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 A
• Usability Demo B
• Usability Demo C

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

• After saving above demographic changes, 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:

• Add prescription

• Lipitor 20mg tabs Per Oris q.d. with quantity of 30

• Specific testing steps:

Task 3: Add a implantable device.

• Item tested:

• a14: Implantable device list

• Testing overview:

• Add Implantable Device

• UDI is (01)00889095205923(11)141231(17)150707(10)A213B1(21)1234

• Specific testing steps:

• Under construction (steps with screenshots)

Task 4: Order a lab.

• Item tested:

• a2: CPOE – laboratory

• Testing overview:

• Order lab

• PSA

• Specific testing steps:

• Under construction (steps with screenshots)