Andrew Kirby – [email protected]@microsoft.com Microsoft Corporation.

Andrew Kirby – [email protected]

Microsoft Corporation

Introduction to the Microsoft Health CUI The UK National Health Service and MicrosoftMicrosoft Health CUI In More DetailA preview of the Next releaseCall To Action

Microsoft Health Common User Interface

• For Designers, Application Developers and Patient Safety professionals

• Provides rigorously researched and tested UI Guidelines• Provide pre-built .NET controls and samples• Extensible framework for Design Guidance and Controls• Enables the community to guide on-going development of guidelines

and controls

Clinical UI Guidelines

CommonControls &

Samples

ISV Innovation

Safer, Compelling, Clinical UI

A Microsoft funded collaboration with the UK National Health ServiceA four year programme that started in 2005 and is focused on helping the NHS:

Increase patient safetyIncrease clinician effectivenessIncrease the ease of adoption & relevance of Microsoft Windows and Microsoft Office to the NHS

UK National Audit Office, 2005 www.nao.org.uk

900,000 patient safety incidents per year, 8% result in death£2bn per year extra cost in bed daysAfter falls, medication errors, record documentation error and communication failure were the most common causeIT can reduce these errors by 53% - 83%

Centers for Medicare and Medicaid ServicesUS National Health spending up to $1.9T in 2004 or $6,280/person, up 7.9% to 16% of GDP

Institute of Medicine (IOM)Between 44,000 and 98,000 people die each year in the US from inpatient medical errors

Clinicians are often currently required to use a disparate set of systems from multiple vendors to perform similar tasksLack of consistency for commonly performed and safety critical functions within and across systemsA need to increase clinician proficiency without increasing training or compromising patient safety

InformationDisplay &

Input

Terminology Coding

CPOEPatient Administratio

n

Medications Management

Knowledge & Decision Support

Clinical Noting

Patient Safety Principles

Clinical Focus Areas

Design Guidelines

Technology


The correct identification of a patient and the matching of a patient to their care elements

Prevention of patient care hand-over errors and safety during transition of care

Assuring medication accuracy during the giving of care to a patient

Performance of correct procedure at correct body site



Guidelines

Technology

Clinical Focus AreasMedications

Medications Lists Search and Prescribe Drug Administration

Clinical Noting and AssessmentAllergies Patient Admissions

Handover of Care and Responsibility

- Single Patient Handover - Multi Patient Handover

Consistent Navigation Icons Form Design Tablet PC

Patient Identification Patient Banner (Micro) Patient Banner



Design Guidelines

Technology

Design GuidelinesPlatform agnostic UI design guidance for healthcare application

Guidance ranges from atomic guidance points through to complex guidance such as medications

Independently ratified and tested with clinicians, patient safety professionals and standards bodies



Design Guidelines

Technology

TechnologyFacilitates adoption of Design Guidance

Make it easier to embrace new presentation technologies: Windows Presentation Foundations and Silverlight 2.0

Takes the form of Common Controls, Samples and Demonstrators

Downloadable installer provides binaries and source code

Full IntelliSense and context-sensitive help


Clinical UI Focus Areas

Design Guidelines

Technology

Guidance covers the full spectrum of UI interactions.All UI guidance is platform agnostic and available from MSCUI.NETGuidance articulate what is required, how it should be structured and how not to use the guidance.Rationale and evidence provided within each guidance template.

diltiazem – RETALZEM – modified-release tablet – DOSE 60 mg – oral – three times a day

Diltiazem – retalzem – modified-release tablet – DOSE 60 mg – oral – three times a day

paracetamol – 120 mg in 5 mL – suspension – DOSE 80 mg – oral – every 4 hours

cefotaxime – powder for solution for injection – intravenous – DOSE 400 mg – every 8 hours

Key InformationTelephone Number Display and InputPatient ID Display and InputSex / Gender Display and InputAddress Display and InputDate Display and InputTime Display and Input

AccessibilityAccessibility PrinciplesAccessibility Checklists

Terminology (SNOMED CT)

Terminology MatchingTerminology ElaborationTerminology Display

Patient AdministrationPatient BannerFind a Patient

Medications Management

Medications ViewsDrug Administration

ControlsDate DisplayTime DisplayTime InputPatient ID DisplaySex / Gender DisplayAddress DisplayDate InputPatient Name DisplayPatient BannerPatient Search

SamplesDate and Time Combined (Simple)Date and Time Combined (Complex)Date and Time (Ambiguous)Input ValidationPatient Banner (Data Binding)Patient Banner (CSS Styling)Patient Banner (Extending)Patient Search

Currently Scheduled for release in May 2008A major update focusing on 5 key areas

Move to Silverlight 2.0 and WPF for all future controls, samples and demonstratorsInteractive Delivery Roadmap outlining the guidance and controls we will be developing and whenNew and updated design guidelinesA new Medications Grid control for Silverlight 2.0 and WPFA new Patient Journey Demonstrator which showcases CUI design guidelines, controls and future UI concepts in a Silverlight 2.0 application



Medications

Clinical Noting

Consistent Navigatio

n

Patient Identificatio

nHandover

The correct identification of a patient and the matching of a patient to their care elements.

