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Usability in Health IT: Strategy, Research, and Implementation

July 13, 2010

National Institute of Standards and Technology
Gaithersburg, MD

Agenda


8:00 - 9:00

Registration / Coffee
9:00 - 9:30

Greetings / Introduction / Opening Remarks - (ONC) 

Moderator - Janice (Ginny) Redish, PhD

9:30 - 10:30

Current State and Need for Action

  • HITECH (ONC) 
  • Current State of EHRs (AHRQ) 
  • Current Federal and Private EHR Usability Initiatives Government (ONC, NIST, AHRQ, FDA); Private (HIMSS, EHRA, Miscrosoft); Academia
  • Meaningful use (AHRQ, FDA, Academia) – Standard Formats, PSO program, etc.
  • Adoption (ONC, HIMSS, EHRA, Industry) 
  • Innovation (Industry, Academia)

Q&A

10:30 - 10:45 Coffee Break
10:45 - 11:45

"Points of Pain" - Prevention of Cognitive Overload

  • Current Research (Academia) 
  • Prevention of Cognitive Overhead during Initial Adoption / Transition from Paper 
  • Prevention of Cognitive Overhead during Transition from Systems in Multiple Settings (One User / Many Systems Issue)
  • Insufficient System Feedback (Critical Issue on Alert Overload) 
  • Dense Displays of Data (Prevention of Excessive Complexity of System)

Q&A

11:45 - 1:00 Lunch (NIST Cafeteria)
1:00 - 1:30

"Points of Pain" – Addressing EHR User Disparities 

  • Clinical Workforce Characteristics and Limitations (NIST, Access Board, Academia) 
  • Accessibility Issues – Low/Poor Vision; Mobility/Dexterity; Cognitive Disabilities 
  • English Proficiency 
  • Lower Socioeconomic Demographics - Digital Divide

Q&A  

1:30 - 1:45 Coffee Break
1:45 - 2:45

Usability Framework (NIST, AHRQ, Academia)

  • Best Practices and Gaps based on Experience from other Industries / Sectors 
  • Usability Standards Development (NIST)
  • Measurement Domains 
  • Objective Measures of Human Performance 
  • Effectiveness and Efficiency
  • User Satisfaction and User Acceptance 
  • Ongoing Projects and Research Initiatives (AHRQ Toolkit, SHARP, NIST grants, Common Formats, etc.)
  • Usability Framework for Product Lifecycle

Q&A

2:45 - 3:00 Coffee Break
3:00 - 4:00

Recommendations to support HITECH / Certification 

  • Accreditation Program, Certification 
  • Test Methods for Products and Users (Pass / Fail Criteria for Usability Standards)
4:00 - 4:45

Recommendations and Next Steps  

Moderator: Janice (Ginny) Redish, PhD 

  • Research and Implementation 
  • Recommendations for Usability and Adoption 
  • Recommendations for Innovation 
  • Next steps