1. Cardiac Catheterization Laboratory IT User Experience and Information Flow Cardiac Catheterization Laboratory IT User Experience and Information Flow Jim Heys, Yadira Ornelas, Jihyun Sun Design Workshop: Healthcare Research, Judith Gregory, PhD, Advisor Institute of Design, IIT

2. What is cardiac catheterization (Cardiac Cath)? A procedure that helps a doctor to see how the heart is working http://www.americanheart.org/presenter.jhtml?identifier=4491 Cardiologists insert a catheter into an artery in the arm or leg which leads to the heart.

3. Attending Cardiologist Cardiology Fellow Nurse(s) Technician Cath Lab Team

4. Technician Nurse(s) Cardiologist Fellow Attending Cardiologist Patient After DuringBefore Scrubs Nurse Station Storage Operating Table Operating Room Control Room PreparingPerformingConcluding

6. Information Flow in Cath Data Circulation Cath Procedure Inventory Vital Signs and Chronological Log Data Imaging System for Angiograms & others Cath Lab IT Reporting Tool Cath Lab Info. Flow images documents Data Billing and Cost Capture Hospital Information System CVIS (Cardio- Vascular Information System) Finance and Accounting Medical Record & Coding ACC Registry QA & Benchmark Clinical Research

7. Case Study

8. Field Observation (February-December, 2007) Video and photographic documentation In situ interviews Methodology

9. Instances

10. Communication

11. Double Check

12. Portable Data

13. Knock, Knock!

14. Blacking out

15. Space

16. Three is a crowd.

17. Uneasy Access

18. Information Technology

19. Printed Documents

20. Hand-written Notebook

21. GenerationManagementStorageDistribution Information Flow

22. Implications Value for Cath team (Providers) Value for patients

23. Acknowledgements  Rush Hospital, Chicago, IL  University of Chicago Hospital, Chicago, IL  GE Healthcare

24. Thank you!