HealthSight Advisors

A clinical surveillance tool designed to inform clinical pharmacists and infection preventionists (IPs) on potential hospital acquired infections (HAIs) and adverse drug events through data aggregation.

NOTE: All of the patient information presented in the screenshots of this case study is mock and no actual user data was used.

OVERVIEW

How might we help IPs better document patient condition changes in a timely manner?

Prior to joining the team, HSA’s website used to have two different experiences for clinical pharmacists (CPs) and infection preventionists (IPs). It underwent a design overhaul that combined the workflows of clinical pharmacists and IPs into one experience, with the first major release focusing on the pharmacist workflow.

This change removed relevant workflows that the IPs relied on for patient documentation on hospital acquired infections (HAIs).

I led the iterative design of the alerts and reports page, so our customers can spend less time navigating the page looking for relevant data, and instead focus on taking action with their patient list.

ROLE
  • Prototyping
  • Usability Testing
  • Standardizing a Design System
  • Created Design Redlines
TEAM
  • 1 UX Designer and Researcher (me)
  • 1 Human Factors Engineer
  • 1 Technical Product Manager
  • 1 Requirements Engineer
TOOLS
  • Figma
  • Axure
  • Miro
  • UserIQ
TIMELINE
  • Feb 2022-2023
  • 3 iterations, 2 weeks each
Legacy HSA which IP users preferred for it's clear data table that's actionable.
Updated HSA that highlighted information important for a CP and not an IP.

PROBLEM

IPs were frustrated with the new pages because it split apart the necessary patient details they needed to complete their patient documentation.

The patient data is now scattered throughout the page or is hidden behind more clicks, which

adds time to their already busy schedule

increases customer support calls

hinders conversion to updated site

SOLUTION

Decrease the information shown at the initial load of the page, bringing forward the patient details that matter to an IP.

Collapsible alert and report listing

  • Highlights information they need most often - MRN, visit dates, culture dates
  • Allows for more patients to review at a glance per page
Expanded list reveals secondary information that is not always looked at.

Standard actions menu and consolidate like data

  • Provides more space to details that matter
  • Allows for straightforward documentation where users can investigate further if needed
Examples of component updates to a patient alert list item.

Bring forward necessary information through tags and intuitive filtering

  • Tags are recognizable and signal the users on next steps, such as patients that need documentation
Updated filter to include alert priority, so users can sort their patient list.
Added documentation tags and filter, so users can easily note which patients need documentation.

GOALS

How are we measuring success for this project?

+20% conversion to new HSA

BUSINESS OUTCOME

More hospitals upgrading brings us closer to sunsetting legacy HSA

Increase efficiency

PRODUCT OUTCOME

Reduce time it takes to finish patient documentation

Improve UX maturity

UX GOAL

Push UX ahead of dev sprints, so we can provide better solutions

INITIAL RESEARCH: SURVEYS + INTERVIEWS

What is the current patient documentation experience?

“I do not like the new views; It’s confusing to get to where I need to be and load what I need to load. I prefer the previous version.”

Due to time constraints, we opted to review post-release surveys to gauge user satisfaction and better understand which features caused the most friction. We found that users are having trouble navigating the new reports and alerts pages because:

Not all data types can be filtered for

They cannot tell which cultures have been reviewed for a patient

There is too much information that dilutes the listing

Some of the new list actions leads users to the wrong path

INITIAL RESEARCH: SURVEYS + INTERVIEWS

What worked well in the legacy version of HSA?

To get an insight on what users did like, we collaborated with customer support and our subject matter experts (SMEs).  SMEs know our application inside and out because they were IPs in a previous role.

From these interviews, we concluded that the legacy version was favorable because:

Legacy documentation icons.

Data columns were straightforward with one kind of listing per cell

Filtering was easy, with a sort function per column

There was date range filter for culture collection/results

"Purple + signs" were a signal for "needs documentation" (see image on left)

USABILITY TESTING: ITERATION I

Which features are low-development effort, but are "quick wins" for customer satisfaction?

