Healthcare Usability Topics
Health care providers and vendors told a U.S. Senate committee about ongoing challenges in electronic health record (EHR) adoption and argued the federal government should consider delaying the next phase of the “meaningful use” programs and allow flexibility in meeting program requirements. The Medicare and Medicaid EHR Incentive Programs provide incentives to providers that achieve “meaningful use” of EHR and impose penalties on those that do not.
Black Book Rankings has released the "2013 State of Replacement EHR Market Study," the most recent in a series of Black Book™ strategic industry reports focused on the healthcare technology market. The study is a follow up assessment on the status of electronic health record users, all of which indicated deal-breaking dissatisfaction with the current vendor, termed the "Year of the Great EHR Switch" in a previous Black Book poll.
Open Positions in Healthcare Usability with The Usability People
We are actively seeking talented UX professionals to join our growing team.
Can you create user interface designs, prototypes and specifications across multiple platforms? Or can you design and conduct usability tests at various stages of development process, analyze results of tests and make thoughtful and actionable recommendations to improve design and function?
User-Centered Design: Helping users become Effective, Efficient, and Satisfied
We recommend that EHR vendors follow the ISO 9241-11 standard. ISO-9241 Part 11: (1998) pertains to the extent to which a product can be used by specified users to achieve specified goals with Effectiveness (Task completion by users), Efficiency (Task on time) and Satisfaction (responded by user in term of experience) in a specified context of use (users, tasks, equipment & environments).
The Office of the National Coordinator for Health Information Technology (ONC) has released a set of new certification and meaningful use requirements for electronic health records (EHRs). These require that EHR vendors include evidence of user-centered design and user test results in their certification submission. To be able to obtain the ONC certification (and meaningful use funding for their customers) EHR vendors must follow a formal User Centered Design (UCD) process and perform summative usability testing on specific areas of the product.
The new mark for certified electronic health records technology was unveiled Wednesday and will appear on EHR products that have been certified by an ONC-Authorized Certification Body, indicating that the product meets the 2014 Edition Standards and Certification Criteria.
Eligible professionals and hospitals must demonstrate meaningful use of EHR technology that has been certified under the ONC Health Information Technology Certification Program to qualify for Medicare and Medicaid EHR incentive payments.
In an effort to align the clinical quality measures used within the EHR Incentive Program with the goals of CMS and the Department of Health and Human Services, the National Quality Strategy (NQS), and recommendations from the Health Information Technology Policy Committee, each clinical quality measure has been assessed against six domains based on the NQS’s six priorities.
We found an article at KevinMD written by a cardiologist named David Mokotoff.
This article is a great read for gaining the perspective of an doctor that has had to deal with a number of the issues (mostly usability based) with some of the EHR systems he has been required to use. His frustration with the status quo is evidence that things need to change. EHR Vendors need to understand their end-users and establish a User-centered design approach.
In a recent article written by the American College of Physicians, Yul Ejnes suggests that although English is the first language of Medicine, it has become the second language of EHRs.
"How and why did this happen? Most of it stems from the morphing of the medical record from a clinical tool to an audit and billing tool. The focus is no longer on capturing the patient’s history, examination, test results, and the physician’s thought process. Instead, today’s goal is to record as many things that were said or done as one can in order to justify the highest billing code, meet the performance measure, earn a high quality score, and lawyer-proof the record – and to do so in as little time as possible."
More than 50,000 healthcare IT jobs have sprouted since passing the HITECH Act, and the Bureau of Labor Statistics estimates they’ll grow by 20 percent from 2008 to 2018 – much faster than all remaining US occupations per industry. A Center for Disease Control and Prevention (CDC) report reflecting the doubling of EHR adoption among physicians in two years from 17 to 34 percent. The rate of adoption among primary care doctors also increased significantly, from 20 to 39 percent.
They should be also looking for usability help, not outside engineering-centric developers!
Electronic health record (EHR) companies are beginning to partner with outside software developers to help them ramp up new applications for care management, population health management and patient engagement. Athenahealth, Allscripts, and eClinicalWorks (eCW) all are placing big bets on this approach, although eCW is tilting more toward mobile health apps than the other two vendors are.
The Usability People would welcome the opportunity to work with you on improving the Usability of Healthcare IT.
For expert Safety-enhanced Design (aka Usability) evaluation of your EHR: contact The Usability People
Together we may save a life! #SafeHealthIT