Thought Leadership

Alfred Hitchcock (The Beatles and Pink Floyd) and the future of Health IT

In the classic Alfred Hitchcock film “Rope,” Hitchcock shot continuous scenes for periods lasting up to 10 minutes (the length of the film camera magazine), continuously panning from actor to actor. Every other segment ended by panning against or tracking into an object—such as a man's jacket blocking the entire screen, or the back of a piece of furniture.

In doing this, Hitchcock effectively masked half the cuts in the film.

Shampoo in the shower and Contextual Inquiry

In a post on Linkedin by Kath Straub, she displayed the following photo along with this comment:

Shampoo in the shower

Really. PLEASE put SHAMPOO (or S) in BIG LETTERS on the little bottle so we can tell shampoo from conditioner without glasses in the shower!

ONC Final Rule for 2015 Certification Criteria: Safety-enhanced design

The final rule for the ONC 2015 certification has been released.

The 550+ page document identifies a number of changes from the previously published proposed rule in direct response to a number of comments provided to ONC.

Usability, Accessibility and Telehealth

A while ago there were two healthcare conferences that we attended here in Washington DC on the same day. One was the American Telehealth Association’s Fall forum and the other was The Interagency Committee on Disability Research (ICDR)’s Accessibility and Usability in Health Information Technology (HIT)

Crash test dummies and The Usability of Electronic Health Records

EHR vendors are quick to say that the 2015 Edition ONC Certification for Safety-enhanced Design are too burdensome, that they are too difficult to complete, and they are not necessary.

See for example http://www.healthcareitnews.com/news/ehr-vendors-uneasy-about-meaningful... ) Many EHR vendors would say let market forces take over and the Health IT industry will heal itself.

What is Usability and User-centered Design?

User-centered-design is everywhere.

Look, and feel the chair that you are sitting in right now. If you are sitting in a modern office chair it probably has adjustable arms, the height of the chair can be adjusted to match your height. Most likely the bottom of the chair has special contours to better match the shape of your butt. This is user-centered-design. The developers of the chair knew that humans would be sitting in the chair and they made special design considerations to make the chair better match their human user.

Personalization of Patient Portals : a way to achieve engagement and true meaningful use

In the proposed rule for Meaningful Use Stage 3 the Office of the National Coordinator (ONC) has made significant changes to the patient engagement recommendations that are causing controversy amongst EHR vendors, Doctors, and the media. These recommendations include three measures of engagement, and providers would have to report on all three of them, but successfully meet thresholds on only two.

Some claim that these requirements are too burdensome, and that they may not be achievable giving what is achievable in the marketplace today.

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