1. Healthcare Systems Improvement Online Job Bank Brittany Damon ● Sarah Hewes ● Heather Johnson Alison Reppy ● Thomas Stanley Design Advisor & Sponsor: Professor James Benneyan

2. Outline  Why Healthcare?  Project Overview  Design & Prototype  Human Factors & Improvements  Future Recommendations  Questions

3. Why Healthcare? Largest industry in world  $2.26T/yr on healthcare (14- 17% of US GDP, 2007)  Estimated 35% all costs are waste (4-10% increase/yr)  Need to be more efficient and provide higher quality care  26,000 attendees at HIMSS 2008 Conference Improvements needed and tools used  Waits, delays, flow, access  Efficiencies, cost reduction  Scheduling, staffing, layout  Outcomes, safety, medical error  Quality mgmt, quality, SPC  Data analysis, time studies  Lean, 6s, Toyota Production System Why Healthcare?

4.  No single society for healthcare process improvement people  Main job-finding via home-grown listserv  Anticipated growth in coop seekers and openings  Splintered profession  Healthcare executives, Nurse mgrs.  Patient safety community  Institute of Industrial Engineers  Operations research society  Healthcare Mgmt Systems Soc.  American Society for Quality  Human Factors society  Institute for HC Improvement  Society for Health Systems Project Overview Project Need

5. To provide a free service exclusively for process improvement job seekers and healthcare employers to connect within the targeted healthcare industry Project Overview Project Statement

6. Functionality  Free service  Ability to create user account  Add/delete/edit job postings  Resume content inclusion  Email communication between users  User-initiated search capabilities Server Space  Hosted on Professor Benneyan’s Website  Currently allotted 125MB on COE server for development Project Overview System & Server Requirements

7. Design & Prototype Job Bank Design

8. IterationNameFeatures 1Log in -log in -account type -basic demographics -drop-down menu search 2Profiles -display job seeker profile -display job poster profile 3Text Input -provide job seeker resume text -provide job description text 4Search-ability -provide searchability by textfield 5Communication -forgotten password communication -communication between users -communication between users and administrator On-goingAesthetics -website aesthetics -survey results -human factors exercise results Design & Prototype Phases of Design

9. Elements of the Job Bank Three main elements provide basic functionality  Graphical User Interface (GUI) - HTML  Back end database - MySQL  PHP scripting language MySQL Database PHP Graphical User Interface Design & Prototype

10. HTML Interface Design  Font type/size/color  Background  Images  Tables  Form input  Drop-down menu  Text box/field  Radio button  Check box Design & Prototype

11. MySQL Database Design

12. Searchability  Two search methods  Specific  Keyword Specific Search  Creates a query based on form inputs to search job postings  Returns relevant results to the user in a table on front end Keyword Search  Uses replacements and split functions to take user inputs and create a query  Returns results containing any common words in the job description Design & Prototype PHP Script

13. Update Table Information  Analyze content in each form element  Looks for blank elements  Identifies changes  When an element is identified as changed it is appended to a query building variable Mysql Database Interaction  The query building variable is converted to mysql syntax  This mysql query is run through the DB and updates the record Design & Prototype PHP Script

14. Design & Prototype Demonstration

15. User Preference Survey Key Features Response CategoryResponses Simplicity/Navigation/Visual Appeal58 Job description available53 Searchable by location25 Search-ability, including filters25 Quantity and quality of jobs listed24 Salary provided14 Other38 Human Factors

16. Testing  One-on-one evaluation  Task cards/Protocol analysis  Survey using Likert scale  Two phases of HF testing Customer Identification  Employer contacts  Professors  Students and peers Testing  One-on-one evaluation  Task cards/Protocol analysis  Survey using Likert scale  Two phases of HF testing Customer Identification  Employer contacts  Professors  Students and peers Human Factors Usability Testing

17. Evaluation Survey Results 1 = strongly disagree, 7 = strongly agree Human Factors

18. Initial Login Page Human Factors Example: Initial Login Page

19. Final Login Page instruct.coe.neu.edu/iehealth Human Factors

20. Functionality  Change web address  PDF upload capability  Favorite searches display  Email notifications of matching jobs or candidates  Career advice section  Mass email to relevant societies or companies Aesthetics Maintenance Functionality  Change web address  PDF upload capability  Favorite searches display  Email notifications of matching jobs or candidates  Career advice section  Mass email to relevant societies or companies Aesthetics Maintenance Recommendations Future Recommendations

21. Done Questions?