Design Thinking 5 Steps to Healthy Healthcare Apps

Lorraine Chapman Sr Director of Healthcare | Macadamian

March 3 2016 Jeff Belden MD Professor | University of Missouri

Lorraine Chapman

Has no real or apparent conflicts of interest to report

Jeff Belden MD

Has no real or apparent conflicts of interest to report

Conflict of Interest

What is Design Thinking

Five Principles of Design Thinking (with examples)

Learn

Define

Ideate

Build

Iterate

Agenda

Learning Objectives

Describe 5 easy steps to incorporate UX best practices into your product

development processes

Discuss rationale for including UX processes in any Healthcare product design

State common design research methods and activities that go into the creation

of lsquousablersquo products

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Introduction How Benefits Were Realized for the Value of Health IT

Who are we

Lorraine Chapman Lorraine is Sr Director of Healthcare at Macadamian She has

been practicing in user experience design for more than 18

years She plays a pivotal role harmonizing end user needs

client expectations and current technology

Her ability to grasp the subtle dynamics of a requirement

enables her to provide solid business direction to medical

information tool providers electronic medical record vendors

and digital health companies Lorrainersquos expertize delivering

people-centered solutions makes her a sought after speaker

and presenter Lorraine embodies Macadamianrsquos commitment

to solving big-picture problems for all the stakeholders in our

clientsrsquo projects

Highly engaged in the healthcare industry Lorraine has

authored and contributed to countless articles whitepapers

and events on the topics of user experience in healthcare and

in 2014 she was appointed chair of the HIMSS HIT User

Experience Committee

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Lorraine Chapman

Has no real or apparent conflicts of interest to report

Jeff Belden MD

Has no real or apparent conflicts of interest to report

Conflict of Interest

What is Design Thinking

Five Principles of Design Thinking (with examples)

Learn

Define

Ideate

Build

Iterate

Agenda

Learning Objectives

Describe 5 easy steps to incorporate UX best practices into your product

development processes

Discuss rationale for including UX processes in any Healthcare product design

State common design research methods and activities that go into the creation

of lsquousablersquo products

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Introduction How Benefits Were Realized for the Value of Health IT

Who are we

Lorraine Chapman Lorraine is Sr Director of Healthcare at Macadamian She has

been practicing in user experience design for more than 18

years She plays a pivotal role harmonizing end user needs

client expectations and current technology

Her ability to grasp the subtle dynamics of a requirement

enables her to provide solid business direction to medical

information tool providers electronic medical record vendors

and digital health companies Lorrainersquos expertize delivering

people-centered solutions makes her a sought after speaker

and presenter Lorraine embodies Macadamianrsquos commitment

to solving big-picture problems for all the stakeholders in our

clientsrsquo projects

Highly engaged in the healthcare industry Lorraine has

authored and contributed to countless articles whitepapers

and events on the topics of user experience in healthcare and

in 2014 she was appointed chair of the HIMSS HIT User

Experience Committee

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

What is Design Thinking

Five Principles of Design Thinking (with examples)

Learn

Define

Ideate

Build

Iterate

Agenda

Learning Objectives

Describe 5 easy steps to incorporate UX best practices into your product

development processes

Discuss rationale for including UX processes in any Healthcare product design

State common design research methods and activities that go into the creation

of lsquousablersquo products

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Introduction How Benefits Were Realized for the Value of Health IT

Who are we

Lorraine Chapman Lorraine is Sr Director of Healthcare at Macadamian She has

been practicing in user experience design for more than 18

years She plays a pivotal role harmonizing end user needs

client expectations and current technology

Her ability to grasp the subtle dynamics of a requirement

enables her to provide solid business direction to medical

information tool providers electronic medical record vendors

and digital health companies Lorrainersquos expertize delivering

people-centered solutions makes her a sought after speaker

and presenter Lorraine embodies Macadamianrsquos commitment

to solving big-picture problems for all the stakeholders in our

clientsrsquo projects

Highly engaged in the healthcare industry Lorraine has

authored and contributed to countless articles whitepapers

and events on the topics of user experience in healthcare and

in 2014 she was appointed chair of the HIMSS HIT User

Experience Committee

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Learning Objectives

Describe 5 easy steps to incorporate UX best practices into your product

development processes

Discuss rationale for including UX processes in any Healthcare product design

State common design research methods and activities that go into the creation

of lsquousablersquo products

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Introduction How Benefits Were Realized for the Value of Health IT

