Six habits of highly successful health information technology: powerful strategies for design and implementation

Jessica M. Ray, Raj M. Ratwani, Christine A. Sinsky, Richard Frankel, Mark W. Friedberg, Seth M. Powsner, David I. Rosenthal, Robert M. Wachter, Edward R. Melnick

Research output: Contribution to journalArticle

Abstract

Healthcare information technologies are now a routine component of patient-clinician interactions. Originally designed for operational functions including billing and regulatory compliance, these systems have had unintended consequences including increased exam room documentation, divided attention during the visit, and use of scribes to alleviate documentation burdens. In an age in which technology is ubiquitous in everyday life, we must re-envision healthcare technology to support both clinical operations and, above all, the patient-clinician relationship. We present 6 habits for designing user-centered health technologies: (1) put patient care first, (2) assemble a team with the right skills, (3) relentlessly ask WHY, (4) keep it simple, (5) be Darwinian, and (6) don't lose the forest for the trees. These habits should open dialogues between developers, implementers, end users, and stakeholders, as well as outline a path for better, more usable technology that puts patients and their clinicians back at the center of care.

Original languageEnglish (US)
Pages (from-to)1109-1114
Number of pages6
JournalJournal of the American Medical Informatics Association : JAMIA
Volume26
Issue number10
DOIs
StatePublished - Oct 1 2019

Fingerprint

Medical Informatics
Habits
Technology
Documentation
Delivery of Health Care
Biomedical Technology
Compliance
Patient Care

Keywords

  • digital health
  • doctor-patient relationship
  • health information technology
  • human centered design
  • user centered design

ASJC Scopus subject areas

  • Health Informatics

Cite this

Six habits of highly successful health information technology : powerful strategies for design and implementation. / Ray, Jessica M.; Ratwani, Raj M.; Sinsky, Christine A.; Frankel, Richard; Friedberg, Mark W.; Powsner, Seth M.; Rosenthal, David I.; Wachter, Robert M.; Melnick, Edward R.

In: Journal of the American Medical Informatics Association : JAMIA, Vol. 26, No. 10, 01.10.2019, p. 1109-1114.

Research output: Contribution to journalArticle

Ray, Jessica M. ; Ratwani, Raj M. ; Sinsky, Christine A. ; Frankel, Richard ; Friedberg, Mark W. ; Powsner, Seth M. ; Rosenthal, David I. ; Wachter, Robert M. ; Melnick, Edward R. / Six habits of highly successful health information technology : powerful strategies for design and implementation. In: Journal of the American Medical Informatics Association : JAMIA. 2019 ; Vol. 26, No. 10. pp. 1109-1114.
@article{75637767d96246eab66820d0b1f7c591,
title = "Six habits of highly successful health information technology: powerful strategies for design and implementation",
abstract = "Healthcare information technologies are now a routine component of patient-clinician interactions. Originally designed for operational functions including billing and regulatory compliance, these systems have had unintended consequences including increased exam room documentation, divided attention during the visit, and use of scribes to alleviate documentation burdens. In an age in which technology is ubiquitous in everyday life, we must re-envision healthcare technology to support both clinical operations and, above all, the patient-clinician relationship. We present 6 habits for designing user-centered health technologies: (1) put patient care first, (2) assemble a team with the right skills, (3) relentlessly ask WHY, (4) keep it simple, (5) be Darwinian, and (6) don't lose the forest for the trees. These habits should open dialogues between developers, implementers, end users, and stakeholders, as well as outline a path for better, more usable technology that puts patients and their clinicians back at the center of care.",
keywords = "digital health, doctor-patient relationship, health information technology, human centered design, user centered design",
author = "Ray, {Jessica M.} and Ratwani, {Raj M.} and Sinsky, {Christine A.} and Richard Frankel and Friedberg, {Mark W.} and Powsner, {Seth M.} and Rosenthal, {David I.} and Wachter, {Robert M.} and Melnick, {Edward R.}",
year = "2019",
month = "10",
day = "1",
doi = "10.1093/jamia/ocz098",
language = "English (US)",
volume = "26",
pages = "1109--1114",
journal = "Journal of the American Medical Informatics Association : JAMIA",
issn = "1067-5027",
publisher = "Oxford University Press",
number = "10",

}

TY - JOUR

T1 - Six habits of highly successful health information technology

T2 - powerful strategies for design and implementation

AU - Ray, Jessica M.

AU - Ratwani, Raj M.

AU - Sinsky, Christine A.

AU - Frankel, Richard

AU - Friedberg, Mark W.

AU - Powsner, Seth M.

AU - Rosenthal, David I.

AU - Wachter, Robert M.

AU - Melnick, Edward R.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Healthcare information technologies are now a routine component of patient-clinician interactions. Originally designed for operational functions including billing and regulatory compliance, these systems have had unintended consequences including increased exam room documentation, divided attention during the visit, and use of scribes to alleviate documentation burdens. In an age in which technology is ubiquitous in everyday life, we must re-envision healthcare technology to support both clinical operations and, above all, the patient-clinician relationship. We present 6 habits for designing user-centered health technologies: (1) put patient care first, (2) assemble a team with the right skills, (3) relentlessly ask WHY, (4) keep it simple, (5) be Darwinian, and (6) don't lose the forest for the trees. These habits should open dialogues between developers, implementers, end users, and stakeholders, as well as outline a path for better, more usable technology that puts patients and their clinicians back at the center of care.

AB - Healthcare information technologies are now a routine component of patient-clinician interactions. Originally designed for operational functions including billing and regulatory compliance, these systems have had unintended consequences including increased exam room documentation, divided attention during the visit, and use of scribes to alleviate documentation burdens. In an age in which technology is ubiquitous in everyday life, we must re-envision healthcare technology to support both clinical operations and, above all, the patient-clinician relationship. We present 6 habits for designing user-centered health technologies: (1) put patient care first, (2) assemble a team with the right skills, (3) relentlessly ask WHY, (4) keep it simple, (5) be Darwinian, and (6) don't lose the forest for the trees. These habits should open dialogues between developers, implementers, end users, and stakeholders, as well as outline a path for better, more usable technology that puts patients and their clinicians back at the center of care.

KW - digital health

KW - doctor-patient relationship

KW - health information technology

KW - human centered design

KW - user centered design

UR - http://www.scopus.com/inward/record.url?scp=85072509623&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072509623&partnerID=8YFLogxK

U2 - 10.1093/jamia/ocz098

DO - 10.1093/jamia/ocz098

M3 - Article

C2 - 31265064

AN - SCOPUS:85072509623

VL - 26

SP - 1109

EP - 1114

JO - Journal of the American Medical Informatics Association : JAMIA

JF - Journal of the American Medical Informatics Association : JAMIA

SN - 1067-5027

IS - 10

ER -