user

Please don’t air our dirty laundry!

Before running the summative usability evaluation for §170.314(g)(3) Safety-enhanced design we recommend that EHR vendors begin working with a usability expert to identify possible usability issues before they are exposed as “dirty laundry” in a formal report.

EHR usability Gap - Specified Context of Use

The efficient and effective use of Electronic Health Records are essential, as these systems are increasingly becoming a central tool for patient care.

The Health Information Technology for Economic and Clinical Health (HITECH) Act provided providers with a significant financial incentive to increase the adoption and use of EHRs. EHR vendors were required to conduct and report on a summative usability evaluation of their system as part of the Stage 2 Meaningful Use program (The ONC 2014 Edition Certification). However, a recent report funded by the Agency for Healthcare Research and Quality (AHRQ), identified several “issues” with the certified EHR vendors in the processes, practices and use of standards and best practices with regard to usability and human factors.

Patient Engagement, Usability, and Meaningful Use Stage 3

Patient Engagement

Patient engagement was a very hot topic at the recent HIMSS conference in Chicago. There was no shortage of exhibitors promoting their patient engagement tools and there were also several presentations that contained suggestions for better engaging patients. Some exhibitors that we spoke to were not aware of the proposed patient engagement rules (described below) and were very excited at the prospect of greater use of their tools.

The myth of too many clicks

We have seen a number of recent blog posts and tweets complaining about EHRs having ‘too many clicks.’ (and a great video on youtube by ZDoggMD http://zdoggmd.com/ehr-state-of-mind/ '30 clicks for an Ambien?')

A number of people have proclaimed that reducing the number of clicks in an EHR as a method to improve EHR Usability. Multiple clicks are not a deterrent to usability and user satisfaction, in fact there are many occasions where having more clicks may actually improve usability.

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