Since we had a week to conduct research, our HFE and I decided to take on an A/B testing approach where we would show users three different prototypes that address user pain points that were also discussed with our PM.

We provided tasked-based scenarios for each feature we wanted to test and compared which of the designs had the higher success rate. This was also a way for us to get user feedback on the PM's suggested designs to showcase why it's important to conduct research on the ideal solution.

For each feature below, #2 performed the best and users completed these tasks with no issues.

Filter on specimen collected date and finalized date

Date range filter existed in legacy HSA and was a necessary feature that greatly increased documentation efficiency.

1. Access through microbio column header
2. Module through calendar icon
3. As part of left filter

Patient search in report and alert results

Currently, users had to scroll endlessly to find specific patients

1. Access through patient column header
2. Search bar above data table
3. Search bar as part of left filter

Quick, visible recognition of completed documentation status

Currently, users had to open up a separate module for each patient to see if the patient needed documentation

1. icon + color for each culture under microbio
2. Upgraded legacy icons with tags on hover
3. Color to differentiate document types

USABILITY TESTING: ITERATION II

Rushed research and not enough development time can lead to setbacks.

Although the above designs performed well, not everything goes as planned. Design 2 was well loved by the users because it resembled the legacy icons.  However, once shipped, I saw an increase in customer support inquiries that I needed to investigate.

Proposed designs that aligned with the design system, but kept the familiarity of the legacy icons.

Since the icons I designed were new, I worked with our lead designer and requirements engineer to make sure the icons were accessible and authorized for the tool. We concluded that it was best to unify the icons by using one document symbol.

One unified icon with tags on hover.

Having such a unified icon design confused IPs because they could not differentiate document types as easily.
As a result, these icons were rolled back immediately for further revision.

USABILITY TESTING: ITERATION II

How can we easily allow IPs to document on a patient?

We conducted another round of usability testing where we focused on addressing the documentation icon. The design on the left worked well because users can tell if a culture needs documentation and they are able to view existing documentations easily through the accession number.

Two versions of culture documentation for iteration II.

FINAL DESIGNS

Simplifying the alerts + reports pages and aligning to the design system

Alerts Page

  • Filters were updated to include relevant categories like alert priority
  • Added ability to search by patient name
  • Included a culture date range filter accessible through the calendar icon
  • Included only needed information in a collapsed alert list
  • List item actions were consolidated to one button

Reports Page

  • Filters were updated to include relevant categories like culture documentation
  • Added tags to denote if a culture has documentation
  • Documents tied to cultures are accessible through the accession number
  • Included only needed information in a collapsed report list

Design system changes and hand-off

As part of an effort to collaborate more with the development team, I also incorporated a hand-off system that provides developers with hi-fi flows and redlines. This ensures that HSA is up-to-date with our design system and is part of a larger effort to unify BD's multiple medical products.

Example of wireflow and design guidelines for developers.

IMPACT

Did we achieve our goals?

+35% conversion to HSA

BUSINESS OUTCOME

The updated UI better addressed user needs which led to more hospitals migrating to the new site

30% increased efficiency

PRODUCT OUTCOME

Users spend less time looking for necessary information in alerts and reports page with an improved UI

Design processes implented

UX GOAL

UX team is 2 sprints ahead where we have time to conduct research and finalize designs

TAKEAWAYS

Adapting in a cross-functional environment

At the end, we were able to produce something that was delightful for our users. It was a challenge struggling with the timelines we were given, while also juggling how we can change the current system. As this was one of the first projects I worked on with this company, I felt like I should make sure all stakeholders are satisfied. This led to me designing solutions that I know as a designer were not ideal. In the future, I’ll be more confident in my designs and push back because I conducted research to validate my proposed solutions.

It's also important to communicate early with stakeholders and agree on technical constraints and priorities. I learned to adapt to what the development team needed and we were able to create a hand-off process that was efficient.