MEND

Healthcare · Web app

Client

Duration

Penn Medicine Center for Health Care Innovation + Department of Psychiatry

5 months

Primary Responsibilities

Team

Improve the workflow of psychiatry clinical providers, focusing on their task of data entry through a web dashboard

Introduction

Patients admitted into the hospital often experience a broad array of mental health challenges, but a lot of them never receive the psychiatry intervention they need, until the episodes become too acute to be neglected.

MEND (Mental health Engagement, Navigation and Delivery) is a psychiatry service program that aims to proactively provide mental health support to patients.

Using patient data from EMR, an algorithm generates risk scores. Based on these, patients are triaged to different levels of providers (e.g. the more severe cases will be intervened by medical doctors).

The providers will also log their interventions through a dashboard, and these data will be used to further improve the algorithm to predict better risk scores. This part is the focus of my project.

Challenge

Initially, when reviewing the logged data of MEND service results, 22% of the cases were never documented through the dashboard. This would lead to the loss of important data that are beneficial for improving the service and its algorithm.

Based on this, our team formed the following design challenge statement:

How might we reduce the burdens that MEND service providers experience during data entry so that we can capture a more complete picture of MEND services delivered?

Research Methodologies

01

Shadowing

Dr. Anderson (MD, middle) and Colleen (CRNP, right) were two of the MEND providers that I shadowed.

Activities

I followed MEND providers throughout the day to observe how they deliver the service.

Rationale

I chose this method as the first activity because I assumed this will allow me to obtain the richest contextual information and help me understand the problem space fastest.

Journey mapping

02

Activities

I used notes from shadowing to create a journey map of MEND providers, looking at their interactions with each other, the documentation tools they're using, etc.

Rationale

I chose this method to analyze the end-to-end user journey, with a goal to identify patterns, gaps, and opportunity areas.

03

Visual discourse analysis

A stack of the paper patient spreadsheets.

Activities

During shadowing, I discovered that MEND providers print and carry a patient spreadsheet every day. I collected these paper spreadsheets and analyzed what they write, mark, and draw on the paper.

Rationale

I want to study how they parse and document information, which information are more important to them, and how this physical artifact co-exists with digital tools, including the dashboard.

Interviews + usability testing

04

Activities

I conducted semi-structured interviews in the MEND providers' offices, inquiring about about their experiences with the dashboard and doing usability testing by asking them to complete tasks on the dashboard while observing their interactions.

Rationale

I chose this method to analyze their specific interactions with the dashboard.

I asked Colleen, one of the MEND provider, to draw out how she would navigate through the old version of the dashboard when inputting data. Through this activity, I wanted to confirm my hypothesis that the locations of data input fields were arranged in an illogical, messy order.

Result

Old dashboard interface

Re-designed dashboard interface

I want to share three of the design decisions I made based on findings from research.

01

New layout of information and data input fields

Logic flow of the old design

Logic flow of the new design

02

New "Updates" section

Old interaction of documenting an update

New interaction of documenting an update using the new "Updates" section

Impact

Under construction...

Please check back later!

Research insight

The old

Research insight

The old

Design

Using design principles, I rearranged them in a top to down, left to right design.

Desired outcome

My assumption is that if i do this users will be able to navigate through them quckly, reducing the time they spend and be able to fill out all the fields

From heuristic

visual, interaction, prototype skills

Iterations and further user testing, MEND dashboard 2.0 is implemented

Research insight

The team works in a highly collaborative manner.

Old design flaws

the updates are hidden in a text box, they have to scroll down to type, hidden information that's not accessible and hard to process

Design

The new design allows teams to document an update efficiently. The timestamp and name of user allows for other teams to see the information at a glance.

The "add common update" also allows them to add common updates such as "no psych meds" in an efficient way.

Result

Teams were able to see the updates without chatting in morning meetings, save time. Also highlight the collaborative nature of the team

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© 2021 Mike Yilin Dong