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DESIGNING FOR ADOPTION

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  1. DESIGNING FOR ADOPTION Lena Mamykina, Lauren Wilcox, David Vawdrey Daniel Stein, Sarah Collins, Stewin Camargo Matt Fred, George Hripcsak, Steven Feiner A Living Laboratory for Health IT

  2. Outline • Background • Innovation Cycle • Project Overviews • Insights to Share

  3. NewYork-Presbyterian Health Care System (NYP) • NYP • 2 Academic Medical Centers (Columbia & Cornell) • Multiple inpatient and outpatient sites • 2,242 patient beds • 111,764 discharges annually • Ranked among America’s Best Hospitals by U.S.News

  4. Health IT - HCI Engagement Research and Development Deployment Evaluation Formative studies User-centered design Prototype Commercial Product Fixes Features Evaluation studies

  5. Living Laboratory Research and Development Deployment Evaluation Academic Medical Center

  6. Computerized Unified Patient Information Device (CUPID) Including cardiology patients and their loved ones as part of the inpatient care team • Design and development of bedside technology facilitating patient views into the EHR, medications, care team info

  7. Computerized Unified Patient Information Device (CUPID)

  8. Medication Reconciliation Achieving effective medication reconciliation across care settings

  9. Medication Reconciliation • We implemented an electronic process using our commercial EHR and improved documentation of medication reconciliation at hospital admission (forthcoming paper)

  10. Next-Generation Electronic Documentation Improving electronic documentation tools and assessing their use • SmartPaste

  11. Next-Generation Electronic Documentation Improving electronic documentation tools and assessing their use • activeNotes

  12. Task management Supporting collaborative management of tasks and interdisciplinary patient care goals

  13. Push notification

  14. Design Challenges/Opportunities • Ongoing access to domain experts • Balancing innovation and familiarity • Technological ecosystem

  15. Implementation Challenges • Integration with outdates or proprietary technology • Conforming to standards • Protective overall ecosystem

  16. Evaluation Challenges/Opportunities • Possibility to study long-term adoption • Complex study designs • Evaluation metrics

  17. T H A N K Y O U !