Download WISH_WilcoxMamykina

Lena Mamykina, Lauren Wilcox, David Vawdrey
Daniel Stein, Sarah Collins, Stewin Camargo
Matt Fred, George Hripcsak, Steven Feiner
A Living Laboratory for Health IT
Outline

Background

Innovation Cycle

Project Overviews

Insights to Share
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NewYork-Presbyterian Health Care System (NYP)

NYP
 2 Academic Medical Centers
(Columbia & Cornell)
 Multiple inpatient and outpatient sites
 2,242 patient beds
 111,764 discharges annually

Ranked among America’s Best
Hospitals by U.S.News
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Health IT - HCI Engagement
Formative
studies
Research
and
Development
User-centered
Deployment
Evaluation
design Commercial
Prototype
Product
Evaluation studies
Fixes Features
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Living Laboratory
Research
Research
and Evaluation
Deployment
Evaluation
Development
Development
Deployment
Academic Medical Center
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Computerized Unified Patient
Information Device (CUPID)
Including cardiology patients and their loved
ones as part of the inpatient care team

Design and development of bedside
technology facilitating patient views into the
EHR, medications, care team info
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Computerized Unified Patient Information
Device (CUPID)
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Medication Reconciliation
Achieving effective medication reconciliation
across care settings
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Medication Reconciliation

We implemented an electronic process using our commercial
EHR and improved documentation of medication
reconciliation at hospital admission
(forthcoming paper)
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Next-Generation Electronic
Documentation
Improving electronic documentation tools
and assessing their use

SmartPaste
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Next-Generation Electronic
Documentation
Improving electronic documentation tools
and assessing their use

activeNotes
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Task management
Supporting collaborative management of tasks
and interdisciplinary patient care goals
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Push notification
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Design Challenges/Opportunities

Ongoing access to domain experts

Balancing innovation and familiarity

Technological ecosystem
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Implementation Challenges

Integration with outdates or proprietary
technology

Conforming to standards

Protective overall ecosystem
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Evaluation Challenges/Opportunities

Possibility to study long-term adoption

Complex study designs

Evaluation metrics
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THANK YOU!
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