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A framework for evaluating electronic health record vendor user-centered design and usability testing processes.

Raj M Ratwani1,2, A Zachary Hettinger1,2, Allison Kosydar1

  • 1National Center for Human Factors in Healthcare, MedStar Health, Washington, DC.

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Summary

A new framework helps evaluate electronic health record (EHR) vendor usability processes. This tool enhances transparency for EHR purchasers and users, highlighting areas where vendors may not meet best practices.

Keywords:
electronic health recordshealth information technologyhuman factorsusability

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Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Software Engineering

Background:

  • Limited resources exist for understanding electronic health record (EHR) vendor usability processes.
  • Purchasers and end-users need systematic methods to evaluate EHR usability.
  • Existing evaluation methods lack comprehensive assessment of user-centered design.

Purpose of the Study:

  • To develop a framework for systematically evaluating EHR vendors' user-centered design processes and usability testing.
  • To provide a tool for assessing the quality of usability efforts by EHR vendors.
  • To enhance transparency in EHR product development and selection.

Main Methods:

  • A 15-point framework was developed based on human factors literature and industry standards.
  • The framework assesses user-centered design process, summative testing methodology, and results.
  • Two EHR vendor usability reports were evaluated using the developed framework.

Main Results:

  • The framework successfully differentiated between vendor usability processes, with scores of 5 and 15 points.
  • The evaluation demonstrated the framework's ability to identify vendors adhering to best practices.
  • Variability in vendor usability processes was effectively discriminated by the framework.

Conclusions:

  • The framework offers a clear method for understanding EHR vendor usability.
  • It identifies areas where EHR vendors may fall short of best practices.
  • Increased transparency is provided for EHR purchasers and end-users, guiding certification bodies toward clearer requirements.