Component 7: Working with HIT Systems Unit 5 – Part 2: Fundamentals of Usability in HIT Systems – What Does It Matter? This material was developed by Johns.

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Component 7: Working with HIT Systems Unit 5 – Part 2: Fundamentals of Usability in HIT Systems – What Does It Matter? This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC Unit 5

What Happens? User satisfaction declines & frustration increases Increase resistance – failure to adopt Workarounds Unintended consequences Component 7/Unit 52 Health IT Workforce Curriculum Version 2.0/Spring 2011

Examples of Poor HIT Usability Overly cluttered Poor use of screen space Inconsistency in design Unsortable lists Hard to read or annotate Lack of safeguards Not intuitive Component 7/Unit 53 Health IT Workforce Curriculum Version 2.0/Spring 2011

Component 7/Unit 54 Health IT Workforce Curriculum Version 2.0/Spring 2011 Examples of Poor HIT Usability

Why It Matters HIT intent is to increase ease of use, safety, efficiency and reduce error Increasing pressure Rushing towards meaningful use “Quicker and Sicker” The “Graying of America” Component 7/Unit 55 Health IT Workforce Curriculum Version 2.0/Spring 2011

Strategies for Bottlenecks Know your user Educate Assure easy access to workstations/devices Advocate for integrated systems Prepare for process change & learning curves Systems must support entire care team Component 7/Unit 56 Health IT Workforce Curriculum Version 2.0/Spring 2011 Image Source:

Component 7/Unit 57 Health IT Workforce Curriculum Version 2.0/Spring 2011 Einstein

Reviewing the Objectives Define usability and its relationship to HIT systems. Explain the impact of HIT usability on user satisfaction, adoption, and workarounds including error rates and unintended consequences. Provide alternatives to HIT usability bottlenecks. Component 7/Unit 58 Health IT Workforce Curriculum Version 2.0/Spring 2011

Thank you Component 7/Unit 59 Health IT Workforce Curriculum Version 2.0/Spring 2011 This completes Unit 5 Image Source:

References Ergonomic Requirements for Office Work with Visual Display Terminals (VDTs) – Part 11 Guidance on Usability. ISO/IEC :1998 (E). Geneva, Switzerland Guappone KP, Ash JS, Sittig DF. Field Evaluation of Commercial Computerized Provider Order Entry Systems in Community Hospitals. AMIA Annu Symp Proc Available from: Koppel R, Wetterneck T, Telles JL. Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Jour Amer Med Inform Assoc. 2008; 15(4): Available from: Campell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. Computerized Provider Order Entry Adoption: Implications for Clinical Workflow. J Gen Intern Med. 2009; 24(1) Available from: HIMSS EHR Usability Task Force. Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating Available from: Usability Basics. Available from: Component 7/Unit 5 Health IT Workforce Curriculum Version 2.0/Spring