Niva

Niva : Platform for patients to share health records

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

Summary

FIGmd is a leader in providing healthcare solutions & rapid deployment of secure, interoperability driven, clinical, claims, quality data acquisition platforms & EHR in the USA, because providers have different systems in place for storing Electronic Health Records (EHR) and there isn't a standard process to share patient information.

Our task was to design a mobile application for patients to share their medical history with another provider seamlessly with anyone.

Design Goals

  • Introduce a digital platform for patients to access and share health records.
  • Build an easy to use, smooth, user-friendly, fast, hustle free and secure platform.
  • Reduce gap between patient and doctor to efficiently share clinical history.
  • Provide a UIUX framework that will help the product.

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

We started research work with the stakeholders (Business Analyst, Marketing Head etc.) to get market insight and understand the users, early research showed that our primary user group would be patients with recurring medical issues and secondary doctors. After the research we created 2 primary personas of our target group.

Aim

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

Patient Challenges

  • Share health records on individual or behalf of someone without any info leakage.
  • Achieve this with a single platform and securely.
  • Sensitive data(AIDS or Cancer patients data) sharing without leak.

Interview and surveys

We interviewed 15 patients and 5 providers with the help of our USA office team we interacted with the target group audience to understand WHAT WHY & HOW and asked them questions like:

  • Why do they need their medical history?
  • How do they get their medical history presently?
  • What problems do they face to get medical history?
  • What are their concerns for medical history? We created affinity diagrams of all the data collected and derived.
  • Conclusions about the current process, problems, requirements and goal.

Findings

We Found below points from our research

  1. There are many reasons why someone wants their records. The most common are: the patients are moving to a different area and want continuity of care with their records, they are changing physicians, they are involved in litigation or the health care providers may be retiring or closing the practice.
  2. Patients need to contact the doctor's office, clinic, or hospital where they were treated. In order for the office, clinic, or hospital to release their confidential medical record information. Need a signed medical authorization release to obtain a client's medical records from any healthcare provider, often, many healthcare providers respond more quickly to an attorney than to a patient.
  3. It's a time taking process, in case of emergency, it can be life-threatening for patients.
  4. Helps prevent getting tests they don't need
  5. They want current list of medications and immunizations
  6. Helps keep their allergy information up-to-date
  7. Filling up long health surveys at hospital are so frustrating

Personas

Dr. John
JOHN D RANDOLPH 32 YEARS, DOCTOR

ABOUT

Dr. John is a 32 years emergency doctor who lives in New York. He thinks time is very important factor in saving life, he prefers away to share medical reports with an casy access

OBSTACLES

In dealing with emergency cases too he has to contact another medical provider to have the access to the patient's history.

GOAL

  1. The easy way to access medical history
  2. Be aware of all consequences

FRUSTRATIONS

There should be an easy way to be updated and connected without annoying or over loading doctors all the time.

TECHNOLOGY

Dr John is very friendly with the mobile and tablet

PATIENT, BELLA SWAN
BELLA SWAN 28 YEARS, PATIENT

ABOUT

Bella is a 28 year old housewife who lives in New York. She has been suffering from diabetes for about 15 years, she is worried about her medical status and she has to frequently visit doctors.

OBSTACLES

Bella's regular doctor has left the job from USL hospital, and now he is associated with LBS hospital, he doesn't want to change the doctor, but both the hospitals don't have any tie up to share EHR.

GOAL

Easy access to medical data and files to share with the same doctor in new hospital.

FRUSTRATIONS

Getting medical history from the hospital is a very difficult process. She needs to contact the hospital and needs to do many formalities.

TECHNOLOGY

Bella is not much tech-savvy but she used IPhone

Patient Journey

Next, we made a user journey for my patient persona to determine and prioritize the most critical user flows, this process helped us to visualize the process of the patient which he goes through in order to accomplish a goal.

