Monday, May 18, 2009

On the Presentation of Test Results

In the ongoing dialog at Heathcare Business News, Bob Coli, M.D. and founder/CEO of Diagnostic Information System suggests that "the design of the key interface between the sources of diagnostic test results and the clinicians and patients who use those results is seriously flawed."
Since the beginning of the information silo era, clinical lab systems, ambulatory and inpatient electronic health records, and more recently, personal health records and health information exchange platforms have displayed cumulative test results for viewing and sharing as fragmented, incomplete data using variable formats.

The poor quality of the existing test results interface is responsible for the mismanagement of billions of diagnostic tests and contributes to estimated duplicate annual testing rates in the 15% to 20% range.

Do CCRMC providers share this perception? Where are the pain points and opportunities for improvement? Are there examples of good data presentation among our current portfolio of clinical applications?

Dr. Coli goes on to say:
[F]ull interoperability will require a standardized reporting format and comprehensive, clinically integrated data that presents a unified and common view to EHR, PHR and HIE users. Converting fragmented data into meaningful information will provide a workflow tool that has been shown to facilitate results viewing and sharing by producing a media reduction of up to 80% and greatly improved readability.

Significantly improving the viewing and sharing of test results information among collaborating physicians as well as between physicians and patients is just one example of how computer-savvy clinicians, imaginative software developers and experts in human-machine interface design can collaboratively create the next generations of EHR, PHR and HIE systems that will be easy and intuitive for both physicians and patients to use.

[emphasis added]

These are issues that deserve serious consideration as enhance and expand the application portfolio at CCRMC. We in Information Systems look forward to a substantive dialog with our medical colleagues on the topic of user interface affordance.

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