Chan, D. et al.:InfoWell Patient Portal: A Case of Patient-Centred Design
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InfoWell Patient Portal:
A Case of Patient-Centred Design
Deborah Chan, University Health NetworkSelina Brudnicki, Shared Information
Management Services
Presented on September 5, 2008 at Medicine 2.0 Congress
The Shared Information Management Services (SIMS) Partnership
Healthcare Human Factors Group
InfoWell Patient Portal
A secure website that provides patients with personalized health information and tools, care and treatment plans, education, and links to community programs to better manage their health and form closer relationships with their health care team.
Objectives• To assist patients in their management of a chronic condition• To enhance the patient experience• To address the growing demand for greater access to health information for
patients
InfoWell Patient Portal
Educational Information
Personal EHR Components
Personal Journal
Personal Health Profile
Self-Management Tools - Blood Pressure
Self-Management Tools - Food Intake
Medication Summary
Patient Groups
2004 2005 2006 2007 2008
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Breast Cancer Survivorship Dec 14, 2006
PMH
Diabetes Apr 30, 20077 SIMS Partners
HaematologyAccess to Test Results
Nov 2007-Mar 2008 CHI: UHN,GRH, LHIN4
Chronic Kidney Disease
Pilot: Feb 2006PMH
Human Factors
The study of how people interact physically and psychologically with products, tools, procedures
and processes
Designing systems so that they are
natural to people and easy to use
Benefits of Human Factors
1. Improve adoption2. Improve patient safety3. Improve efficiency,
effectiveness, ease of use 4. Decrease the need for training5. Create an enjoyable user
experience
Usability
• Learnability• Efficiency• Memorability• Errors• Satisfaction
Patient-Centered Design Approach
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Development
Design
Testing
Implementation
Evaluation
Concept
• Patients are engaged through surveys and one-on-one interviews
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Beliefs & ExpectationsClinician
“Patients using the portal are going to ask me more questions. It will have an impact on the
clinic and my time.”
Patient
“What a difference it makes to be able to check the results in the privacy of my home just hours after the images are
taken! No nerve-wracking wait in the
clinic or waiting for my doctor's office to call me.”
“Physicians should determine which results are released
through the portal on to which type of patient.”
“If we give patients their results they might think
they are doing okay and not come in for their follow-up
visit.”
“I want to see my test/lab results as soon as they are available.”
“We need to come in for follow up to see the clinician – giving our results makes us
better prepared.”
Design Development Testing
• Iterative Design Cycle
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
• Prototyping
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Design
• Card-sorting
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Development
• Usability testing
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Testing
• What patient liked– Aesthetics, accessibility, ease of navigation– Access to lab results and interpretations– Doctor search tool– Information about their diagnosis– Medications list and explanation of drug effects– Calendar– Ability to access information from home
– Information on support services
Usability Testing Results
Design Development Testing
• Iterative Design Cycle
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
• Patient enrollment
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Implementation
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
• Research studies with patients
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Evaluation
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Develop-ment
Design
Testing
Implementation
Evalua-tion
Patient-Centered Design Approach
QuickTime™ and a decompressor
are needed to see this picture.
Concept
Development
Design
Testing
Implementation
Evaluation
InfoWell Patient Portal:
A Case of Patient-Centred Design
Deborah Chan, University Health Network ([email protected])
Selina Brudnicki, Shared Information Management Services
Presented on September 5, 2008 at Medicine 2.0 Congress
• Completion rates - 79%• Average confidence on completion of task - 5.5
• Average satisfaction - 5.5• Average frustration - 2.4
Usability Testing Results