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Saving lives and making a difference How UX techniques helped NSW Health rapidly respond to COVID-19 Aaron Cheang and Michelle Pickrell UX Australia August 2021

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2 About us Aaron Cheang Acting Director Health Prototyping Centre Michelle Pickrell Acting Senior Manager – Human Centred Design

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https://creativecommons.org/publicdomain/mark/1.0 Anablep

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4 "Move fast and break things" → "Move fast with stable infra" Photo by Alex Haney on Unsplash

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5 Prevention Vaccination clinic Clinical Management Home Monitoring and Infection Control The context NSW Health and the HCD team

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10 We serve a diverse Community 25% LIVE IN REGIONAL OR REMOTE AREAS 2.9% IDENTIFY AS ABORIGINAL OR TORRES STRAIT ISLANDER 26.5% HOUSEHOLDS WHERE A NON- ENGLISH LANGUAGE IS SPOKEN

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11 NSW Health The NSW public health system is the largest public health system in Australia. 228 public hospitals 122,000+ Staff 990,000+ Ambulance calls 18,000 people in hospital each night

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12 12 Lots of diseases 68,000+ diseases

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13 For a lifetime

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14 Photo by CDC on Unsplash

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15 Design Team HCD Team Research + Design + Evaluation Health Informatics Knowledge about clinical ICT systems and clinical practice Photo by Markus Winkler on Unsplash Photo by Markus Winkler on Unsplash

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16 Project Management Triangle Quality Cost Speed

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17 Prevention Vaccination clinic Clinical Management Home Monitoring and Infection Control The context HCD in NSW Health

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COVID Vaccination Clinic Photo by Alexandar Todov on Unsplash

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19 Field research – Pfizer vaccine

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20 Pfizer vaccine prep 1. Vaccine delivered 2. Put in deep freezer –70 deg C 3. Defrost concentrate in fridge 4. Dilute concentrate 5. Label/seal doses 6. Place in dish

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21 Service Blueprint Presentation Title Staged Journey Touchpoints Other workflows Screens

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22 HCD Team Swarming Presentation Title

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23 Sketches to Design to Implementation Concepts Design Implementation

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24 Field Research Check in Discharge Vaccination

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25 Prevention Vaccination clinic Clinical Management Home Monitoring and Infection Control The context HCD in NSW Health

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Remote home monitoring app Photo by Syed Ali on Unsplash

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28 Remote Home Monitoring – Patient view

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29 Sketches

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30 Proposed Design Implementation Proposed App Structure

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31 Current clinician view

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32 Current clinician view

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33 Process Exploration Interviews with 6 clinicians about their experience monitoring COVID patients Design UI design with a particular focus on safety and usability Testing Testing to be completed with clinicians post COVID surge

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34 Safe design Build safe, Reliable & High quality ICT Integrity Availability Security Safely Use ICT Usability Complete Use Correct Use Use Health ICT to Improve Reliability, Safety & Quality Surveillance and optimisation

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35 Safe design USABILITY SAFETY Reference: Morgan Price, Jens Weber, Paule Bellwood, Simon Diemert, Ryan Habibi, Chapter 19 - Evaluation of eHealth System Usability and Safety, Handbook of eHealthEvaluation: An Evidence-based Approach.

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Clinical Management Infection Control Design Sprint Photo by Ömer Yıldız on Unsplash

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39 Infection Control Contact Droplet Airborne

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40 Infection Control From Australian Health Facility Guidelines https://aushfg-prod-com-au.s3.amazonaws.com/download/RLS_1BR-IS-N1_4.pdf

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41 Google Ventures Design Sprint Understand Ideas Decide Prototype Test Day 1 Day 2 Day 3 Day 4 Day 5

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42 Presentation Title 11 Participants 6 Expert speakers 11 Testing participants (6 nurses, 5 doctors) 100s of ideas 15 Solution ideas 7 Key themes 6 Organisations

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43 Understand 1. Define a Goal 2. Define Constraints 3. Map User Journey 4. Consult Experts 5. Define Focus Area

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44 Ideas and Decide Scanning of Patient ID band with a smart device Projection of eMR in-room Simplified views of key eMR information Intercom between clinicians inside and outside room

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45 Storyboarding and Role Playing

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46 Prototyping and Testing Test Scenario 1 Team communication Test Scenario 2 Single clinician

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Final reflections

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48 Push Boundaries Photo by Jessica Da Rosa on Unsplash

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49 Photo by Kelli McClintock on Unsplash Have guard rails

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50 Define your quality level By British Official Histories (History of the Second World War) - http://www.ibiblio.org, Public Domain, https://commons.wikimedia.org/w/index .php?curid=6344416 Sir Robert Watson Watt Credit: Wikimedia Commons Public domain

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51 Thank you Get in contact: Aaron Cheang [email protected] Michelle Pickrell [email protected]