stein, Sarah Collins, Stewin Camargo
Matt Fred, George Hripcsak, Steven FeinerMatt Fred, George Hripcsak, Steven Feiner
A Living Laboratory for Health ITA Living Laboratory for Health IT
Outline Background
Innovation Cycle
Project Overviews
Insights to Share
2
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
3
Health IT - HCI Engagement
4
Formative studies
User-centered design
Evaluation studies
PrototypeCommercial ProductFixes Features
Research and
DevelopmentDeployment Evaluation
Living Laboratory
5
Academic Medical Center
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
6
Computerized Unified Patient Information Device (CUPID)
7
Medication Reconciliation
Achieving effective medication reconciliation across care settings
8
We implemented an electronic process using our commercial EHR and improved documentation of medication reconciliation at hospital admission
(forthcoming paper)
9
Medication Reconciliation
Next-Generation Electronic Documentation
Improving electronic documentation tools and assessing their use
SmartPaste
10
Next-Generation Electronic Documentation
Improving electronic documentation tools and assessing their use
activeNotes
11
Task management
Supporting collaborative management of tasks and interdisciplinary patient care goals
12
Push notification
13
Design Challenges/Opportunities Ongoing access to domain experts
Balancing innovation and familiarity
Technological ecosystem
14
Implementation Challenges
Integration with outdates or proprietary technology
Conforming to standards
Protective overall ecosystem
15
Evaluation Challenges/Opportunities Possibility to study long-term adoption
Complex study designs
Evaluation metrics
16
T H A N K Y O U !
17