Who are we

Lorraine Chapman Lorraine is Sr Director of Healthcare at Macadamian She has

been practicing in user experience design for more than 18

years She plays a pivotal role harmonizing end user needs

client expectations and current technology

Her ability to grasp the subtle dynamics of a requirement

enables her to provide solid business direction to medical

information tool providers electronic medical record vendors

and digital health companies Lorrainersquos expertize delivering

people-centered solutions makes her a sought after speaker

and presenter Lorraine embodies Macadamianrsquos commitment

to solving big-picture problems for all the stakeholders in our

clientsrsquo projects

Highly engaged in the healthcare industry Lorraine has

authored and contributed to countless articles whitepapers

and events on the topics of user experience in healthcare and

in 2014 she was appointed chair of the HIMSS HIT User

Experience Committee

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Introduction How Benefits Were Realized for the Value of Health IT

Who are we

Lorraine Chapman Lorraine is Sr Director of Healthcare at Macadamian She has

been practicing in user experience design for more than 18

years She plays a pivotal role harmonizing end user needs

client expectations and current technology

Her ability to grasp the subtle dynamics of a requirement

enables her to provide solid business direction to medical

information tool providers electronic medical record vendors

and digital health companies Lorrainersquos expertize delivering

people-centered solutions makes her a sought after speaker

and presenter Lorraine embodies Macadamianrsquos commitment

to solving big-picture problems for all the stakeholders in our

clientsrsquo projects

Highly engaged in the healthcare industry Lorraine has

authored and contributed to countless articles whitepapers

and events on the topics of user experience in healthcare and

in 2014 she was appointed chair of the HIMSS HIT User

Experience Committee

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Who are we

Lorraine Chapman Lorraine is Sr Director of Healthcare at Macadamian She has

been practicing in user experience design for more than 18

years She plays a pivotal role harmonizing end user needs

client expectations and current technology

Her ability to grasp the subtle dynamics of a requirement

enables her to provide solid business direction to medical

information tool providers electronic medical record vendors

and digital health companies Lorrainersquos expertize delivering

people-centered solutions makes her a sought after speaker

and presenter Lorraine embodies Macadamianrsquos commitment

to solving big-picture problems for all the stakeholders in our

clientsrsquo projects

Highly engaged in the healthcare industry Lorraine has

authored and contributed to countless articles whitepapers

and events on the topics of user experience in healthcare and

in 2014 she was appointed chair of the HIMSS HIT User

Experience Committee

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Who are we

Dr Jeff Belden Jeff Belden MD is a family physician and Professor at

the University of Missouri ndash Columbia He works on EHR

innovation projects at the Tiger Institute a technology

collaborative between the University of Missouri and Cerner

Corporation He is the Founding and Former Chair of the

HIMSS EMR Usability Task Force and a current member of the

HIMSS HIT User Experience Community Belden was lead

author of Inspired EHRs Designing for Clinicians a guide for

EHR usability online at inspiredEHRsorg

He has a special interest in improving the EHR user

experience and in the visual display of information

He delights in working with a small team a sketchbook

and a whiteboard His past experiences in photography

filmmaking layout and design typography and consulting

in healthcare software design inform his approach to user-

centered design thinking

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

What is ldquoDesign Thinkingrdquo

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

ldquoEdison made it [innovation] a profession that blended art

craft science business savvy and an astute understanding of

customers and marketsrdquo

ndash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

ldquoDesign thinking is a lineal descendant of that tradition Put simply

it is a discipline that uses the designerrsquos sensibility and methods to match

peoplersquos needs with what is technologically feasible and what a viable

business strategy can convert into customer value and market opportunityrdquo

mdash Tim Brown (CEO IDEO)

Tim Brown

httpshbrorg200806design-thinking

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

1 Define the problem 2 Create amp consider

many options

3 Refine selected

directions

4 Pick the winner

execute

Fast Company

httpwwwfastcompanycom919258design-thinking-what

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Where

magic

happens

Business

Experience Technology

Intersection for Innovation

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Five Principles of Design Thinking Learn

