Fall 2012 Final Presentation

© 2011 Thomas G. Murphy MD, taken from “The Cost of Technology” by Elizabeth Toll MD, published in JAMA June 20, 2012

I gave my final presentation for the Fall 2012 semester on Thursday, December 6 – marking the midpoint of my Master’s project. A copy of my slides/portfolio pages can be downloaded here: PancoeFinalPresentation12Fall_4Web. I welcome any critique or discussion of the material and the topic.

The slides were mostly designed to be accompanied by a verbal narrative, so I will include a few very brief notes about the pages.

Page 1 – the Problem Statement, as drawn by a 7 year old girl

Pages 2 through 5 – Project background, earlier work

Page 6 – Redesign the project for my 2nd year through literature research, expert interviews, sketching & visualization

Pages 7, 8 – How to balance needs for discrete, structured data versus analog healthcare narrative? Investigate hyperlinks, hash tags etc. as possible way to build narrative from discrete data objects

Page 9 – Use workflow management system to design, deploy and revise exam-compatible workflows; identify opportunities for improvement through process mining

Pages 10, 11 – A target audience problem: can billing be separated from the exam while meeting the needs of both parties? Labor cost or savings?

Pages 12, 13 – “Logging into the room”: a single clinician and patient identity verification works for all devices and records throughout the length of the exam

Page 14 – Business case questions, MBA collaborative project for Spring 2013 semester

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4 thoughts on “Fall 2012 Final Presentation

  1. Matt, I need to start observing exams ASAP. Others concur with you that “light” observation could probably be accomplished under a visitor’s pass, but that a more detailed “study” would need both IRB approval and human subject & privacy training. I’d like to get both rolling as near-term and longer-term options. Can you point me to the right people to contact about this?

    I’d also like to observe exam workflow in a smaller clinic to contrast against that of a large hospital. If anyone can recommend a site, please let me know.

    Over the semester break, I am going to work on a first-draft exam workflow map based upon textbook procedures. I can then compare/contrast that against what I observe in practice to iterate the map.

  2. These comments by – and posted with permission of – Thane Blinman, MD…

    Favourite things:
    “stickies as evidence of poor user experience” Love that

    Would kill for face-recognition sign in

    The logged-in room is just genius.

    One quibble: Everyone talks about medicine in terms of “workflow” now, but this anti-concept is actually a very poor way to understand what happens in medicine because it looks at the surface of what is happening. Medicine, properly understood, is all about uncertainty reduction, not process.

  3. My reply…

    My interest in “process” centers around reducing UI screen complexity by limiting the display to only those inputs and outputs that are absolutely necessary for the specific task at hand. It is absolutely my intent to allow the clinician to move through those tasks in the order they need to reduce uncertainty, although I think the system should still initially present them in a textbook order. In this way, it could possibly serve as a Gawande-style checklist.

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