CareFirst Niva

CNE : Platform for patients to share health records

CNE is an innovative vision of Centralised Data-Driven integrated platform for Web and Mobiles to manage all the health records with security layers. Easy to download, share and customise for quick sharing.

Summary

CNE (Centralised Network for EHR) is mobile and web unified platform developed for patients to share their health records including clinical history, medical care, diagnostic results, genetics, patient demographics, and lifestyles and health outcomes with providers worldwide very easily and securely (by FHIR and HIPAA guidelines) on very few clicks.

This Platform resolved most of issue related with data or health records sharing, it is reduced pain of carrying physical copies of records, x-rays files, prescriptions and so on…

Why CNE?

CNE (Centralised Network for EHR) platform is specially build / developed for patients to give them smooth, hustle free and easy user experience to perform health records sharing activity, As patients cannot carry their health records always with them. Those are very big and have lots of things to carry like case papers, X-rays films or paper and reports, Prescriptions. Which makes it uncomfortable to carry many manual and physical records and to overcome the pain point mentioned above.

More About CNE

By using CNE Niva app user can share their health records with any doctor any time around the globe. No need to carry physical copies of health records. Less chances of misplace or damage physical copies of health records. This app is for all patients those who wants to share their health records

First idea

Clinicians /Hospital’s patient health record management & analysis was huge task across the US Healthcare market.

Also, there were multiple players in market who were developing EHR Databases. Inspite of EHR Data standardisation, sharing and managing data between different EHR platforms was still a key problem.

We started with tackling that same problem, by creating our own centralised cross platform database, to handle different operations on data from different sources. This Idea helped us creating wholesome database to fulfil Patients, Doctors, Hospital’s and Payer requirements related to medical data sharing over different devices (web/mobile).

Design Goals

  • Introduce a web/mobile combined digital platform for patients to access and share medical health records (EHR).
  • Build a platform which is easy to use, smooth, user-friendly, fast, hustle free and secure (by FHIR and HIPAA guidelines).
  • Reduce gap between patient and doctor to efficiently share clinical history
  • Gathering qualitative data to get better analysis outputs and Providing unique user experience.

Plan

To Build a multi device supported, integrated platform to capture & share health records with doctors. Create a Scalable, android & iOS native assistance application for healthcare market. Creating a common EHR platform which can be integrated with other FIGmd products. Which will eventually add more value to the data.

Sprint 0 = Design Sprint

We initiated and conducted design sprint to add UI UX efforts in very beginning of the product development cycle for maximum control and excellent experience

Research
Empathy
Create
Refine
Deliver

Research

Connecting the dots of Service offerings to User needs.

Aim

  • Digitise health records sharing processes and Combining key services to build a uniform platform to cater specific needs

Patient Challenges

  • Patient shares it’s health records as individual or behalf of someone without any info leakage.
  • Patients’ achieve this with a single sign on & combined platform, Executes sharing via mobile or Web as per HIPAA and FHIR guidelines.
  • SAMSHA (HIV or Cancer patient’s sensitive data) sharing without leakage/mishandling of important patient data.

Research Methods

  • Focus Group Discussions - Stakeholders, BA Team, UX team to get their insights during the design process.
  • Usability Testing - Conducting user tests at different stages to keep on improving product features.
  • A/B testing - Created multiple options for CNE application’s key features to test out simple and easy way of task completion.
  • Using Iterative method to improve sharing capabilities and key sharing options.

Research Objectives

  • Finding areas for all patients for Common Functionalities and product scope
  • Share patient data by self or on behalf of someone close to patient.
  • Share Patient’s sensitive data

Findings

1

Discussion on/for understanding of current processes.

2

Product Goles and its short & long term plans

3

Understanding current requirements and thought process for CNE.

4

Documented the ideal customer portrait and customer journey

Analysis

Combining different services to create one User Friendly product, to solve core problems.

Scenarios

1

Patient is there in one city and is in a critical situation, and the doctor is asking for a health record for treatment.

2

Doctors need to see the diagnostic report for a similar case of some other patient and he does not have a report.

3

Sensitive data(HIV or cancer patients data) sharing without leak.

Profile Analysis

Task Analysis

After having multiple interviews with different Clinicians and patients associated with our organisation we used following pointers to observe and finalise user tasks

Our users’ goals and what they are trying to achieve

The steps that our users currently take in order to achieve their goals (very helpful to see how they follow instructions or have devised ways to work around problems in current practices!)