Define Iterate

Build Ideate

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Learn

Empathize with the user customer client

Listen observe and engage with them

Understand their desires needs

challenges and problems

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Ask the right questions to get the right answers

bull Questionnaires

bull Focus groups

bull Interviews

bull Observation

bull Contextual inquiry

bull More research

bull Timeline

bull Events or activities

bull Phases

bull Related information

bull Touchpoints

bull Relative highs amp lows

bull Pain points and opportunities

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Project Better IT Tools To Display Home amp Office BP

Support collaborative (patient-provider)

treatment decisions

Foster patient engagement in treatment actions

Understand BP in context of medication and

lifestyle changes

Achieve better BP control

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Observations

In video-recorded visits family physicians shared

Blood Pressure

1105

2015

814

2015

228

2015

310

2014

13687 14693 15196 16298

Graphs Numbers

10 of time

90 of time

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Very Detailed

Artifacts

Patients recorded home BPs range fromhellip

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Very Unstructured

Artifacts

helliptohellip

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Artifacts

Current BP graph examples

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Artifacts ndash Coming soon Rivers of data Cuff downloads HIE dumps more

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Personas

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Define

Key stakeholder alignment and collaboration

Define your value proposition

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Define Visualize your value proposition with storyboards

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Define

Visualize your value proposition with high level workflows

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

BP Project Aim

What do patient amp physician need regarding

clinic amp home BPs

Design display for both for better informed

shared decisions

Can we summarize trend data

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Ideate

Generate many many ideas

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Visualize your ideas with usage scenarios concepts and evolving design

Ideate

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Visualize your ideas with workflows and sketches

Ideate

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Make lots of sketches so you can discard most of them

Ideate

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Ideate

Refine ideas that pose problems

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Refine concepts and compare options

Ideate

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Build

Prototype to verify with your users and

stakeholders

Validate requirements and design direction

Do this iteratively throughout the entire process

Objective Researcher

amp Real User

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Build

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Build

ISSUE Some of the participants

wanted the lsquoDetailsrsquo panel to update

depending on the context (eg no

lsquoOnsetrsquo if they are in lsquoPhysical Examrsquo)

QUOTE Im not sure if that belongs

in the lsquoPhysical Examrsquo but rather in

the lsquoHistoryrsquo The fact that he has been

having neck pain for one month is in

the lsquoHistoryrsquo This could be context

relevant detailshellip a lot of these things

are more appropriate to the history than

the physical

NOTE All of the participants

indicated that most of the findings

they would like to include in the final

note should already be available in

the template as un-entered findings

(ie so that they do not have to add

other findings)

QUOTE I think this seems to be a

simple way to enter these phrases

so I think the key is having the

necessary phrases in the list

Thatrsquos going to be a success factor

KUDOS To add the detail lsquoseverersquo to

the finding most of the participants

hinted at free texting However

some indicated they would do this

by tapping on lsquoAdd textrsquo

Prototype to verify with your users

customers clients and stakeholders

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Lessons Learned from Patients

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Lessons Learned from Patients

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Lessons Learned from Physicians

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Lessons Learned from Physicians

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Five Principled of Design Thinking

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Talk to your users (both internal and external) to find out how you can help them

Co-create to find solutions to usersrsquo problems amp opportunities to improve experiences

Validate potential solutions with your users

Refine the solution and build a prototype

Test the prototype with users

Key Takeaways

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

The key to great design solutions is iterating on the design and collecting

user feedback throughout the whole cycle and not just at the end

Key Takeaways

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Satisfaction

Treatment Clinical Savings Improve support for collaborative decsion

making to achieve BP

treatment goals

Electronic

Secure Data Incorporate patient-generated home BP

measurement into the display of BP data

and treatment decisions

Patient Engagement and

Population Management Improve ease of use of BP trend

display via the patient portal

Summary How Benefits Were Realized for the Value of Health IT

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Questions

Jeff Belden MD | beldenjmissouriedu | Twitter jeffbelden | LinkedIn jeffbelden | inspiredEHRsorg Lorraine Chapman Sr Director of Healthcare| lorrainemacadamiancom| Twitterlorchapman | LinkedIn httpcalinkedincominlorrainechapmanottawa

Thank you