Connected Clinical Records (CCR)
re-imagine and revamp CCR platform for clinicians which will provide insights and intelligence to drive actions for better patient outcomes.
What is CCR ?
It is a connected platform where clinicians need to find out about patients medical history and problems they are facing in an actionable format so they get the gist within 2 minutes so they can direct the patients accordingly.
Why we need re-design?
Waste
Thirty cents per dollar is wasted in health care, largely due to data around holistic care.
Adherence
of prescriptions are taken incorrectly. Only 25 of 100 prescriptions are taken correctly.
75%
Overtreatment
20%
of all medical care is unnecessary as per physician themselves.
Medical Errors.
250K
Thirty cents per dollar is wasted in health care, largely due to data around holistic care.
Inconsistency
50 - 66%
of the time physicians follow recommended guidelines.
Use Case
Chronic Kidney Disease
This research is only based on patients having CKD and clinicians dealing with CKD patients.
What is CKD?
-
It is usually asymptomatic in the early stages, hence hard to be detected.
-
No known cure as of now, however treatments can help manage and regulate patient's condition
-
Given that CKD progression is often irreversible, early interventions are most effective
-
Once CKD can be diagnosed, glomerular damage has already reached over 50% and is usually irreversible.
Effects of CKD
-
•Primarily associated with high blood pressure and high blood sugar in adults.
-
•But in children/young adults under 21, it is congenital in 99% of the cases.
-
•Primarily determined by GFR which tells the ability of the kidney to filter out toxins.
-
•UACR and eGFR reports are used to keep a track of the same
-
•Early symptoms can be diverse hence it is of utmost importance that relevant insights be provided to the providers at each stage
Primary Research
Understand their history enough to start the conversation, compare their words to actual data available to me and then figure out the rest.
Brief summary of patient will help me take actions.
If the system can suggest what actions to be taken and what are the sources of those recommendations, it will help take decisions faster.
Summarizing all different microproduct info in hierarchical and chronological order will save a lot of keystrokes and time.
Data by senior clinician OP
Infects 1 in 7 adults in America
Mortality rate in children is 150 times that of Adults underlying reasons are different
Reflection from current landscape
No interconnection of Data
Multiple touchpoints to gather single information
Lack of intelligent insights
Data latency
Read only data
Personas
Problem statements
How can nurse get a 360 view of member’s overall health to drive better patient outcomes.
What actionable insights to be displayed for lesser touchpoints and better workflow.
Finding patient's medical history and current condition in under 5 minutes.
Better connected clinician workflow with prioritising action which clinician wants to take so that they can analyse what needs to be spoken and checked.
Effectively aggregating data from multiple sources and presenting in actionable format to clinician so that they can decide at apt interventions.
what going on with member, so they figure the best care/treatment for the member?
Final problem statements
Better view of member’s 360 degree health.
Possible interventions
Provide a care plan
Better patient outcomes
Finalised features
After how might we's and ideation process finalised feature list are below:
Actionable Data
360 Degree Health view
Possible Interventions
Better Outcome
Aggregated Data
Final screens
1. Notification Bar/Page
Simple notification bar to recommend actions to clinicians. Automation was suggested to reduce from 10 touch-points to 1 only. They can chose to work on the suggested recommendation or ignore it. All these tabs are taken care in another product
There are 12-24 different items which shows details of a member medical history. Individually they hold value to nurses and every details changing will be notified here.
2. Timeline
Individual data does not make sense, but when they are combined in the right order with the right time, they can see patterns and information. This generated the idea of a timeline view with all important actions taken in the recent past and will be taken in recent future. This feature will save them time to gather a quick information of the patient.
3&4. Overall Summary & Vital Monitor
We have collected the most important information and vital nurse would like to see to begin with. Overall Summary provides links to details of all the current diseases and Vital monitor provides specific vitals required for a CKD patient. We saved minimum 12 clicks in this feature.
5. Medication Summary
This can quickly display them their medication summary and if they are on the right medication, does it end soon or any reactions they might face. This will act a lifesaver for nurses to find out any possible problems.
6. Gaps in Care
Based on all the other medical data, users will quickly understand the severity of gaps in care, also they can take quick action on it. Three major components- lab, primary condition & doctor’s reports together will tell them if patient is in good condition or might need help.
7. Program Referrals
This shows when and from where the patient was referred from. This details lets user know about the health condition before they became a member with them.
Final Member Profile Screen
Success metric
9.1
NPS Score
Time Saved
System Efficiency
Fun to work
30%
Less time taken for task completion
Least time taken to understand the patient history will save overall cost and increase patient satisfaction.
53%
Lower error rate
Adequate and right data shown in the order user needs reduced every data rechecks. Increased the trust on the system.