Patient Portals

A patient portal is a Web-based access point that allows doctors and patients to communicate and share health information remotely, supplementing the ongoing management of the patient's care

Alfred Hitchcock (The Beatles and Pink Floyd) and the future of Health IT

In the classic Alfred Hitchcock film “Rope,” Hitchcock shot continuous scenes for periods lasting up to 10 minutes (the length of the film camera magazine), continuously panning from actor to actor. Every other segment ended by panning against or tracking into an object—such as a man's jacket blocking the entire screen, or the back of a piece of furniture.

In doing this, Hitchcock effectively masked half the cuts in the film.

Usability is the most important "ility."

The lack of usability of electronic health records (EHRs) and healthcare IT applications, in general, has been in the news again. A research report published in the Journal of the American Medical Association (JAMA) analyzed voluntary error reports associated with EHR systems and found that problems with EHR usability may have directly resulted in patient harm (Howe JL ; Adams KT ; Hettinger AZ; et al. Electronic health record usability issues and potential contribution to patient harm. JAMA. 2018; 319: 1276-1278).

Safe HealthIT SAVES LIVES!

Many EHRs really do suck, as ZDoggMD described in his very popular parody video 'EHR state of Mind'. But without some nudge towards an improved user experience many of the "less than optimal" EHRs will only get worse as they grow and Engineering-centric developers add more and more features on top of a poorly designed information architecture.

Vehicles are not allowed to be sold in the USA unless they have meet strict safety standards, why isn't this the same for EHRs?

Don't like 30 clicks to order Ambien? How about 50!

Design for the users--not the requirements

Quick thought:

Use the persona’s to create realistic use cases based upon the real user's needs that you understand based upon your research. Usability people often call these use cases “user journey maps.”

Now, when you design your app, website or software product to engage the person that has to use it every day-- around their tasks (and not merely to satisfy regulatory requirements) the end users/patients will find the information presented to be easy to understand, useful to them, and they will freely engage with your system.

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