Pegasus

Common platform for all the registry to manage & analyse health records

An innovative vision of Centralised Component-Driven Platform to manage all the registries Submission data with multiple access levels. A platform that cab be easy to configure & modularise.

Summary

Discover our journey from a service solution to a well curated all Registry Data Platform, that can c ustomized over the 27+ registries Health Records. Making the best with enormous data & its application across the health care system.

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

What is Registry?

Its an organised system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes.

More About Pegasus

Starting with the new area of the healthcare system that works with patient visits real data, Practice details, Clinician expertise, their interconnection with registries, and finally to CMS submissions. While benchmarking the health care process to enhance medical practice performance across the US

First Idea

Clinicians /Hospital’s patient health record management & measured analysed product can be applied to the bigger health care system, to all Registries across the US

We started with the basics - usability and information architecture, the first steps towards digitalisation of Registry requirements

A common platform that captures data, analyses and processes to CMS submissions. Also, customise this platform as per the registry requirements and manage on their behalf too. With sorted process to help practice performance with their best capacities to simplify onboarding and enhance UI consistency

Key Uplifted areas

  • Define & build a product that will make the whole user experience to the next level.
  • Introduce UX Process & issues the current web application.
  • Build a cohesive product to match the capabilities of segregated process channels.
  • Provide a UI/UX framework that will help the product.

Plan

Build a cohesive platform to capture & track clinicians performance records on the basis of patient visit data, benchmark clinician performance and help them with CMS submission

A Scalable, Hybrid assistance health portal

Sprint plan: Add Sprint 0 = Design Sprint

Research
Empathy
Create
Refine
Deliver

Research

Understanding Registry Needs

Aim

  • Digitise Registry’s manual processes.
  • Combining key services to build a uniform platform to cater to registry specific needs

Challenges

  • Customization for each registry
  • Old Tech - Low performance of Java Dot Net
  • On the fly development - UX at the backseat

Research Methods

  • Focus Group workshop - Stakeholders, BA Team, UX team, CAS Team
  • Interviews with Registry POCs

Research Objectives

  • Common scope for all registry
  • Upgrade technology for better performance
  • Design plan prioritization based on findings

Findings

1

Lack of UX approach in the current Product

2

Long term Plan -

Realign all current features with Better dev

Short term plans -

Break Feature list a per the Dev, UX priorities

3

Base of Current requirements & related thought process

4

Ideal User Portrait & Feasible User Journey

Analysis

A service offering trying to be a organized product

Scenarios

1

Single provider with no access to EHR, works manually in the Pegasus Platform to capture, add/edit patient visits data & organize related majors

  • Error prone data capturing method
  • Heavy physical documentation
  • Addition hours spent on Health Records rather than medical consultations
2

Multispecialty Practice have the access to EHR, provides captured data in digital format, then Pegasus provides facility extract and uploads data in the platform

  • More Systematic Digital documentation, might still face multiformat issues
  • Can afford additional non clinical Staff for documentation
  • Lesser hours spent than manual process on organizing Health Records

Profile Analysis

Task Analysis

We built a metrix for user flow against the all type of users, which helped us examine task performance hierarchy for each user type and leads to better navigation structure.

Environmental Profile

Hospital Desk work for most of the user using EHR on Devices. For Manual without EHR access - Document Storage room & Computer entries for data Stress level due to complex data capturing & analysis in basic tools like Excel or other preliminary tools and its direct impact on performance error

Impact on UI

  • Need simple & prompt UI
  • Main Section & quick related section access
  • Notifications & High-low distinct coloration for Measure behaviour

Practice Admin Clinician

Name David Rchards
Age Gender 42 Male
Occupation Clinician
Data Entry Method Epic - Data Pull
Practice Size Mid
Speciality General Physician
Role Admin

Practice Admin Non Clinician

Name David Rchards
Age Gender 42 Male
Occupation Clinician
Data Entry Method Epic - Data Pull
Practice Size Mid
Speciality General Physician
Role Admin

Registry Admin

Name David Rchards
Age Gender 42 Male
Occupation Clinician
Data Entry Method Epic - Data Pull
Practice Size Mid
Speciality General Physician
Role Admin

Synthesis

User Matrix

Practice Admin Clinician

Practice Admin Non Clinician

Registry Admin

Name

Age - Gender

Occupation

Data Entry Method

Practice Size

Speciality

Role

David Reynolds

42 Male

Clinician

Epic - Data Pull

Mid

General Physician

Admin

Kelly Peterson

38 Female

Support Staff

Epic - Data Push

Big

-

Admin

Noah Murphy

34 Male

Non Medical Staff

Epic - Data Pull

4

Data Entry Specialist

Main Admin

User Comments

“Their is always scope in improvement, bow we have check overall growth or lacking in patient care”

“Data entry needs to have centriized system and bess. dependant on paper work"

*It will be good to have one system which can help me with CMS entries with much more east”

Key Goals

Keep all the data categorised for patient visits & care reports

Keep all the data categorised for patient visits & care reports

Track patient visit & care reports, Keeping required data inEHR

Key Blockers

1. No timely check to improve medical staff performance resulting low CMS score

2. Low CMS score can impact more to Small practice yearly budget

Data transfer from Paper records to CMS

Measures score data complexity

Customer Journey Practice Admin - Non Clinician

Sign Up / Registration

Data Entry of Practice

Providers, Locations,

Agreement , Plan Selection,

Payment, Pull/Push

Data Entry of Technology

Pegasus Dashboard

Autofilled sections for Practice,

Providers basic details

Pull - EHR Data Entry

Pull - EHR Data Entry

Pull - EHR Data Entry

Data Analysis

for all Majors

View Analysed Data

Export Reports

Care Gap Analysis

Performance Improvement Plan

Improving Analysis

MIPs Submission to CMS

Customer Journey - Registry Admin

Registry 1

Registry 2

Registry 3,

Registry 4

Registry 5

Registry 1

Registry 2

Auto Filled Data

Practice, Providers,

Locations,

Role of Provider

Registry 1

Registry 2

Push / Pull

Data Entry of Technology

Registry 1

Registry 2

Data Analysis
for all Majors

Improving Analysis

View Analysed Data

Export Reports

View/ Related actions

Care Gap Analysis

Performance Improvement Plan

Registry 1

Registry 2

MIPs Submission to CMS

Information Architecture (IA)

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

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.

Design and Iteration

Discover our journey from a service to a well-developed product. Requirement of over the 27+ registries patient data customized. Making the best with enormous data & its application across the health care system.

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

User Testing

Our Approach for UT It’s far better to run some usability testing using what you have to hand than to run no usability testing at all.

We ran unmoderated remote testing with bunch of user segments.

User Testing 1 on Low fidelity Wireframes & Feedback

User Testing 2 on High fidelity Wireframes & Feedback

Feedback

1. Care gap gives added advantage to perform & analyse quarterly.

2. Measure consolidated matrix bar shows own performance against registry performance And many more...

Home