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May 11, 2011 Marc Probst, Co-Chair Larry Wolf, Member

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

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May 11, 2011 Marc Probst, Co-Chair Larry Wolf, Member

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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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)

  8. 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

  9. 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

  10. 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

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

  12. 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

  13. 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

  14. FACA Blog 34 comments Consistent with the testimony at the hearing

  15. 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

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

  17. Appendix

  18. 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 http://www.nist.gov/itl/hit/upload/Guide_Final_Publication_Version.pdf

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