The personal, social and cultural experiences that users bring to the tasks The influence of the physical environment on the users while attempting to meet a EHR sharing goal

All the gathered task information and its flow charts can be seen in followed section.

Environmental Profile

We understood the Users’ works environment & it’s possible relation on user’s task performance. Environmental Profile helped us understand Environmental Stress and its direct impact on user performance, errors & health record documentation. It helped us choose better UI to improve performance as per the environments.

Clinician Profile - Clinicians are found using our app mostly in their practice environment. The workplace has very comfortable and appropriate environment for application usage. Unless they are handling some other important work/case.

Patient Profile - While conducting the research we realised that the probability of patient being in stress/panic is more than usual. Also Lighting conditions are better if patient is using application in consultation room. On other hand we found many possibilities, where patient can be in random or panic situations when they need to share EHR with doctors. These situations are considered while designing component’s sizes and colours to improve visibility inside application and easiness of use.

Individual

Age 25 - 35
Location United states
Primary Language English
Computer exp Expert
Internet Browsers Chrome, Firefox, Safari

Dependant

Age 50 - 65
Location United states
Primary Language English
Computer exp Good
Internet Browsers Chrome

Minor

Age 0 - 18
Location United states
Primary Language English
Computer exp Above Avg.
Internet Browsers Chrome, Safari

Synthesis

User Matrix

Individual User

Dependant User

Individual User

Name

Age

Gender

Location

Occupation

Education

Household Size

Insured

James Ryan

28

Male

Brooklyn, NY, US

IT Engineer

IT Graduate

5

Yes

Natali Miller

58

Female

San Jose, CA, US

Receptionist

Arts Graduate

3

No

Noah Murphy

48

Female

Ausn, TX, US

Bank Manager

Commerce Graduate

4

Yes

Key Goals

Find new ways to reduce stress and anxiety.

Improved technology in healthcare to make it Easy and Fast

Get access to affordable healthcare.

Stable and reliable lifestyle for her family.

Stay out of waiting room.

See a doctor at her convenience.

Have a medical visit fit her schedule and not the other way around.

Preventive care for her children

Key Blockers

Delayed admission of patient in hospital.

Patient details and documentation while admission.

Keeping track of prescriptions and reports.

Expensive and unaffordable traditional methods.

Affordable healthcare is not easily accessible.

Raising her child and disabled spouse alone

No time to visit the doctor as no day off.

Long doctor visit and medical forms documentation.

Has trouble using complex apps

Patient Journey

Sign Up / Registraon

User need to sing up/

Register, manually or using

Login the App using social media icons like and

Authentication login/signup

Complete User profile

Auto filled second basic

This is dymmy content

Find health records

Find health records by

I. Insurance policy

This is dymmy content

by completing security questions

Share health records

This is dymmy content

doctors belonging to

different hospitals/clinics

User Flows

Signup

User Verification

By Hospital

By Insurance

App Functionality

Update Records

Share Records

Information Architecture (IA)

The information architecture (IA) was not part of the on-screen user interface (UI) — rather, IA helped reforming UI in huge way. Looking at the waste data captured & analysed from our Different products, we chose open card sorting to define Information Architecture which led us to strong navigational structure catering to the capabilities of each bucket.

This Navigation helped users find information, related functionality and encourage them to take desirable actions. Also, separated components include global navigation, local navigation, utility navigation, breadcrumbs, filters, facets, related links, footers, fat footers, and so on.

Information Flow Diagram

Design & Iterate

We discovered our journey from a service to a well-developed product. Making the best with enormous data & its application across the health care system.

CNE is the patient data gathering & analysis platform for Multi facility practices, single facility clinicians, and registries too.

Usability Testing (UT)

After creating wireframes and choosing a style, we did internal usability testing between team, And stared for high fidelity design. We made a prototype of the project and asked respondents to do tasks in order to test it with them. We picked realistic scenarios to engage the respondents in reaching their goals with the app. Using all the information we had, we designed tasks for users to complete.

Documented and restructured the language for user’s understanding. And conducted tests with different users, internal and externals!

We used different tools to analyse the user experience and the problems users came across (with the help of tools such as morae). It helped extensively to capture heat maps and user’s behaviour and patters.

Feedback -

1. Securely sharing of sensitive data (SAMSHA) as per FHIR and HIPAA guidelines on CNE Niva perform

2. Patient can send data to any doctor without hesitation at any point of time.

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