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

• There are 3 duplicate demos that contain 1 patient (Ed Smith with one encounter) with one lab option (PSA) and with ICD10 code set installed and one provider (the admin user with name of Frank Johnson). Demos can be reset after the test is complete. Demos also reset daily at around 1:00 am pacific time. When demos reset, they are build on top of most recent codebase. Demos use private credentials (ie. public will not be able to access them).

• Usability Demo 1
• Usability Demo 2
• Usability Demo 3

Usability testing instruction sets

Task 1: Enter and modify demographics.

• Items tested:

• a5: Demographics
• a9: Clinical decision support

• Testing overview:

• Open patient 'Ed Smith'
• Edit demographics

• Gender Identify choose 'Identifies as Male'
• Sexual Orientation choose 'Straight or Heterosexual'
• DOB change to '1968-12-30'

• Clinical decision support will display window with new due reminders based off age (including Colon Cancer Screening).

• Specific testing steps:

• Under construction (steps with screenshots)

Task 2: Enter in medication order.

• Item tested:

• a1: Computerized provider order entry (CPOE) – medications

• Testing overview:

• Order Lipitor (via prescription).

• Specific testing steps:

• Under construction (steps with screenshots)

Task 3: Add a implantable device.

• Add UDI (01)00889095205923(11)141231(17)150707(10)A213B1(21)1234
• (a14: Implantable device list)

Task 4: Order a lab.

• Order PSA
• (a2: CPOE – laboratory)