Andrew Kirby – Microsoft Corporation

Introduction to the Microsoft Health CUI The UK National Health Service and Microsoft Microsoft Health CUI In More Detail A preview of the Next release Call To Action

Microsoft Health Common User Interface

For Designers, Application Developers and Patient Safety professionals Provides rigorously researched and tested UI Guidelines Provide pre-built.NET controls and samples Extensible framework for Design Guidance and Controls Enables the community to guide on-going development of guidelines and controls Clinical UI Guidelines Common Controls & Samples ISV Innovation Safer, Compelling, Clinical UI

Microsoft Health Common User Interface

A Microsoft funded collaboration with the UK National Health Service A four year programme that started in 2005 and is focused on helping the NHS: Increase patient safety Increase clinician effectiveness Increase the ease of adoption & relevance of Microsoft Windows and Microsoft Office to the NHS

UK National Audit Office, ,000 patient safety incidents per year, 8% result in death £2bn per year extra cost in bed days After falls, medication errors, record documentation error and communication failure were the most common cause IT can reduce these errors by 53% - 83% Centers for Medicare and Medicaid Services US National Health spending up to $1.9T in 2004 or $6,280/person, up 7.9% to 16% of GDP Institute of Medicine (IOM) Between 44,000 and 98,000 people die each year in the US from inpatient medical errors

Clinicians are often currently required to use a disparate set of systems from multiple vendors to perform similar tasks Lack of consistency for commonly performed and safety critical functions within and across systems A need to increase clinician proficiency without increasing training or compromising patient safety Information Display & Input Terminology Coding CPOE Patient Administration Medications Management Knowledge & Decision Support Clinical Noting

Microsoft Health Common User Interface

Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

Patient Safety Principles The correct identification of a patient and the matching of a patient to their care elements Prevention of patient care hand- over errors and safety during transition of care Assuring medication accuracy during the giving of care to a patient Performance of correct procedure at correct body site Patient Safety Principles Clinical Focus Areas Guidelines Technology

Clinical Focus Areas Medications Medications Lists Search and Prescribe Drug Administration Clinical Noting and Assessment Allergies Patient Admissions Handover of Care and Responsibility - Single Patient Handover - Multi Patient Handover Consistent Navigation Icons Form Design Tablet PC Patient Identification Patient Banner (Micro) Patient Banner Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

Design Guidelines Platform agnostic UI design guidance for healthcare application Guidance ranges from atomic guidance points through to complex guidance such as medications Independently ratified and tested with clinicians, patient safety professionals and standards bodies Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

Facilitates adoption of Design Guidance Make it easier to embrace new presentation technologies: Windows Presentation Foundations and Silverlight 2.0 Takes the form of Common Controls, Samples and Demonstrators Downloadable installer provides binaries and source code Full IntelliSense and context- sensitive help Patient Safety Principles Clinical UI Focus Areas Design Guidelines Technology

Guidance covers the full spectrum of UI interactions. All UI guidance is platform agnostic and available from MSCUI.NET Guidance articulate what is required, how it should be structured and how not to use the guidance. Rationale and evidence provided within each guidance template.

Key Information Telephone Number Display and Input Patient ID Display and Input Sex / Gender Display and Input Address Display and Input Date Display and Input Time Display and Input Accessibility Accessibility Principles Accessibility Checklists Terminology (SNOMED CT) Terminology Matching Terminology Elaboration Terminology Display Patient Administration Patient Banner Find a Patient Medications Management Medications Views Drug Administration

Controls Date Display Time Display Time Input Patient ID Display Sex / Gender Display Address Display Date Input Patient Name Display Patient Banner Patient Search Samples Date and Time Combined (Simple) Date and Time Combined (Complex) Date and Time (Ambiguous) Input Validation Patient Banner (Data Binding) Patient Banner (CSS Styling) Patient Banner (Extending) Patient Search

Microsoft Health Common User Interface

Currently Scheduled for release in May 2008 A major update focusing on 5 key areas Move to Silverlight 2.0 and WPF for all future controls, samples and demonstrators Interactive Delivery Roadmap outlining the guidance and controls we will be developing and when New and updated design guidelines A new Medications Grid control for Silverlight 2.0 and WPF A new Patient Journey Demonstrator which showcases CUI design guidelines, controls and future UI concepts in a Silverlight 2.0 application

Patient Safety Principles Clinical Focus Areas Medications Clinical Noting Consistent Navigation Patient Identification Handover The correct identification of a patient and the matching of a patient to their care elements. Prevention of patient care hand-over errors and safety during transition of care. Assuring medication accuracy during the giving of care to a patient. Performance of correct procedure at correct body site.

