Andrew Kirby Director, Healthcare Solutions Microsoft Services
Microsoft in Health Patient Safety Challenges The Patient Safety Principles Driving MSCUI Delivery Roadmap Review Examples of MSCUI in Use Call to Action Q&A 2
A Microsoft funded collaboration with the National Health Service A five year programme that started in 2004 and is focused on helping the NHS: Increase patient safety Increase clinician effectiveness Increase the ease of adoption & relevance of Microsoft Windows and Microsoft Office to the NHS
Accelerated Development of Safe, Compelling Clinical User Experiences Clinical UI Guidelines Common Controls & Samples Designer & Developer Innovation Safer, Compelling, Clinical UI For Designers, Application Developers and Patient Safety professionals Provides rigorously researched and tested UI Guidelines Provide pre-built.net controls and samples Enables the community to guide on-going development of guidelines and controls 5
Over 275,000 visitors to www.mscui.net and over 27,000 design documents downloaded Over 13,000 toolkit downloads from www.codeplex.com/mscui Four updates to MSCUI adding new guidance, controls and demonstrators Patient Journey Demonstrator won best Silverlight 2 application award Active adoption and deployment by over 20 Healthcare software companies worldwide 6
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UK National Audit Office, 2005 www.nao.org.uk 900,000 patient safety incidents per year, 8% result in death $4bn per year extra cost in bed days After falls it is medication errors, record documentation error and communication failure that are the most common cause IT can reduce these errors by 53% - 83% Centers for Medicare and Medicaid Services US 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 9
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Clinicians are often required to use a disparate set of systems from multiple vendors to perform similar tasks Lack of consistency for commonly performed and safety critical functions within and across systems A need to increase clinician proficiency without increasing training or compromising patient safety Information Display & Input Patient Administration CPOE Medications Management Terminology Coding Knowledge & Decision Support 11
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Patient Safety Principles Clinical Focus Areas Design Guidelines Patient Safety Principles 1.The correct identification of a patient and the matching of a patient to their care elements 2.Prevention of patient care hand-over errors and safety during transition of care 3.Assuring medication accuracy during the giving of care to a patient Technology 4.Performance of correct procedure at correct body site 14
Patient Safety Principles Clinical Focus Areas Design Guidelines Clinical Focus Areas 1.Medications Medications Lists Search and Prescribe Drug Administration 2. and Assessment Allergies Patient Admissions 3.Handover of Care and Responsibility Single Patient Handover Multi Patient Handover Technology 4.Consistent Navigation Icons Form Design Tablet PC 5.Patient Identification Patient Banner (Micro) Patient Banner 15
Patient Safety Principles Clinical Focus Areas Design Guidelines Design Guidelines 1. Over 1100 individual guidelines already published 2. Platform agnostic UI design guidance for healthcare application developers 3. Guidance ranges from atomic guidance points through to complex guidance such as medications, clinical noting, charting Technology 4. Independently ratified and tested with clinicians, patient safety professionals and standards bodies 5. Distributed worldwide through WWW.MSCUI.NET 16
Patient Safety Principles Clinical Focus Areas Design Guidelines Technology 1. Facilitates adoption of Design Guidance 2. Make it easier to embrace new presentation technologies: Windows Presentation Foundation and Silverlight 2 3. Takes the form of Common Controls, Samples and Demonstrators Technology 4. Free, downloadable installer provides binaries and source code for controls and samples 17
Guidance covers the broad spectrum of UI interactions All UI guidance is platform agnostic Guidance articulates what is required, how it should be structured and how not to use the guidance Rationale and evidence provided within each guidance document. 1100 guidelines published 20
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Patient Safety Principles Medications Clinical Noting Clinical Focus Areas Consistent Navigation Patient Identification Handover 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. 24
May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Medications Medications Line Medications Medications Line Medications Medications Line Admissions Admissions Medications Search and Prescribe Medications Search and Prescribe Medications Search and Prescribe Admissions Admissions Medications Drug Administration Medications Drug Administration Medications Drug Administration Handover Multi Patient GP Line Patient Identification Allergies Medications Timelines Handover Responsibility Transfer Handover Care Transfer Allergies Consistent Navigation Sorting and Filtering Consistent Navigation Forms and Labels Consistent Navigation Alerts & Reminders Consistent Navigation Tablet PC Consistent Navigation Icons Allergies Medications Alerts 25
May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan 09 Feb 09 Mar 09 Apr 09 May 09 Jun 09 Jul 09 Patient Identification WPF & Silverlight Controls Medications Controls Medications Controls Controls Controls Controls Controls Medications Controls Controls Consistent Navigation Controls Patient Identification Controls Consistent Navigation Controls Controls 26
Medications Consistent Navigation Patient Identification Handover Medications Line Medications Grid Medications Detail Look ahead / look behind Medications Grouping Patient Banner Patient Search Date Display Time Display Time Input Patient ID Display Sex / Gender Display Address Display Date Input Patient Name Display Patient Journey Demonstrator Patient Administration Primary Care Cardiac Patient Secondary Care Cardiac Patient 27
Updated Delivery Roadmap and Change Record to reflect new guidance/controls Silverlight and WPF controls for PatientBanner, AddressLabel, ContactLabel, GenderLabel, IdentifierLabel, NameLabel New Design Guidance for Displaying Tables and Graphs and Micro Patient Banner Add PatientBanner and ContactLabel controls that now conform with Telephone Display guidance. New sections onmscui.net discussion Benefits, Core Principles, User U Research, and Adoption New MSCUI team blog Changes to the Patient Journey Demonstrator Incorporation of new controls in Patient Journey Demonstrator: Silverlight S Patient Banner. MedsListView control Clinical noting example used to record a consultation with SNOMED D encoding medications search and prescribing. Presence UI to all names New measuring and annotation features in the Angiogram scenario 28
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NHS Summary Record Application
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Engage in the community Download and review MSCUI Tell us what your patient safety priorities are Tell us what your Clinical UI priorities are Tell us how we can make the Guidance and Controls more useful for you? Please use the Codeplex CUI Community Project and Discussion Forums to tell us what you think 32
Health at Microsoft.com: http://www.microsoft.com/health Health IT Industry Center: http://msdn.microsoft.com/health Microsoft Health Common User Interface (MSCUI): http://www.mscui.net/ MSCUI Community Project on Codeplex: http://www.codeplex.com/mscui Microsoft NHS Resource Centre: www.microsoft.com/uk/nhs 33
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