Certification/Adoption Workgroup EHR Usability Hearing – April 21, 2011 Report to the HIT Policy Committee May 11, 2011 Marc Probst, Co-Chair Larry Wolf,

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Presentation transcript:

Certification/Adoption Workgroup EHR Usability Hearing – April 21, 2011 Report to the HIT Policy Committee May 11, 2011 Marc Probst, Co-Chair Larry Wolf, Member

EHR Usability Hearing Purpose of hearing –Real-life experience with EHR’s –Current state of usability testing –Potential future directions Panels –Care Providers –Consumers –Technology Developers –Measuring and Improving Usability –Market Feedback and New Technologies FACA Blog –Public Comments

Farzad Mostashari, National Coordinator – Opening Comments Improve transparency on usability Technology that fully supports care Identify and address potential safety issues Enable constructive innovation Flexible and rigorous options for usability evaluation

Panel 1: Care Providers - Panelists Moderator: Joseph Heyman Christine A. Sinsky, MD Stanley F. Wainapel, MD, Montefiore Medical Center Chantal Worzala, American Hospital Association Nancy Staggers, PhD, RN, University of Maryland Abel Kho, MD, Northwestern University

Panel 1: Care Providers - Highlights Time is precious Cognitive load including disabilities Collaborative Care Complexity –Feedback loops –Multi-vendor / multi-systems –Switching cost –Care complexities Not just about the user interface

Panel 2: Consumers - Panelists Moderator: Larry Wolf Beth Morrow, Director of HIT, Children’s Partnership Dave deBronkart, e-patient Dave Jennifer Simpson, American Association for People With Disabilities Eva Powell, National Partnership for Women and Families

Panel 2: Consumers - Highlights Meet the information needs of the consumer Collaborative care – role of the consumer Privacy and security Consumer expectations on the rise Use caution when repurposing data (Coding for care is different from coding for billing)

Panel 3: Technology Developers - Panelists Moderator: Marc Probst Carl Dvorak, EPIC Jacob Reider, Allscripts Mary Kate Foley, VP User Experience & Lauren Zack, Director Usability, AthenaHealth Maureen Ladouceur, VP, Clinical Solutions, Vocollect Health Care Bill Hashmat, CIO, CureMD

Panel 3: Technology Developers - Highlights Usability is important Assessing usability is part of development Local customization/Implementation Assess usability in context after implementation Regulation – spectrum of views

Panel 4: Measuring & Improving Usability - Panelists Moderator: Charles Kennedy Dr. Jiajie Zhang, University of Texas Houston Lana Lowry, NIST Ben Shneiderman, University of Maryland Ross Koppel, University of Pennsylvania Bakul Patel, Food and Drug Administration

Panel 4: Measuring & Improving Usability - Highlights Science of usability testing An abstract framework for assessing usability – process + technical evaluation

Panel 5: Options around Usability - Panelists Moderator: Charles Friedman, ONC Karen Bell, CCHIT Mike Smith, General Manager, Financial & Services Research, KLAS Doug Solomon, IDEO David Kreda, Harvard/Boston Children’s

Panel 5: Options around Usability - Highlights Current testing and feedback – CCHIT & KLAS –Coarse grained model –Public reporting One size cannot possibly not fit all Importance of design Experimental design options

FACA Blog 34 comments Consistent with the testimony at the hearing

Overall Summary Usability is in the eyes of the beholder Combination of many factors Heard a variety of frustrations Need to access data that’s meaningful Differences between panels on what can be measured Need to share best practices Usability is a community journey

Next Steps Develop written letter to ONC Workgroup meeting: May 2011 Letter to ONC: June 2011 Policy Committee Meeting NIST Workshop: June 7, 2011

Appendix

NIST EHR Usability Protocol NIST Guide to the Processes Approach for Improving the Usability of Electronic Health Records – NISTIR 7741 – November 2010 Appendix A: Guide to Completing the Customized Common Industry Format Template for Electronic Health Record Usability Testing ersion.pdf