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This thing reads like stereo instructions: Designing experiences for humans in healthcare management.

Krishna Brown
November 07, 2013

This thing reads like stereo instructions: Designing experiences for humans in healthcare management.

Talk hosted by Austin's UXP association Nov 14, 2013

Krishna Brown

November 07, 2013
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Transcript

  1. we all agree... 1. peek into enterprise 
 services/tools 


    2. bulletpoint your eyeballs with healthcare business trends
 3. gawk at daunting + challenging data
 4. offer a tactic or two for you to consider in your designs for healthcare apps
 this talk will...
  2. what is an “enterprise” service? This service (can be in

    the form of a tool/app) may only come to mind when it is in your way or it is taken away.
  3. “Geographical and Temporal Perimeters. Functional perimeters vary from manifestation to

    manifestation.” This is going to take some time. i hate this. can you give me the basics? are we halfway to heaven or halfway to hell? how long is this going to last? i don't see anything about heaven or hell. this book reads like stereo instructions.
  4. though we may build tools intent to help people do

    their jobs, must realize it is not those folks’ job to use the tool. It is also possible we are not helping them.
  5. what is going on in healthcare? A lot. good and

    bad. particularly for this narrative. lets look at the following…
  6. what is going on in healthcare? 95% As an executive

    of a hospital, your margins/profits were always slim if they existed at all. And now 95% percentage of primary care physicians reporting that patients rationing or forgoing medications, treatments due to financial concerns. Less volume. Employers are treating employee health insurance more like a 401K than a pension. More people are (having to) choosing high-deductible health care. (leads to the dwindling volumes). 401k Price is often invisible to you and your doctor. $?$ Healthcare is being retailed. Your competitors are the likes of Walgreens, CVS, Wal-mart with in-store clinics “on every corner”. !!!
  7. Doctors performance is judged by a wider range of performance

    metrics, metrics they often do not trust. Healthcare organizations often deal with technologies that compromise productivity. General “healthcare reform” burnout. ? what is going on in healthcare? ! … as in any place there are cultural/organizational issues (ie trust), along with disparate tools/IT systems that can aggravate this environment. *
  8. what is going on in healthcare? A lot. Like any

    of us the healthcare workers just want to do their jobs. All of these outside pressures build up and become unnecessary distractions that lead to burn out. This happens anywhere, everywhere. Yet, with healthcare, dealing with people’s mortality, there is a lot more at stake.
  9. “Building a data-driven enterprise” with Lindsay Conway, Practice Manager, IT

    Strategy Council! ! Lindsay Conway explains the inherent challenges in data aggregation and analysis and provides insight for maximizing the integration of data in decision making. The Advisory Board Company
  10. We gots Hellabytes* of data y’all! As in helluva lot

    of data. * hellabyte, term coined by MIT’s Andrew McAfee
  11. “Big data is the belief that any sufficiently large pile

    of shit contains a pony.” @grimmelman
  12. more tables, more menus, more tabs, more buttons, more views,

    more lists, more digging, more replicates, more controls, more time,! more rows, more choices, more tables of tables and lists of lists, etc… more stuff to have to use, understand. FEATURES! data turns into… (an episode of hoarders)
  13. David Crockett, Ph.D. Senior Director of Research and Predictive Analytics

    at Health Catalyst Don’t trade utility For the Big Data Hype. With so much hype surrounding market buzzwords such as Big Data and Predictive Analytics, it can be daunting for healthcare organizations to sort through all the noise in this space.!
  14. Fred N Pelzman, MD “Control-Alt-Delete. User Name. Password. Double click

    on the icon to load the electronic health record (EHR). User Name again. Password again. Schedule. In- basket. Results. Patient Calls. Rx Requests. And that is just to get started. 
 Before I finish my first cup of coffee.”
  15. “I don’t even bother checking the results anymore. I just

    quietly push the reports under my pile of unread journals, phone messages, insurance forms, and prior authorizations.” In Quality Measures and the Individual Physician, Danielle Ofri, MD, PhD, questions the usefulness of feedback report cards for individual providers.
  16. We need to move towards making all this technology work

    for us instead of making more work for us. Fred N Pelzman, MD If all this clicking could somehow become useful, allow us to do more doctoring, lead to better outcomes, people might be less opposed to how crazy it makes our day.
  17. A crash course on 'health care jargon’ ! over 1,000

    healthcare professionals attended July 2013
  18. hauls out cognitive overload. Design (plan for) experiences that cannibalize

    systems. eliminates redundancy. is not greedy and needy. removes hype and fluff. blasts puffery. is ok with no UI at all. will delete features. does not get in people’s way.
  19. Producing beautiful software is not a goal. vs. Solving complex

    technical problems is not a goal. Add revenue. Reduce costs. Those are your only goals. Writing bug-free code is not a goal. Using sexy programming languages is not a goal.
  20. an inventory of activity and systems 1. activity-app audit. 2.

    cognitive budget. usage/attention per session, per moment, per day
  21. “Geographical and Temporal Perimeters. Functional perimeters vary from manifestation to

    manifestation.” This is going to take some time. i hate this. can you give me the basics? are we halfway to heaven or halfway to hell? how long is this going to last? i don't see anything about heaven or hell. this book reads like stereo instructions.