| CHI 98 Conference Program | April 18-23, 1998, Los Angeles, CA USA |
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John Gosbee, MD, M.S., Michigan State University - Kalamazoo Center for Medical Studies
Benefits
You will learn about issues in health care that must be considered when designing
user interfaces for this community. You will learn about barriers to HCI in the
health care industry and how to overcome them.
Origins
This is a new tutorial for CHI 98.
Features
Audience
Anyone that would like to find and cultivate opportunities in the area of health
care information systems.
Presentation
Lecture, case studies and exercises.
Instructor
Dr. Gosbee has worked in the area of human factors and medicine for over a
decade. He has developed interdisciplinary curriculum and applied research in
university settings (e.g. medical school, industrial engineering department). He
has consulted with and provided workshops to several medical computer and device
companies. Gosbee has participated in developing national guidelines and policy
in this area, with, for instance, the Food and Drug Administration.
Tom Brinck, Diamond Bullet Design; Gary York, ComFrame Software
The patient record is a central artifact used throughout the health care setting, not only by physicians and nurses, but by numerous hospital staff from clinicians to housekeeping. In 1991, the Institute of Medicine produced a report called The Computer-Based Patient Record (CPR) that set down a vision for computerizing the wide variety of activities in documenting, reviewing and storing the patient record. Variations of CPR systems have been known by many names, including "electronic medical records" and "clinical information systems." CPRs offer the potential for substantially reduced healthcare costs and improved patient care, but many would attribute their slow adoption to the difficulty of designing user interfaces appropriate to the incredibly complex domain of health care.
The goals for the workshop are:
We invite participation from a wide range of professionals involved with the design, development, deployment and evaluation of the CPR to discuss user interface issues, identify roadblocks in designing effective user interfaces and set an agenda for the future of user interface issues in the design of CPRs.
Up to date information on the workshop will be available at http://www.diamondbullet.com/cpr/.
Contact
Tom Brinck
Diamond Bullet Design
315 W. Huron, Suite 140
Ann Arbor, MI 48103 USA
Tel: +1 313 665 9307
tom@diamondbullet.com
Organizer
Panelists
Organizers
Organizer
Michael G. Kahn, MD, Ph.D.
Rodeer Systems, Inc.
The art and science of clinical care is based on a special relationship of openness and trust which exists between clinicians and their patients. Clinicians require that their patients keep no secrets or else any hope of reaching the right diagnosis or selecting the right therapy will be lost. Patients require physicians to be non-judgmental to establish this trusting relationship. Yet at the same time, clinicians are taught to question everything they hear from patients and colleagues and to base no clinical decision on information obtained by others. How many times have you been asked the same question by many different people? Now you know why.
Clinicians will gratefully accept access to patient information which previously was not available; yet at the same time demand that that data be perfect. As the clinician's "mirror" into the system, the interface and its designers are held "responsible" to account for, or at least to make visible, the compromising sins of prior data collection, storage and computation processes that precede the user interface. "Keep No Secrets" refers to the desire to make available all information that is known about a patient; "Tell No Lies" refers to the desire to ensure that all such information accurately reflects what has actually occurred. New methods of analysis must be utilized to ensure that we can develop systems which show information which is needed and no more, and can highlight where data integrity compromises have been made-where there are secrets and maybe even lies.
Dr. Kahn received his MD from the University of California, San Diego, did his Internal Medicine internship and residency at St. Marys, a UCLA affiliate program, and his Ph.D. from the University of California, San Francisco. Dr. Kahn was responsible for the development of a 15-hospital clinical data repository and Web-based physician interface. Dr. Kahn is a member of the Board of Directors for the American Medical Informatics Association, the Board of Scientific Counselors at the National Library of Medicine, the editorial board for the Journal of the American Medical Informatics Association and the International Journal of Medical Informatics.
Session Chair: Angel R. Puerta, Stanford University
Session Chair: Richard Appleyard, Oregon Health Sciences University
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