Microsoft Health Common User Interface

1. Microsoft Health Common User Interface Andrew Kirby Director, Healthcare Solutions Microsoft Services

2. Agenda • Microsoft in Health • Patient Safety Challenges • The Patient Safety Principles Driving MSCUI • Delivery Roadmap Review • Examples of MSCUI in Use • Call to Action • Q&A

4. The UK NHS CUI Programme • A Microsoft funded collaboration with the National Health Service • A five year programme that started in 2004 and is focused on helping the NHS: • Increase patient safety • Increase clinician effectiveness • Increase the ease of adoption & relevance of Microsoft Windows and Microsoft Office to the NHS

5. What is MSCUI ? Accelerated Development of Safe, Compelling Clinical User Experiences Safer, Compelling, Clinical UI Common Controls & Samples Designer & Developer Innovation Clinical UI Guidelines • For Designers, Application Developers and Patient Safety professionals • Provides rigorously researched and tested UI Guidelines • Provide pre-built .NET controls and samples • Enables the community to guide on-going development of guidelines and controls

6. MSCUI, The First 12 Months • Over 275,000 visitors to www.mscui.net and over 27,000 design documents downloaded • Over 13,000 toolkit downloads from www.codeplex.com/mscui • Four updates to MSCUI adding new guidance, controls and demonstrators • Patient Journey Demonstrator won best Silverlight 2 application award • Active adoption and deployment by over 20 Healthcare software companies worldwide

7. Microsoft Health Common User Interface DEMO of WWW.MSCUI.NET

8. Microsoft Health Common User Interface Patient Safety challenges

9. Patient Safety and IT • UK National Audit Office, 2005 www.nao.org.uk • 900,000 patient safety incidents per year, 8% result in death • $4bn per year extra cost in bed days • After falls it is medication errors, record documentation error and communication failure that are the most common cause • IT can reduce these errors by 53% - 83% • Centers for Medicare and Medicaid Services • US National Health spending up to $1.9T in 2004 or $6,280/person, up 7.9% to 16% of GDP • Institute of Medicine (IOM) • Between 44,000 and 98,000 people die each year in the US from inpatient medical errors

10. Problems with Medical Records

11. Problems with Clinical Software • Clinicians are often required to use a disparate set of systems from multiple vendors to perform similar tasks • Lack of consistency for commonly performed and safety critical functions within and across systems • A need to increase clinician proficiency without increasing training or compromising patient safety InformationDisplay & Input Patient Administration Terminology Coding Knowledge & Decision Support Medications Management Clinical Noting CPOE 11

12. A Lack of CommonUI Elements

13. Microsoft Health Common User Interface Patient Safety Principles Driving MSCUI

14. A Foundation Of Patient Safety Patient Safety Principles • Patient Safety Principles • The correct identification of a patient and the matching of a patient to their care elements • Prevention of patient care hand-over errors and safety during transition of care • Assuring medication accuracy during the giving of care to a patient • Performance of correct procedure at correct body site Clinical Focus Areas Design Guidelines Technology

15. A Foundation Of Patient Safety Patient Safety Principles • Clinical Focus Areas • Medications • Medications Lists • Search and Prescribe • Drug Administration • Clinical Noting and Assessment • Allergies • Patient Admissions • Handover of Care and Responsibility • Single Patient Handover • Multi Patient Handover • Consistent Navigation • Icons • Form Design • Tablet PC • Patient Identification • Patient Banner (Micro) • Patient Banner Clinical Focus Areas Design Guidelines Technology

16. A Foundation Of Patient Safety Patient Safety Principles Design Guidelines Over 1100 individual guidelines already published Platform agnostic UI design guidance for healthcare application developers Guidance ranges from atomic guidance points through to complex guidance such as medications, clinical noting, charting Independently ratified and tested with clinicians, patient safety professionals and standards bodies Distributed worldwide through WWW.MSCUI.NET Clinical Focus Areas Design Guidelines Technology

17. A Foundation Of Patient Safety Patient Safety Principles Technology Facilitates adoption of Design Guidance Make it easier to embrace new presentation technologies: Windows Presentation Foundation and Silverlight 2 Takes the form of Common Controls, Samples and Demonstrators Free, downloadable installer provides binaries and source code for controls and samples Clinical Focus Areas Design Guidelines Technology

18. Design Guidance Lifecycle

19. Design Guidance Examples • Guidance covers the broad spectrum of UI interactions • All UI guidance is platform agnostic • Guidance articulates what is required, how it should be structured and how not to use the guidance • Rationale and evidence provided within each guidance document. • 1100 guidelines published

20. Control Examples Patient Banner Medications ListView

21. Microsoft Health Common User Interface Delivery Roadmap

22. Mapping Focus Areas to Principles

23. Guidance Roadmap May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Medications Medications Line Medications Medications Line Medications Medications Line Clinical Noting Admissions Clinical Noting Admissions Medications Search and Prescribe Medications Search and Prescribe Medications Search and Prescribe Clinical Noting Admissions Clinical Noting Admissions Medications Drug Administration Medications Drug Administration Medications Drug Administration Handover Multi Patient Clinical Noting GP Line Patient Identification Clinical Noting Allergies Medications Timelines Handover Responsibility Transfer Handover Care Transfer Clinical Noting Allergies Consistent Navigation Sorting and Filtering Consistent Navigation Forms and Labels Consistent Navigation Alerts & Reminders Consistent Navigation Tablet PC Clinical Noting Allergies Medications Alerts Consistent Navigation Icons

24. Controls Roadmap May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Patient Identification WPF & Silverlight Clinical Noting Controls Medications Controls Medications Controls Clinical Noting Controls Clinical Noting Controls Clinical Noting Controls Medications Controls Clinical Noting Controls Clinical Noting Controls Consistent Navigation Clinical Noting Controls Patient Identification Controls Consistent Navigation Controls Clinical Noting Controls

25. Published Controls

26. What’s New in V1.5 • Updated Delivery Roadmap and Change Record  to reflect new guidance/controls • Silverlight and WPF controls for PatientBanner, AddressLabel, ContactLabel, GenderLabel, IdentifierLabel, NameLabel • New Design Guidance for ‘Displaying Tables and Graphs’ and ‘Micro Patient Banner’ • Add PatientBanner and ContactLabel controls that now conform with Telephone Display guidance. • New sections onMSCUI.NET discussion Benefits, Core Principles, User Research, and Adoption • New MSCUI team blog • Changes to the Patient Journey Demonstrator • Incorporation of new controls in Patient Journey Demonstrator: Silverlight Patient Banner. MedsListView control • Clinical noting example used to record a consultation with SNOMED encoding medications search and prescribing. • Presence UI to all names • New measuring and annotation features in the Angiogram scenario

27. Microsoft Health Common User Interface Examples of MSCUI in Use

28. Some Companies Adopting MSCUI NHS Summary Record Application

29. Microsoft Health Common User Interface Call to Action

30. Call to Action • Engage in the community • Download and review MSCUI • Tell us what your patient safety priorities are • Tell us what your Clinical UI priorities are • Tell us how we can make the Guidance and Controls more useful for you ? • Please use the Codeplex CUI Community Project and Discussion Forums to tell us what you think

31. Resources • Health at Microsoft.com: http://www.microsoft.com/health • Health IT Industry Center: http://msdn.microsoft.com/health • Microsoft Health Common User Interface (MSCUI): http://www.mscui.net/ • MSCUI Community Project on Codeplex: http://www.codeplex.com/mscui • Microsoft NHS Resource Centre: www.microsoft.com/uk/nhs

32. Microsoft Health Common User Interface Q&A