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Kartini Mistry



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    EP01 - Evaluating Application Implementations (ID 40)

    • Event: e-Health 2017 Virtual Meeting
    • Type: e-Poster
    • Track: Clinical and Executive
    • Presentations: 1
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      EP01.02 - Evaluating Usability: Clinical Documentation Systems in Community Care (ID 98)

      Kartini Mistry, Best Practice, Research & Education, VHA Home Healthcare; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Electronic medical records have the potential to transform community healthcare by improving care coordination, quality of care, patient safety and reducing inefficiencies. Despite the known benefits, the implementation of these systems has faced numerous challenges including poor workflow integration and end user adoption which suggests inadequate investment into interface design and build of the software. A study was conducted to evaluate the ease of use of a clinical documentation system as part of an iterative development cycle and acts as a case study demonstrating the value of early end-user engagement in designing quality-based systems.

      Methodology/Approach: A low-fidelity testing environment mimicking a community environment was setup, where clinicians used the system by going through a series of tasks that were identified as critical elements of their current workflow. Observational techniques, retrospective audio analysis and participant surveys were used to qualitatively evaluate the system according to predetermined usability criteria and best practices.

      Finding/Results: Through the usability testing process key deficiencies pertaining to ease of use, safety and quality were identified which resulted in numerous system requirements. The usability study also provided valuable information on the utilization patterns of Clinicians in the community, the process of documenting as well as identified unique nuances of the point of care environment all of which would have been undiscovered had end users not been given the opportunity to participate.

      Conclusion/Implications/Recommendations: Usability represents an important yet very often overlooked factor that directly impacts the adoption and meaningful use of EMR systems across all healthcare sectors. Without usable systems, end users (eg. any member of the interprofessional team and/or client) cannot realize any of the potential benefits of features and functions of health IT systems.In conclusion, it is essential that clinicians play an active role in the selection, design, deployment and evaluation of health IT solutions and advocate for solutions that integrate with their current workflow, practices and needs at the point of care. It is vital for health leaders and adminisrators to recognize and acknowledge the unique community landscape by providing encouragement and incentives for clinican involvement in Health IT by ensuring there are opportunities for participation.

      140 Character Summary: Evaluating usability of a EMR as part of an iterative design cycle while highlighting the value of early end-user engagement in developing quality systems.

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    EP06 - Adoption and Use Across the Care Continuum (ID 46)

    • Event: e-Health 2017 Virtual Meeting
    • Type: e-Poster
    • Track: Clinical and Executive
    • Presentations: 1
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      EP06.06 - Launching Electronic Documentation for Community Nursing (ID 99)

      Kartini Mistry, Best Practice, Research & Education, VHA Home Healthcare; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: It is well known and documented that electronic medical record systems offer substantial opportunities to organize clinical data in ways that can improve the coordination of care and services provided. As part of our organization's strategic direction to create more spectacular care, an initiative to introduce electronic documentation among nurses was undertaken. Objectives included streamlining documentation processes through collaboration in system design and improving client outcomes.

      Methodology/Approach: The project methodology included a two-stage release, first to a small group of nurses and later to the community with planned roll-out across multiple regions in Ontario. Throughout the project cycle, an iterative approach to design was undertaken where nurses participated in development of new features.

      Finding/Results: Several critical success factors were identified including early user engagement, strong technology vendor relationships, champion support and the ability to recognize the opportunity to redesign practices. Other success factors included ensuring frequent monitoring and feedback mechanisms during initial stages to ensure proper usage.

      Conclusion/Implications/Recommendations: While much success has been obtained thus far, future work efforts will be focused on interface upgrades, specialized assessment tools to support specialty populations and the development of a client-facing interface which would further strengthen organization’s commitment to client and family centered care.

      140 Character Summary: Transforming the way community nurses provide care through the use of electronic documentation system.

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