Safety-enhanced design (MU3))

Overview

Working with Columbia HIT

Criteria that are testing

• a1: Computerized provider order entry (CPOE) – medications
• a2: CPOE – laboratory
• a5: Demographics
• a9: Clinical decision support
• a14: Implantable device list

Research

Actual rule:

• https://www.healthit.gov/test-method/safety-enhanced-design

Example reports:

• https://content-main.ul.com/sites/g/files/qbfpbp306/files/2020-08/BlueEHR-2.0-SED-Report.pdf
• https://slicompliance.com/wp-content/uploads/2022/01/Prime-Clinical-EHR-Usability-Test-Report.pdf
• https://slicompliance.com/wp-content/uploads/2022/01/FreeChiro_18_SED_Report.pdf
• https://slicompliance.com/wp-content/uploads/2021/12/Strateq_EHR_UsabilityReport_08Dec2021.pdf

Usability demos

• Plan 3 duplicate demos that will contain 1 patient (Ed Smith with one encounter) with one lab option (PSA) and with ICD10 code set installed and one provider (Frank Johnson). Demos can be easily reset after the test is complete. Demos will have private credentials (ie. public will not be able to access them).

Usability testing instruction sets

Task 1: Enter and modify demographics.

• Enter in Gender Identity and Sexual Orientation
• Change DOB (will change it to a date that will trigger the colonoscopy cdr rule)
• (a5: Demographics)
• (a9: Clinical decision support)

Task 2: Enter in medication order.

• Order Lipitor (via prescription).
• (a1: Computerized provider order entry (CPOE) – medications)

Task 3: Order a lab.

• Order PSA
• (a2: CPOE – laboratory)

Task 4: Add a implantable device.

• Add UDI (01)10050428383077(11)141231(17)150707(10)A213B1(21)1234
• (a14: Implantable device list)