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2017 EIT Health/ACM SIGCHI
Summer School
Partners Dorota Filipczuk, University of Southampton
Clair Kelly, IPPOSI
Gillian O’Neill, University College Dublin
Beth J. Bollinger, University of Washington
Stefanie Broes, KU Leuven
Kathleen Ryan, University College Cork
Experts Kristen Miller, MedStar Health
Ryan Arnold, MedStar Health
Background
Clinical decision making
clinician Patient
Traditional
Health Summer School ‘17
She is totally
lying….
Hmm…forgot
on Saturday
…and
Monday
…and
Thursday
Medication compliance..
Come on.....really?
Nutrition...
Mental health….
Social factors….
Substance use...
Background
Improved informed
clinical decision
making?
clinician Patient
Today
Health Summer School ‘17
Monday Tuesday Wednesday
Health Summer School ‘17
What do we propose?
clinician Patient
Tomorrow
Improved informed
clinical decision making
User-centered process
Vision and business
plan
UCSD
Construct and deploy
Implementation strategy
User needs and
requirement analysis
 interviews
Design for usability by
prototyping
Evaluation in use
context
Feedback plan
Iterative design process
Based on Key principles for user-centred systems design, Gulliksen J, 2003 Health Summer School ‘17
Specific methods used
- Learn: Activity Analysis
- Look: Day in the Life
- Ask: Surveys & Questionnaires
- Try: Quick-and-dirty prototyping
Health Summer School ‘17
Connected Health Patient Dashboard
“Widgets”
Physical Activity
Nutrition
Sleep
Mental Health
Stress, Anxiety, Mood
Women’s Health
Social Well-being
Home Violence
Medical Adherence
Illicit Drug Use
Evaluation Strategy
Outcome measures of Success for Usable and Effective Clinical Decision Support
Health Summer School ‘17
Proximal Outcomes DISTAL OUTCOMES
Mix of objective and subjective measures
Usability
Acceptability
Quality of encounter
Appointment efficiency
Satisfaction with provision of care
Mix of objective and subjective measures
Clinician decision making
Patient health
Selection of
participants
Self-mon
App+
Self-mon
App-
Control
App+
Control
App-
- Data collection
- Analysis
- outcomes
Self-mon Control
Randomization Randomization
Evaluation Strategy
Health Summer School ‘17
Ideal Scenario
• Jenny’s Doctor now has access to her lifestyle information
• He sees issues with her diet and exercise
• He then focuses the consultation towards lifestyle choices
• He doesn’t increase Jenny’s medication on this occasion
Thank you
Dorota, Clair, Gillian, Beth,
Stefanie, Kathleen, Kristen, Ryan
Security and privacy, diverging data
standards, artificial intelligence
techniques…
Challenges
Technical
Informed consent, data protection,
liability, cross-border healthcare,
non-discrimination…
Divergent patient population
(diabilities, elderly, children…)...
Informed consent, trust, autonomy,
privacy, dignity, ownership…
Legal
HCI Ethical
Health Summer School ‘17
Scoping the market
• Medical errors in prescription and medication dosing were named the third
leading cause of death in the US in 2013
• In 2008, medical errors cost the United States $19.5 billion1
• Giving clinicians access to the right information at the right time through
evidence-based clinical decision support can prevent these errors and reduce
instances of patient harm
1 The economics of health care quality and medical errors, Andel C., J Healthcare Finance, 2012 Health Summer School ‘17

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EIT/ACM SIGCHI Summer School 2017

  • 1. 2017 EIT Health/ACM SIGCHI Summer School Partners Dorota Filipczuk, University of Southampton Clair Kelly, IPPOSI Gillian O’Neill, University College Dublin Beth J. Bollinger, University of Washington Stefanie Broes, KU Leuven Kathleen Ryan, University College Cork Experts Kristen Miller, MedStar Health Ryan Arnold, MedStar Health
  • 2. Background Clinical decision making clinician Patient Traditional Health Summer School ‘17
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  • 4. She is totally lying…. Hmm…forgot on Saturday …and Monday …and Thursday Medication compliance..
  • 8. Background Improved informed clinical decision making? clinician Patient Today Health Summer School ‘17
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  • 14. Health Summer School ‘17 What do we propose? clinician Patient Tomorrow Improved informed clinical decision making
  • 15. User-centered process Vision and business plan UCSD Construct and deploy Implementation strategy User needs and requirement analysis  interviews Design for usability by prototyping Evaluation in use context Feedback plan Iterative design process Based on Key principles for user-centred systems design, Gulliksen J, 2003 Health Summer School ‘17
  • 16. Specific methods used - Learn: Activity Analysis - Look: Day in the Life - Ask: Surveys & Questionnaires - Try: Quick-and-dirty prototyping Health Summer School ‘17
  • 18. “Widgets” Physical Activity Nutrition Sleep Mental Health Stress, Anxiety, Mood Women’s Health Social Well-being Home Violence Medical Adherence Illicit Drug Use
  • 19. Evaluation Strategy Outcome measures of Success for Usable and Effective Clinical Decision Support Health Summer School ‘17 Proximal Outcomes DISTAL OUTCOMES Mix of objective and subjective measures Usability Acceptability Quality of encounter Appointment efficiency Satisfaction with provision of care Mix of objective and subjective measures Clinician decision making Patient health
  • 20. Selection of participants Self-mon App+ Self-mon App- Control App+ Control App- - Data collection - Analysis - outcomes Self-mon Control Randomization Randomization Evaluation Strategy Health Summer School ‘17
  • 21. Ideal Scenario • Jenny’s Doctor now has access to her lifestyle information • He sees issues with her diet and exercise • He then focuses the consultation towards lifestyle choices • He doesn’t increase Jenny’s medication on this occasion
  • 22. Thank you Dorota, Clair, Gillian, Beth, Stefanie, Kathleen, Kristen, Ryan
  • 23. Security and privacy, diverging data standards, artificial intelligence techniques… Challenges Technical Informed consent, data protection, liability, cross-border healthcare, non-discrimination… Divergent patient population (diabilities, elderly, children…)... Informed consent, trust, autonomy, privacy, dignity, ownership… Legal HCI Ethical Health Summer School ‘17
  • 24. Scoping the market • Medical errors in prescription and medication dosing were named the third leading cause of death in the US in 2013 • In 2008, medical errors cost the United States $19.5 billion1 • Giving clinicians access to the right information at the right time through evidence-based clinical decision support can prevent these errors and reduce instances of patient harm 1 The economics of health care quality and medical errors, Andel C., J Healthcare Finance, 2012 Health Summer School ‘17

Notes de l'éditeur

  1. 58% of people have downloaded a health-related app and 41% have downloaded more than 5. This can track health data actively and passively. This is an untapped resource by the clionician. We propose to facilitate medical consul,tations by developing a platform to automatically integrate health lifestyle information thaqt the clinician has access to.
  2. 58% of people have downloaded a health-related app and 41% have downloaded more than 5. This can track health data actively and passively. This is an untapped resource by the clionician. We propose to facilitate medical consul,tations by developing a platform to automatically integrate health lifestyle informati
  3. Stakeholders: both patients and clinicians Find out about current experiences Surveys and questionnaires with patients to find out about their health-related app use Clinicians: perceptions of the clinical exchange and also Quick and dirty prototyping
  4. To be taken into account for the design