Design Thinking: 5 Steps to Healthy Healthcare Apps March 3, 2016 Lorraine Chapman Sr. Director of Healthcare Macadamian Jeff Belden MD Professor University of Missouri
Conflict of Interest Lorraine Chapman Has no real or apparent conflicts of interest to report. Jeff Belden MD Has no real or apparent conflicts of interest to report.
Agenda What is Design Thinking? Five Principles of Design Thinking (with examples) Learn Define Ideate Build Iterate
Learning Objectives Describe 5 easy steps to incorporate UX best practices into your product development processes Discuss rationale for including UX processes in any Healthcare product design State common design research methods and activities that go into the creation of usable products
Introduction: How Benefits Were Realized for the Value of Health IT Satisfaction Savings Treatment / Clinical Improve support for collaborative decsion making to achieve BP treatment goals. Patient Engagement and Population Management Improve ease of use of BP trend display via the patient portal. Electronic Secure Data Incorporate patient-generated home BP measurement into the display of BP data and treatment decisions.
Who are we? Lorraine Chapman Lorraine is Sr. Director of Healthcare at Macadamian. She has been practicing in user experience design for more than 18 years. She plays a pivotal role harmonizing end user needs, client expectations, and current technology. Her ability to grasp the subtle dynamics of a requirement enables her to provide solid business direction to medical information tool providers, electronic medical record vendors and digital health companies. Lorraine s expertize delivering people-centered solutions makes her a sought after speaker and presenter. Lorraine embodies Macadamian s commitment to solving big-picture problems for all the stakeholders in our clients projects. Highly engaged in the healthcare industry, Lorraine has authored and contributed to countless articles, whitepapers and events on the topics of user experience in healthcare, and in 2014 she was appointed chair of the HIMSS HIT User Experience Committee.
Who are we? Dr. Jeff Belden Jeff Belden MD is a family physician and Professor at the University of Missouri Columbia. He works on EHR innovation projects at the Tiger Institute, a technology collaborative between the University of Missouri and Cerner Corporation. He is the Founding and Former Chair of the HIMSS EMR Usability Task Force and a current member of the HIMSS HIT User Experience Community. Belden was lead author of Inspired EHRs: Designing for Clinicians, a guide for EHR usability, online at inspiredehrs.org. He has a special interest in improving the EHR user experience, and in the visual display of information. He delights in working with a small team, a sketchbook, and a whiteboard. His past experiences in photography, filmmaking, layout and design, typography, and consulting in healthcare software design inform his approach to usercentered design thinking.
What is Design Thinking?
Edison made it [innovation] a profession that blended art, craft, science, business savvy, and an astute understanding of customers and markets. Tim Brown (CEO IDEO) Tim Brown https://hbr.org/2008/06/design-thinking
Design thinking is a lineal descendant of that tradition. Put simply, it is a discipline that uses the designer s sensibility and methods to match people s needs with what is technologically feasible and what a viable business strategy can convert into customer value and market opportunity. Tim Brown (CEO IDEO) Tim Brown https://hbr.org/2008/06/design-thinking
1. Define the problem 2. Create & consider many options 3. Refine selected directions 4. Pick the winner, execute Fast Company http://www.fastcompany.com/919258/design-thinking-what
Intersection for Innovation Business Where magic happens Experience Technology
Five Principles of Design Thinking Learn Iterate Define Build Ideate
Learn Empathize with the user, customer, client. Listen, observe and engage with them. Understand their desires, needs, challenges and problems.
Ask the right questions to get the right answers Questionnaires Focus groups Interviews Observation Contextual inquiry More research Timeline Events or activities Phases Related information Touchpoints Relative highs & lows Pain points and opportunities
Project: Better IT Tools To Display Home & Office BP Support collaborative (patient-provider) treatment decisions Foster patient engagement in treatment actions Understand BP in context of medication and lifestyle changes. Achieve better BP control
Observations In video-recorded visits, family physicians shared: Graphs Numbers Blood Pressure 11/05/ 2015 8/14/ 2015 2/28/ 2015 3/10/ 2014 136/87 146/93 151/96 162/98 90 % of time 10 % of time
Artifacts Patients recorded home BPs range from Very Detailed
Artifacts to Very Unstructured
Artifacts Current BP graph examples
Artifacts Coming soon Rivers of data: Cuff downloads, HIE dumps, more
Personas
Define Key stakeholder alignment and collaboration. Define your value proposition.
Define Visualize your value proposition with storyboards
Define Visualize your value proposition with high level workflows
BP Project Aim What do patient & physician need regarding clinic & home BPs? Design display for both for better informed, shared decisions. Can we summarize trend data?
Ideate Generate many, many ideas!
Ideate Visualize your ideas with usage scenarios, concepts and evolving design
Ideate Visualize your ideas with workflows and sketches
Ideate Make lots of sketches, so you can discard most of them.
Ideate Refine ideas that pose problems.
Ideate Refine concepts and compare options.
Build Prototype to verify with your users and stakeholders Validate requirements and design direction Do this iteratively throughout the entire process. Objective Researcher & Real User
Build
Build. Prototype to verify with your users, customers, clients and stakeholders ISSUE: Some of the participants wanted the Details panel to update depending on the context (e.g. no Onset if they are in Physical Exam ). QUOTE: I'm not sure if that belongs in the Physical Exam but rather in the History. The fact that he has been having neck pain for one month is in the History. This could be context relevant details a lot of these things are more appropriate to the history than the physical. KUDOS: To add the detail severe to the finding, most of the participants hinted at free texting. However, some indicated they would do this by tapping on Add text. NOTE: All of the participants indicated that most of the findings they would like to include in the final note should already be available in the template as un-entered findings (i.e. so that they do not have to add other findings). QUOTE: I think this seems to be a simple way to enter these phrases, so I think the key is having the necessary phrases in the list. That s going to be a success factor.
Lessons Learned from Patients
Lessons Learned from Patients
Lessons Learned from Physicians
Lessons Learned from Physicians
Five Principled of Design Thinking
Key Takeaways Talk to your users (both internal and external) to find out how you can help them Co-create to find solutions to users problems & opportunities to improve experiences Validate potential solutions with your users Refine the solution and build a prototype Test the prototype with users
Key Takeaways The key to great design solutions is iterating on the design and collecting user feedback throughout the whole cycle and not just at the end.
Summary: How Benefits Were Realized for the Value of Health IT Satisfaction Savings Treatment / Clinical Improve support for collaborative decsion making to achieve BP treatment goals. Patient Engagement and Population Management Improve ease of use of BP trend display via the patient portal. Electronic Secure Data Incorporate patient-generated home BP measurement into the display of BP data and treatment decisions.
Questions Jeff Belden MD beldenj@missouri.edu Twitter: jeffbelden LinkedIn: jeffbelden inspiredehrs.org Lorraine Chapman, Sr. Director of Healthcare lorraine@macadamian.com Twitter:@lorchapman LinkedIn: http://ca.linkedin.com/in/lorrainechapmanottawa
Thank you.