Clinical Care Systems

Back in the mid-90s, doctors who bought EHR systems were trying to solve specific problems.   These early adopters would listen as I listed the many ways that EHR systems would change their lives, acknowledge the issues I raised, then buy an EHR anyway.   More often than not, however, they were happy with how […]

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Software Innovation after Meaningful Use

by Jerome Carter on February 27, 2017 · 0 comments

Cell phones made telephone technology much more useful–no more searching for a phone booth or waiting at home for a call. Cell phones quickly evolved, eventually bringing us the much-loved Blackberry. Blackberry smartphones moved beyond calls to encompass a range of communication modes.  However, despite the gap in features and utility between the Blackberry generation […]

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The rise of scribes is but one sign that many EHR systems, as currently designed, make clinicians less productive and patient interactions more awkward. The main ways touted by ONC and most observers to address usability issues focus on user-centered design and more comprehensive usability testing.   However, can these methods alone actually address clinician complaints?   […]

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I have dedicated this summer to iOS development.    Having seen how iOS works from the inside, especially the attention given to human interaction guidelines, has increased my appreciation for all that goes into making systems truly usable.   Usability of EHR systems has taken on new importance, and the amount of research focused on […]

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Toward a Process-Oriented Clinical Care System

by Jerome Carter on July 18, 2016 · 0 comments

My explorations in clinical care system design are progressing well.   In particular, I am pleased with the responses to the posts on primary care and EHR design.  There is a groundswell of interest in better systems that do more to help clinicians with the tasks they find burdensome.  Perhaps the retrenchment of MU has […]

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User-Centered Design—It’s Complicated…

by Jerome Carter on June 20, 2016 · 0 comments

Good user interfaces are hard to create, and unfortunately, the UI often receives less design attention that other aspects of a software system.   Personally, I see this as a developer fatigue issue. After the wrangling with objects, algorithms, APIs, security, and such, it is tempting to slap on a UI that simply provides access to […]

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A Role for Workflow Tech in User-Centered Design?

by Jerome Carter on June 13, 2016 · 0 comments

Change is always a challenge, and how much more so when software is involved.   Software implementation brings headaches from the software itself (installation, configuration, training) as well as the necessary adaptations in workflows (how work is accomplished) and work habits (how individuals do their jobs).   One assumption underlying nearly all implementations of clinical systems is […]

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