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URL: https://www.dhinsights.org/news/integrating-human-centered-design-into-health-it-workflows?_hsenc=p2ANqtz-9PNEnYqDTUsMkitxL...
Submission: On October 14 via api from IE — Scanned from DE

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Clinical Care DeliveryDigital TransformationElectronic Health Records


INTEGRATING HUMAN-CENTERED DESIGN INTO HEALTH IT WORKFLOWS

Human-centered design principles are essential for creating health IT workflows
that are intuitive, efficient, and don’t drive users toward burnout.
By Jennifer Bresnick

Oct 10, 2022, 8:00 AM


The digitization of healthcare has not been uniformly easy, with ongoing
concerns about the usability of technology in the real-world care setting.
Human-centered design can help smooth this transformation.

Poorly configured workflows in electronic health records (EHRs), practice
management systems, and other complementary health IT tools are a perennial
complaint for healthcare staff members and have been strongly implicated in
rising levels of burnout among clinicians and administrative professionals.

Fortunately, many health IT systems are highly customizable, and solutions
vendors are making them even more so as they heed feedback from their partners
across the industry. A new generation of technology is now emerging that
prioritizes user-friendly workflows and simplified, streamlined interfaces to
ease the cognitive burdens of working with technology tools for hours each day.

Healthcare organizations that want to take their technology optimization one
step further should consider the role of human-centered design (HCD) in
architecting processes for their clinical and non-clinical staff.


WHAT IS HUMAN-CENTERED DESIGN?

Human-centered design isn’t just about making technology easier to click
through. It considers the entire context in which the technology is embedded and
takes a broader view of how humans interact with technology to complete a
specific task, whether or not that task takes place in front of the keyboard.

This distinction is important, especially as healthcare becomes increasingly
mobile, collaborative and patient centered. Health IT infrastructure must meet
the needs of a variety of different users in different settings while keeping
patients at the center of the care process.

According to the International Standards Organization (ISO), human-centered
design for interactive systems must meet six key criteria:

 * The design should be based upon an explicit understanding of users, tasks,
   and the environments in which they function
 * Users must be involved throughout the design and development process
 * The design team accepts and integrates user-centered evaluation of design
   factors
 * The process is iterative and continually validated
 * The design of the system addresses the whole user experience
 * The design team incorporates multidisciplinary skills and perspectives
   throughout the process


APPLYING HUMAN-CENTERED DESIGN TO A HEALTH IT OPTIMIZATION PROJECT

In the healthcare environment, deploying these principles depends on developing
a thorough understanding of the organization and its needs and recruiting the
right influential stakeholders to secure buy-in and provide crucial input on
upgrades and changes.

While many organizations may focus first on the EHR, it’s important to have a
clear idea of how changes to the EHR workflow will affect other systems and
functionalities, such as coding and billing, clinical analytics, patient
engagement and regulatory reporting.

To successfully adapt workflows without causing a negative chain reaction across
the enterprise, organizational leaders should consider the following steps.


ASK THE RIGHT QUESTIONS TO SOLVE THE RIGHT PROBLEMS

People aren’t machines, and they don’t behave like robots. They make mistakes,
lean on workarounds and get set in their ways. Taking these factors into account
is crucial when developing the right questions to ask about organizational
problems.

For example, asking, ‘how can we ensure that everyone starts adhering to this
specific workflow we have in place?’ may not be as effective as asking, ‘how can
we best achieve the desired outcome using all the tools and skills we have on
hand?’

The first question simply focuses on creating uniformity throughout a process
without reexamining the utility of that sequence, while the second focuses on
solving the ultimate problem, whatever that may be.

Asking more outcomes-based questions can help identify the real pain points in
existing processes so teams can creatively address barriers and holistically
develop workable solutions.


AVOID DESIGNING IN A VACUUM

Human-centered design is a collaborative effort that must involve multiple
stakeholders with unique experiences and viewpoints.

Direct users of the technology should be involved from the very beginning of the
process, since they are the ones who are often most invested in increasing
efficiency and reducing frustrations.

In the early days of the electronic health record, vendors rarely took advantage
of clinical input during the design process, and end-users suffered accordingly.
Now, physicians, nurses, and other clinicians are regularly consulted about
workflows, leading to much more intuitive and usable digital tools.

Individual organizations should take a similar approach. Consider identifying
clinical champions – both physicians and nurses—who can represent their
colleagues during optimization efforts.  Give users ample opportunity to test
new processes before a full roll-out, and ensure that all users are educated
about when, why, and how their technology is going to change.

Take staff feedback seriously and make decisions accordingly. A failed
implementation will erode trust and increase resistance to future changes, so be
certain to carefully and deliberately unveil new processes alongside regular
opportunities for staff to provide input.


IDENTIFY THE RIGHT METRICS FOR SUCCESS TO ITERATE QUICKLY AND COLLABORATIVELY

Human-centered design teams never stop asking questions, even after an
adjustment has been made. That’s because a healthcare organization is a living,
breathing entity that changes over time, and processes need to adapt
accordingly.

Optimization leaders should generate a clear idea of what constitutes success
and establish a regular cadence of reviews to ensure that the workflow in
question still meets those criteria in six months, one year, two years, and
beyond.

If the technology has fallen out of alignment with the organization’s changing
needs and goals, it’s time to iterate once again. Take the same amount of care
during iterative improvements as was devoted to the original design project. 
Incorporate as many perspectives as needed to get an accurate gauge of the
problem and the solution and provide the same amount of staff education as at
any other step in the process.

Dedicating time, effort resources to human-centered design can significantly
enhance existing health IT tools while ensuring that users can easily interact
with digital infrastructure.

By taking an organized, collaborative, and iterative approach to optimizing
health IT tools, organizations can achieve their clinical goals, avoid burnout
among staff, and create better experiences for providers delivering exceptional
care to patients.

--------------------------------------------------------------------------------

Jennifer Bresnick is a journalist and freelance content creator with a decade of
experience in the health IT industry. Her work has focused on leveraging
innovative technology tools to create value, improve health equity, and achieve
the promises of the learning health system.

--------------------------------------------------------------------------------

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