Apr 08 May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Medications Medications Line Medications Medications Line Medications Search and Prescribe Medications Search and Prescribe Clinical Noting Allergies Clinical Noting Allergies Patient Identification Patient Identification Medications Medications Line Medications Medications Line Clinical Noting Allergies Clinical Noting Allergies Consistent Navigation Forms and Labels Consistent Navigation Forms and Labels Clinical Noting Admissions Clinical Noting Admissions Clinical Noting Admissions Clinical Noting Admissions Clinical Noting GP Line Clinical Noting GP Line Clinical Noting Admissions Clinical Noting Admissions Medications Medications Line Medications Medications Line Clinical Noting Admissions Clinical Noting Admissions Consistent Navigation Sorting and Filtering Consistent Navigation Sorting and Filtering Handover Multi Patient Handover Multi Patient Handover Responsibility Transfer Handover Responsibility Transfer Medications Drug Administration Medications Drug Administration Consistent Navigation Icons Consistent Navigation Icons Medications Search and Prescribe Medications Search and Prescribe Medications Drug Administration Medications Drug Administration Medications Search and Prescribe Medications Search and Prescribe Medications Drug Administration Medications Drug Administration Medications Timelines Medications Timelines Clinical Noting Allergies Clinical Noting Allergies Handover Care Transfer Handover Care Transfer Consistent Navigation Alerts & Reminders Consistent Navigation Alerts & Reminders Consistent Navigation Tablet PC Consistent Navigation Tablet PC Medications Alerts Medications Alerts This is a DRAFT Roadmap which will be baselined when MSCUI V1.3 is Released

Apr 08 May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Clinical Noting Data Comparison Clinical Noting Data Comparison Patient Identification Micro Patient Banner Patient Identification Micro Patient Banner Clinical Noting Noting Core Control Clinical Noting Noting Core Control Clinical Noting Allergy Noting Clinical Noting Allergy Noting Clinical Noting Data Annotating Clinical Noting Data Annotating Consistent Navigation Generic Grid Consistent Navigation Generic Grid Medications Medications List Medications Medications List Clinical Noting Noting Plug In Clinical Noting Noting Plug In Consistent Navigation Icons Consistent Navigation Icons Medications Search Grid Medications Search Grid Clinical Noting Comparison Plug Ins Clinical Noting Comparison Plug Ins Clinical Noting Data Comparison Clinical Noting Data Comparison Clinical Noting Allergy List Clinical Noting Allergy List Patient Identification Patient Banner (Update) Patient Identification Patient Banner (Update) Clinical Noting Noting Core Control Clinical Noting Noting Core Control Medications Medications List Medications Medications List Medications Timeline Medications Timeline Clinical Noting Comparison Plug Ins Clinical Noting Comparison Plug Ins This is a DRAFT Roadmap which will be baselined when MSCUI V1.3 is Released

Updated Guidance Date Display Medications Management – Medications Views Medications Management – Drug Administration Patient Banner New Guidance Telephone Number Input and Display Patient Name Input and Display Patient Identification Number Input and Display Address Input and Display Address Input and Display Medications Line ID Decision Support Search and Prescribe Icons and Symbology Design Advice – Alert Symbol Design Design Advice – Abbreviations and Acronyms Design Advice – Abbreviations and Acronyms in Free Text Input

Medication Details in a List

Showcase CUI Design Guidance and Controls using the latest Microsoft technologies Illustrate clinician empowerment through improved UI design and context Highlight the art of the possible in terms of next generation User Experiences for clinicians Real world clinical Scenarios

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Microsoft Health Common User Interface

Engage in the community Download and review MSCUI Tell us what your patient safety priorities are Tell us what your Clinical UI priorities are Tell us how we can make the Guidance and Controls more useful for you ? Use the Codeplex CUI Community Project and Discussion Forums to tell us what you thinkCodeplex CUI Community ProjectDiscussion Forums

Microsoft Health Industry Centre on MSDN MSDN.MICROSOFT.COM/HEALTH MSDN.MICROSOFT.COM/HEALTH Microsoft Health Common User Interface Microsoft Health CUI Community Project Microsoft NHS Resource Centre

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