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Work-Centered Design of Care Process Improvements in HIT

SHARPC Leaders: Jiajie Zhang, Muhammad Walji, Amy Franklin

The purpose of Project 1 is to develop short-term quick-fix tools and long-term breakthroughs for HIT usability and workflow challenges.

  • Developing methods and tools to quickly identify and prioritize critical usability problems in HIT.
  • Developing a unified framework of EHR usability – TURF (Task, User, Function, Representation) for defining, measuring, evaluating, removing, and designing EHR usability.
  • Developing a software suite – TURF – that semi-automates usability evaluation.
  • Developing a set of comprehensive guidelines for designing EHR with good usability. 

Products

Grants Generated

  • Jiajie Zhang & Amy Franklin. Opportunistic Decision Making, Information Needs, and Workflow in Emergency Care. AHRQ. 9/30/2012-7/31/2016.
  • Jiajie Zhang, Muhammad Walji, Amy Franklin, Deborah Simmons, Evaluation of NIST Usability Protocol. 9/1/11 to 11/30/11. National Institute of Standards and Technology.

Publications

Federal Hearings

  • EHR Usability Hearing, Office of the National Coordinator for Health Information Technology, April 21, 2011, Washington, D. C. 

News & Media

Presentations

  • Walji, M. F., Franklin, A., Zhang, Z., Graves, K., Li, Y., Gu, Y., & Zhang, J. (2012). Rapid Usability Assessment of Commercial EHRs. AMIA 2012 (Podium).
  • Li, Y., Walji, M. F., Franklin, A., & Zhang, J. (2012). Exploring E-Prescribing Task Flow and Design in Commercial EHRs. AMIA 2012 (Poster).
  • Killoran, P. & Zhang, J. (2012). Droogle: Using Free Text to Support Structured Medication Entry. AMIA 2012 (Poster).
  • Zhu, M., Rogith, D., Walji, M. F., & Zhang, J. (2012). TURFS: A Comprehensive Tool Suite for Usability Evaluation and Redesign. AMIA 2012 (Theater Style Presentation).
  • Zhang, Z., Walji, M. F., Franklin, A., & Zhang, J. (2012). An Application of a Cognitive Transparency Metric in EHR User Interfaces. AMIA 2012 (Poster).
  • Franklin, A., Simmons, D., Graves, K., Zhang, Z., Harrington, C., Walji, M. F., & Zhang, J. (2012). Usability Problems and Patient Safety Risks in EHR Design. AMIA 2012 (Podium).
  • Rogith, D., Zhu, M., Walji, M. F., & Zhang, J. (2012). TURFS: A tool to Semi-Automate Usability Assessments of EHRs. AMIA 2012 (Poster).
  • Zhu, M., Walji, M., Zhang, J. Extracting and inserting meaningful use concepts into UFuRT models. AMIA 2011 (Poster).
  • Lee, L., Li, Y., Graves, K., Franklin, A., Walji, M. F., & Zhang, J. (2011). Estimating Task Execution Time in EHRs Using the Keystroke-Level Model. AMIA 2011 (Poster).
  • Mohammad, M., Espinosa, G., Murphy, D., & Zhang, J. Design and evaluation of a problem-oriented view for OpenVista EHR using UFuRT framework. AMIA 2011 (Poster).
  • Zhang, Z., Li, Y., Walji, M., Franklin, A., & Zhang, J. (2011). A Metric for Measuring Cognitive Transparency of EHR User Interfaces. AMIA 2011 (Poster).
  • Jiajie Zhang, Muhammad Walji, Keith Butler, Yan Xiao, & Mark Haselkorn. The Role of Usability, Workflow, and Patient-centered Cognitive Support in Improving Health Information Technology. AMIA 2011, October 24, 2011, Washington, DC. (Panel)
  • Zhang, J. Biomedical Informatics and Health IT: Challenges and Opportunities in US and in China. 2011 International Biomedical Informatics Summit at Peking University. (Keynote)
  • Muhammad Walji & Jiajie Zhang. Usability and Patient Safety Issues of Health Information Technology. Texas Medical Center Council of Pharmacy Executives Meeting. May 7, 2012.
  • Jiajie Zhang. SHARPC: An overview of ONC funded Patient-Centered Cognitive Support project. Texas Medical Center, December 2, 2010, Houston, Texas.
  • Amy Franklin & Jiajie Zhang. Strategic Health IT Advanced Research Projects (SHARP) Program and EHR Usability. Texas Medical Center Quality and Patient Safety Council Meeting. February 23, 2012.
  • Jiajie Zhang. Usability and Patient Safety Issues of Health Information Technology. Texas Medical Center CIO/CMIO Council Meeting. February 16, 2012.
  • Jiajie Zhang. Is Usability More Valuable than Oil? Research Seminar, University of Texas School of Biomedical Informatics at Houston. Challenges and Opportunities for EHR. February 1, 2012.
  • Jiajie Zhang. Meaningful use of EHR through meaningful practice of usability. Asian American Pacific Islander Region VI Health Summit 2011. November 4, 2011, Houston, Texas.
  • Jiajie Zhang. EHR usability. Peking University Health Science Center, June 8, 2011.
  • Jiajie Zhang. Biomedical Informatics. Nanjing University, June 15, 2011.
  • Zhang, J. EHR Usability Present and Future: Opening Remarks. Pre-AMIA Symposium on EHR Usability. October 21, 2011, Washington, DC.
  • Zhang, J. EHR Usability Present and Future: Closing Remarks. Pre-AMIA Symposium on EHR Usability. October 21, 2011, Washington, DC.
  • Walji, M., & Zhang, J. TURF – A unified framework for EHR usability. Pre-AMIA Symposium on EHR Usability. October 21, 2011, Washington, DC.
  • Amy Franklin; Krisanne Graves; Muhammad F. Walji; Jiajie Zhang. EHR Certification and Safety Enhanced Design: The need for robust usability testing scenarios. A Podium Presentation, AMIA 2013, November 18, 2013.

Tutorials, AMIA 10x10, & Short Courses

  • 11-week AMIA 10x10 Course: Healthcare Interface Design (2011, 2012, 2013 & 2014)
  • 3-Day Short Course on EMR usability. January 19-21, 2011, Houston, Texas
  • Jiajie Zhang & Vimla Patel. Human-Centered Design and Evaluation of Health Information Systems. 2010 American Medical Informatics Association Annual Meeting. Washington, DC, October, 2010.
  • Jiajie Zhang, Muhammad Walji, and Amy Franklin. Fundamentals of EHR Usability. 2012 American Medical Informatics Association Annual Meeting. Chicago, November 3, 2012.
  • Amy Franklin, Muhammad Walji, and Jiajie Zhang . Fundamentals of EHR Usability. 2013 American Medical Informatics Association Annual Meeting. Washington, DC, November 16, 2013.
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