Prevention of patient care hand-over errors and safety during transition of care.

Assuring medication accuracy during the giving of care to a patient.

Performance of correct procedure at correct body site.

Apr 08Apr 08 May 08May 08 Jun 08Jun 08 Jul 08Jul 08 Aug 08Aug 08 Sep 08Sep 08 Oct 08Oct 08 Nov 08Nov 08 Dec 08Dec 08 Jan 09Jan 09 Feb 09Feb 09 Mar 09Mar 09 Apr 09Apr 09 May 09May 09 Jun 09Jun 09

MedicationsMedications Line


MedicationsSearch and Prescribe


Clinical NotingAllergies


Patient Identification

Patient Identification





Consistent Navigation

Forms and Labels


Forms and Labels

Clinical NotingAdmissions




Clinical NotingGP Line

Clinical NotingGP Line








Sorting and Filtering


Sorting and Filtering

HandoverMulti Patient

HandoverMulti Patient

HandoverResponsibility

Transfer

HandoverResponsibility

Transfer

MedicationsDrug Administration



Icons


Icons









MedicationsTimelines

MedicationsTimelines



HandoverCare Transfer

HandoverCare Transfer


Alerts & Reminders


Alerts & Reminders

Consistent NavigationTablet PC

Consistent NavigationTablet PC

MedicationsAlerts

MedicationsAlerts

This is a DRAFT Roadmap which will be baselined when MSCUI V1.3 is Released

Apr 08Apr 08 May 08May 08 Jun 08Jun 08 Jul 08Jul 08 Aug 08Aug 08 Sep 08Sep 08 Oct 08Oct 08 Nov 08Nov 08 Dec 08Dec 08 Jan 09Jan 09 Feb 09Feb 09 Mar 09Mar 09 Apr 09Apr 09 May 09May 09 Jun 09Jun 09

Clinical NotingData Comparison


Patient IdentificationMicro Patient Banner

Patient IdentificationMicro Patient Banner

Clinical NotingNoting Core Control


Clinical NotingAllergy Noting

Clinical NotingAllergy Noting

Clinical NotingData Annotating

Clinical NotingData Annotating


Generic Grid


Generic Grid

MedicationsMedications List


Clinical NotingNoting Plug In

Clinical NotingNoting Plug In


Icons


Icons

MedicationsSearch Grid

MedicationsSearch Grid

Clinical NotingComparison Plug Ins




Clinical NotingAllergy List

Clinical NotingAllergy List

Patient IdentificationPatient Banner

(Update)

Patient IdentificationPatient Banner

(Update)





MedicationsTimeline

MedicationsTimeline



This is a DRAFT Roadmap which will be baselined when MSCUI V1.3 is Released

Updated Guidance

Date Display Medications Management – Medications Views Medications Management – Drug Administration Patient Banner

New Guidance

Telephone Number Input and Display Patient Name Input and Display Patient Identification Number Input and Display Address Input and Display Email Address Input and Display Medications Line ID Decision Support Search and Prescribe Icons and Symbology Design Advice – Alert Symbol Design Design Advice – Abbreviations and Acronyms Design Advice – Abbreviations and Acronyms in Free Text Input

Medic

ati

on D

eta

ils in a

Lis

t

Showcase CUI Design Guidance and Controls using the latest Microsoft technologies

Illustrate clinician empowerment through improved UI design and context

Highlight the art of the possible in terms of next generation User Experiences for clinicians

Real world clinical

Scenarios

NameTitleGroup

Engage in the communityDownload and review MSCUITell us what your patient safety priorities areTell us what your Clinical UI priorities areTell us how we can make the Guidance and Controls more useful for you ?

Use the Codeplex CUI Community Project and Discussion Forums to tell us what you think

Microsoft Health Industry Centre on MSDNMSDN.MICROSOFT.COM/HEALTH

Microsoft Health Common User InterfaceWWW.MSCUI.NET

Microsoft Health CUI Community ProjectWWW.CODEPLEX.COM/MSCUI

Microsoft NHS Resource CentreWWW.MICROSOFT.COM/UK/NHS

© 2008 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries.

The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after

the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

Andrew Kirby – [email protected]@microsoft.com Microsoft Corporation.

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Transcript of Andrew Kirby – [email protected]@microsoft.com Microsoft Corporation.