Usability and Patient-centered Design Technology Bennett Lauber, Chief Experience Officer July 31, 2018 @HISA_HIC #HIC18
The Selfie Contest #HIC18 #WeAreHealthInformatics @HISA_HIC #HIC18
Agenda • Usability • (Bad) Usability in the news • Alfred Hitchcock, The Beatles and Pink Floyd? • A few Health IT Examples • The Myth of “Too many clicks” • Health IT is growing exponentially • What’s the solution? @HISA_HIC #HIC18
The official ISO 9241-11 definition of 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.” @HISA_HIC #HIC18
Usability is the new black! • Robert Fabricant (Jan 7, 2013) calls User Experience “The new Black” borrowing the term from the fashion industry. Fabricant says “The recognition of UX’s importance seems to be slowly sinking into corporate culture.” @HISA_HIC #HIC18
How Bad UX Killed Jenny @HISA_HIC #HIC18
Joint Commission Sentinel Alert 54 • https://www.jointcommission.org/sea_issue_54/ @HISA_HIC #HIC18
(Bad) HealthIT Usability is in the news… @HISA_HIC #HIC18
Published research about bad UX “The variability in time, clicks, and error rates highlights the need for improved implementation optimization. EHR implementation, in addition to vendor design and development, is critical to usable and safe products” @HISA_HIC #HIC18
UX in Healthcare IT is too far behind! The user experiences associated with Healthcare IT are about 5-10 years behind Enterprise technology, and Enterprise technology is about 5-10 years behind consumer technology What can be done? @HISA_HIC #HIC18
Alfred Hitchcock • Hitchcock fully understood the technology used to present his films in theaters. • He made specific directed modifications to the overall production to better match the technology of the final presentation to his audience in the theaters. @HISA_HIC #HIC18
The Early Beatles I'm a big fan, but although the writing, music and lyrics of these songs are excellent, the early Beatles didn’t fully understand the power of stereo recording. They presented the final mix of the song with the drums on one side, guitar on the the other, bass on both, etc. Sure the stereo recording technology was limited, but the engineers at the time didn’t understand how to fully take advantage of the recording equipment. By Source, Fair use, https://en.wikipedia.org/w/index.php?curid=1163220 “She loves you, Yeah, Yeah Yeah!” @HISA_HIC #HIC18
Pink Floyd Compare the early Beatles to Pink Floyd’s “Dark side of the moon,” where in 1972 the engineers completely understood and exploited the recording technology to produce a rock masterpiece that is still at the top of the Billboard charts. By Hipgnosis - https://fi.wikipedia.org/w/index.php?curid=60234 “Any Colour you like” @HISA_HIC #HIC18
Modern “Music” • My 12 year old daughters are into “K - Pop” • The ‘band’ members do not play any instruments! “ 붐바야 '( BOOMBAYAH)” @HISA_HIC #HIC18
Health IT? • Health IT is like the early Beatles. There are some really great applications out there, and in theory they should help to improve the lives of those that use them. • In practice, there are a number of fundamental flaws that stem from not fully understanding the power of the technology that is used to present solutions to doctors and patients. • We need to be more like Alfred Hitchcock, Pink Floyd and The (later) Beatles. (and not like K-pop) @HISA_HIC #HIC18
Some EHR Examples: Two very different ways to Enter blood pressure: @HISA_HIC #HIC18
The Myth of Too Many Clicks? @HISA_HIC #HIC18
It isn’t a click, it is a decision The above are some screen-shots from a system we tested in August, 2014 that received a 29/100 on the System Usability Scale (SUS). This is a screenshot from a major CMS vendor. What exactly does clicking on “OK” do? @HISA_HIC #HIC18
Exponential growth of Health IT We are currently at the “elbow” of an exponential growth curve of mobile, connected applications. For $199.00, the AliveCor Heart Monitor turns your iPhone into an ECG @HISA_HIC #HIC18
Samples from the Exhibit Hall Location Awareness @HISA_HIC #HIC18
Samples from the Exhibit Hall Portable and TeleHealth Solutions @HISA_HIC #HIC18
Samples from the Exhibit Hall Connected Sensors @HISA_HIC #HIC18
The Internet of Medical Things! A report by Allied Market Research predicts that the IoT healthcare market will reach $136.8 billion worldwide by 2021. TomTom Spark Cardio + Music, GPS Fitness Watch + Heart Rate Monitor + 3GB Music Storage @HISA_HIC #HIC18
IoMT Development Kit! There is even a development platform for medical devices and eHealth applications. You can use it to develop eHealth web applications or even to add your own sensors and build new medical devices. The Kit includes 17 sensors which can be used to monitor more than 20 biometric parameters. All the data is encrypted and sent to the user's private account through WiFi or Bluetooth. The data can be then visualized in a tablet or smart phone with Android or iPhone Apps. @HISA_HIC #HIC18
Lots of tech, what’s the solution? For a mobile HealthIT application to be successfully in this new world, it needs to fully embrace the connected mobile technology. Powered by a ubiquitous high speed network, that connects to a light weight, vibrating, touch screen, a GPS, an accelerometer, camera, with a speakerphone and microphone. It is a Bluetooth enabled device that can connect to a plethora of sensors, has serious amounts of computing power and data storage. It has full access to Cloud-based Artificial Intelligence, Business Process Modeling and Enterprise Social Networks. BUT... How do we solve the Usability problem? @HISA_HIC #HIC18
The “Human Factor” Despite the rise in the capacity and number of technological devices, The capacity of the human brain to process information has remained the same. The field of psychology, especially cognitive psychology has, among other things, focused on understanding the processes by which we store information, make decisions, and communicate with others. @HISA_HIC #HIC18
Jean Piaget Piaget used the terms Assimilation and Accommodation to describe how we process and adapt schema to new situations. Assimilation occurs when you can take an existing mental structure and incorporate it into a new event. Accommodation occurs when you must change your mental structure in order to understand and incorporate a new event. @HISA_HIC #HIC18
The Future of Healthcare is easy to use! • There is a lot of great technology that we can exploit to make the doctor and patient experience better and safer. Make sure that you don’t use technology for technology’s sake. We do not want to be like the early websites that had a fancy flash introduction — of which most of us just clicked on “SKIP.” We can’t forget about the “Human Factor” and must design to match the mental model and workflow of real users! @HISA_HIC #HIC18
More information: http://www.HealthcareUsability.com http://www.usability.gov/ Follow us on Twitter: @UsabilityPeople @HISA_HIC #HIC18
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