SCENARIO

BELLA SWAN Profile picture
BELLA SWAN

She visits to Dr. Robert at ABC hospital every month, but few days back she got to know Dr. Robert have left job from ABC hospital and now he is associated with XYZ hospital, as Bella is getting treatment from Dr. Robert for long time, so she don't want to change the doctor and decide to visit Dr. Robert at XYZ Hospital.

But ABC Hospital & XYZ hospital both don't have any tie-up to share EHR, so Bolla needs to access her medical history from ABC hospital

Phase Awareness Search Documentation Collect Share
Action Bellas makes a call to Dr. robert to book his appointment, but Doctor informs her that he is not associated with ABC hospital, If she needs to visit him, she has to come to XYZ hospital with her medical history Bella calls the ABC hospital to know how she can access her medical history and share it with xyz hospital. Ther hospital informs her she need to sing and submit few documents at the hospital to access her medical history Bella visits the ABC hospital, fills up the form with details of required medical history, signs a medical authorization release form and pay the medical history fees After few day bella again visits the ABC hospital to collect her medical history bunch of paper document Bella visits Dr. robert at XYZ hospital and share her medical history paper documents
Feelings Worried Tense Irritated and Frustrated Feel Relaxed Happy

OPPORTUNITIES AND IDEAS

  1. Health records can be handy
  2. Can be made less or none documentation process.
  3. User should able to share only required data.
  4. Data receiving hospital workload should not increase by re-entering data

USER STORIES AND FEATURE LIST

After this user journey, we determined which all user behaviors and actions are of prime significance to them. We considered the technical feasibility of this prioritization process. This was done in collaboration with the Product Managers Technical Leads, and the Strategist of Niva. Going deeper into these actions, we created a list of major requirements of the user and product features

User Requirements

  1. Bella need EHR to be handy in a secured manner.
  2. Bella need view important resources on dashboard
  3. Bella need to view the EHR categorized by the hospital.
  4. Bello needs to view EHR date / visit wise.
  5. Bella need to view the most recent EHR on the top.
  6. Bella needs EHR to be updated automatically.
  7. Bella needs to share the EHR particular date range.
  8. Bella need resource to be arranged by date
  9. Bella needs to share the EHR by 1 resource or multiple resources or all resources.
  10. Bella need to needs to select hospital with whom the he wishes to share EHR
User Requirements
Priority Feature Details
Must Have Vital Users will be able to see their details as per monitored by medical professional and health care provider
Medications Users can see which medicine currently he/she is taking which medicines he/she has stopped
Allergies Users will be able to see quick view of their allergy history
Health records Users will be able to see their entire EHR as per their hospital visits also they will be able to share the same with other providers
Care team Users will be able to manage their hospitals and providers like link and unlink the hospitals and providers
Lab Reports Users will be able to find their all lab and diagnostic reports history
Surveys Any survey or questionnaire rolled out by the hospital or provider will be in the survey
Profile Users will be able to manage details like mobile number, email address, passwords , medical id etc
Settings User will be Able to manage and set preferences notification security settings etc
Nice to Have Appointments Users will be able to make appointments with doctors
Fitness This feature will help users to keep healthy with regular health tips, adviceses, blogs etc ...

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

Information Architecture (IA)

The information architecture (IA) is not part of the on-screen user interface (UI) — rather, IA informs UI.

After iterating multiple rounds of IA in UX workshop with the team we finalized detailed Information architecture, we came up with a model which worked the best for chronic patients. we categorized the items into sections of vital, medications, allergies, and health records and lab reports chronologically. A medical history organized in catagory by chronology does help a patient to find their history easily.

Looking at the waste data captured & analysed for Pegasus, 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

Based on the key findings and generated information architecture, We came up with the following key app prototypes. It helped me arrange the interface elements easily and alongside we focused more on the functionality of the app. Moreover, the wireframes allow me to quickly test ideas without diving into the visual details.

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 Niva perform

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

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