A framework for evaluating electronic health record vendor user-centered design and usability testing processes

Author:

Ratwani Raj M12,Zachary Hettinger A12,Kosydar Allison1,Fairbanks Rollin J12,Hodgkins Michael L3

Affiliation:

1. National Center for Human Factors in Healthcare, MedStar Health, Washington, DC

2. Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DC,

3. American Medical Association, Chicago, Illinois

Abstract

Objective: Currently, there are few resources for electronic health record (EHR) purchasers and end users to understand the usability processes employed by EHR vendors during product design and development. We developed a framework, based on human factors literature and industry standards, to systematically evaluate the user-centered design processes and usability testing methods used by EHR vendors. Materials and Methods: We reviewed current usability certification requirements and the human factors literature to develop a 15-point framework for evaluating EHR products. The framework is based on 3 dimensions: user-centered design process, summative testing methodology, and summative testing results. Two vendor usability reports were retrieved from the Office of the National Coordinator’s Certified Health IT Product List and were evaluated using the framework. Results: One vendor scored low on the framework (5 pts) while the other vendor scored high on the framework (15 pts). The 2 scored vendor reports demonstrate the framework’s ability to discriminate between the variabilities in vendor processes and to determine which vendors are meeting best practices. Discussion: The framework provides a method to more easily comprehend EHR vendors’ usability processes and serves to highlight where EHR vendors may be falling short in terms of best practices. The framework provides a greater level of transparency for both purchasers and end users of EHRs. Conclusion: The framework highlights the need for clearer certification requirements and suggests that the authorized certification bodies that examine vendor usability reports may need to be provided with clearer guidance.

Funder

American Medical Association and Raj Ratwani

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

Reference17 articles.

1. Physician and nurse satisfaction with an Electronic Medical Record system;Likourezos;J Emerg Med.,2004

2. Comparison of user groups’ perspectives of barriers and facilitators to implementing electronic health records: a systematic review;McGinn;BMC Med.,2011

3. Factors Affecting Physician Professional Satisfaction

4. An analysis of electronic health record-related patient safety concerns;Meeks;J Am Med Inform Assoc.,2014

5. Emergency physician task switching increases with the introduction of a commercial electronic health record;Benda;Ann Emerg Med.,2015

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