Certification/Adoption Workgroup EHR Usability Hearing – April 21, 2011 Letter to the National Coordinator June 8, 2011 Marc Probst, Co-Chair Larry Wolf,

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Certification/Adoption Workgroup EHR Usability Hearing – April 21, 2011 Letter to the National Coordinator June 8, 2011 Marc Probst, Co-Chair Larry Wolf, Member

1 Certification and Adoption Workgroup Paul Egerman, Co-Chair, Software Entrepreneur Mark Probst, Co-Chair, Chief Information Officer, Intermountain Healthcare Joan S. Ash, Ph.D., Professor and Vice-Chair, Dept. of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR Rick Chapman, Executive Vice President, Chief Information Officer, Chief Administrative Officer, Kindred Healthcare Adam Clark, FasterCures Steve Downs, Robert Wood Johnson Foundation Carl Dvorak, Executive Vice President, Epic Systems Joe Heyman, MD, Chair, National Physician Advisory Board, OptumInsight (formerly Ingenix) George Hripcsak, Columbia University Charles D. Kennedy, MD, MBA, Vice President Health Information Technology, WellPoint Donald W. Rucker, MD, Vice President, Chief Medical Officer, Siemens Healthcare USA Latanya Sweeney, Carnegie-Mellon Micky Tripathi, Massachusetts eHealth Collaborative Scott White, SEIU Larry Wolf, Health IT Strategist, Kindred Healthcare

2 EHR Usability – Letter to ONC Summary of the hearing Suggestions, not recommendations Multiple interrelated factors EHR usability is a community journey

3 EHR Usability Hearing – April 21, 2011 Hearing Panels Care Providers Consumers Technology Developers Usabilility Researchers Market Feedback and New Technologies Federal Advisory Committee Blog Public Comments

4 ISO Definition Usability is "the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency, and satisfaction in a specified context of use."

5 Usability Outcomes and Attributes Desired outcomes of improved usability For example: –Increased safety –Reduced cost –Lower frustration Attributes of usability For example: –Appearance –Workflow –Accuracy –Access to data

6 Key Usability Issues/Concepts 1.Multiplicity of Systems 2.Role of Standards or Guidelines 3.Patient-Physician Interaction 4.Cognitive Load 5.Abilities and Disabilities 6.System Configuration 7.Impact of Regulation on Usability, and Testing and Measuring Usability

7 Moving Forward – Study and Action EHR usability is important –Successful adoption –Patient safety Identification of key use cases Context for measuring usability Guidelines for providers Effect of regulations