Andrew Kirby Director, Healthcare Solutions Microsoft Services

Microsoft in Health Patient Safety Challenges The Patient Safety Principles Driving MSCUI Delivery Roadmap Review Examples of MSCUI in Use Call to Action Q&A 2

A Microsoft funded collaboration with the National Health Service A five year programme that started in 2004 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

5 For Designers, Application Developers and Patient Safety professionals Provides rigorously researched and tested UI Guidelines Provide pre-built.NET controls and samples Enables the community to guide on-going development of guidelines and controls Clinical UI Guidelines Common Controls & Samples Designer & Developer Innovation Safer, Compelling, Clinical UI Accelerated Development of Safe, Compelling Clinical User Experiences

Over 275,000 visitors to and over 27,000 design documents downloaded Over 13,000 toolkit downloads from Four updates to MSCUI adding new guidance, controls and demonstrators Patient Journey Demonstrator won best Silverlight 2 application award Active adoption and deployment by over 20 Healthcare software companies worldwide 6

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UK National Audit Office, ,000 patient safety incidents per year, 8% result in death $4bn per year extra cost in bed days After falls it is medication errors, record documentation error and communication failure that are 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 9

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Clinicians are often 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 11

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Patient Safety Principles 1.The correct identification of a patient and the matching of a patient to their care elements 2.Prevention of patient care hand-over errors and safety during transition of care 3.Assuring medication accuracy during the giving of care to a patient 4.Performance of correct procedure at correct body site 14 Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

Clinical Focus Areas 1.Medications Medications Lists Search and Prescribe Drug Administration 2.Clinical Noting and Assessment Allergies Patient Admissions 3.Handover of Care and Responsibility Single Patient Handover Multi Patient Handover 4.Consistent Navigation Icons Form Design Tablet PC 5.Patient Identification Patient Banner (Micro) Patient Banner 15 Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

Design Guidelines 1.Over 1100 individual guidelines already published 2.Platform agnostic UI design guidance for healthcare application developers 3.Guidance ranges from atomic guidance points through to complex guidance such as medications, clinical noting, charting 4.Independently ratified and tested with clinicians, patient safety professionals and standards bodies 5.Distributed worldwide through 16 Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

1.Facilitates adoption of Design Guidance 2.Make it easier to embrace new presentation technologies: Windows Presentation Foundation and Silverlight 2 3.Takes the form of Common Controls, Samples and Demonstrators 4.Free, downloadable installer provides binaries and source code for controls and samples 17 Patient Safety Principles Clinical Focus Areas Design Guidelines Technology

18 A corpus of UI design guidelines expanding over time –Does not prescribe a complete user interface –Principle focus for guidelines is safety, utility & usability, less on pixel- perfect design –Aim is to leave plenty of room for innovation during implementation 1 st stage 2 nd stage 3 rd stage

Guidance covers the broad spectrum of UI interactions All UI guidance is platform agnostic Guidance articulates what is required, how it should be structured and how not to use the guidance Rationale and evidence provided within each guidance document guidelines published 20

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Showcase MSCUI Design Guidance and Controls using the latest Microsoft technologies Not Everything is Design Guide Compliant !!! Illustrate clinician empowerment through improved UI design and context Highlight the art of the possible in terms of next generation User Experiences for clinicians Utilise Output Latest Technologies 22 Real world Clinical Scenarios

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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. 24

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 Search and Prescribe Clinical Noting Allergies Patient Identification Medications Medications Line Clinical Noting Allergies Consistent Navigation Forms and Labels Clinical Noting Admissions Clinical Noting Admissions Clinical Noting GP Line Clinical Noting Admissions Medications Medications Line Clinical Noting Admissions Consistent Navigation Sorting and Filtering Handover Multi Patient Handover Responsibility Transfer Medications Drug Administration Consistent Navigation Icons Medications Search and Prescribe Medications Drug Administration Medications Search and Prescribe Medications Drug Administration Medications Timelines Clinical Noting Allergies Handover Care Transfer Consistent Navigation Alerts & Reminders Consistent Navigation Tablet PC Medications Alerts 25 Jul 09

Clinical Noting Controls Patient Identification WPF & Silverlight Clinical Noting Controls Clinical Noting Controls Consistent Navigation Medications Controls Consistent Navigation Controls Medications Controls Clinical Noting Controls Patient Identification Controls 26 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 Jul 09 Clinical Noting Controls Clinical Noting Controls Medications Controls Clinical Noting Controls Clinical Noting Controls

MedicationsClinical Noting Consistent Navigation Patient IdentificationHandover Medications Line Medications Grid Medications Detail Look ahead / look behind Medications Grouping Patient Banner Patient Search Date Display Time Display Time Input Patient ID Display Sex / Gender Display Address Display Date Input Patient Name Display Patient Journey Demonstrator Patient Administration Primary Care Cardiac Patient Secondary Care Cardiac Patient 27

Updated Delivery Roadmap and Change Record to reflect new guidance/controls Silverlight and WPF controls for PatientBanner, AddressLabel, ContactLabel, GenderLabel, IdentifierLabel, NameLabel New Design Guidance for ‘Displaying Tables and Graphs’ and ‘Micro Patient Banner’ Add PatientBanner and ContactLabel controls that now conform with Telephone Display guidance. New sections onMSCUI.NET discussion Benefits, Core Principles, User Research, and Adoption New MSCUI team blog Changes to the Patient Journey Demonstrator Incorporation of new controls in Patient Journey Demonstrator: Silverlight Patient Banner. MedsListView control Clinical noting example used to record a consultation with SNOMED encoding medications search and prescribing. Presence UI to all names New measuring and annotation features in the Angiogram scenario 28

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NHS Summary Record Application

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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 ? Please use the Codeplex CUI Community Project and Discussion Forums to tell us what you think Codeplex CUI Community ProjectDiscussion Forums Codeplex CUI Community ProjectDiscussion Forums 32

Health at Microsoft.com: Health IT Industry Center: Microsoft Health Common User Interface (MSCUI): MSCUI Community Project on Codeplex: Microsoft NHS Resource Centre:

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