Defining Data Migration Across Multidisciplinary Ambulatory Clinics Using Participatory Design

2021 ◽  
Vol 12 (02) ◽  
pp. 251-258
Author(s):  
Brianne MacKenzie ◽  
Gabriel Anaya ◽  
Jinwei Hu ◽  
Arlen Brickman ◽  
Peter L. Elkin ◽  
...  

Abstract Objective This study aimed to develop an institutional approach for defining data migration based on participatory design principles. Methods We outline a collaborative approach to define data migration as part of an electronic health record (EHR) transition at an urban hospital with 20 ambulatory clinics, based on participatory design. We developed an institution-specific list of data for migration based on physician end-user feedback. In this paper, we review the project planning phases, multidisciplinary governance, and methods used. Results Detailed data migration feedback was obtained from 90% of participants. Depending on the specialty, requests for historical laboratory values ranged from 2 to as many as 145 unique laboratory types. Lookback periods requested by physicians varied and were ultimately assigned to provide the most clinical data. This clinical information was then combined to synthesize an overall proposed data migration request on behalf of the institution. Conclusion Institutions undergoing an EHR transition should actively involve physician end-users and key stakeholders. Physician feedback is vital for developing a clinically relevant EHR environment but is often difficult to obtain. Challenges include physician time constraints and overall knowledge about health information technology. This study demonstrates how a participatory design can serve to improve the clinical end-user's understanding of the technical aspects of an EHR implementation, as well as enhance the outcomes of such projects.

2021 ◽  
Author(s):  
◽  
Jahmayne Robin-Middleton

<p>Observations over recent years of New Zealand architectural practice indicate that there is growing interest in tikanga Māori in architecture and design practice.  With significant opportunities now available to support Māori in realising their housing and infrastructural aspirations, there is much discussion surrounding the role of the architect, and how they conduct themselves when working with mana whenua (partisan identifiable tribal groups who hold customary authority over Māori freehold land).  Most agree that working with mana whenua requires a collaborative approach, added to that, an approach that sees significant end user engagement.  To this affect, end user engagement within the design process is the primary subject of the research.  The largely Māori settlement of Kohupātiki is the proposed site for this research. Given the interests of this research and its focus on Māori communities, it is quite appropriate that Kohupātiki be the selected site to drive this research.  The community is made up of 4 main families; the Rapanas, Chadwicks, Punas, and Broughtons, all of whom have a vested (customary) interest in the site as it is potentially about to undergo significant transformations over the next 10-20 years.  Some of these transformations include the improvement of road access to the site, the development of a series of Papakāinga (housing developments on Māori land), and a number of refurbishments to significant communal facilities located on the site’s Marae settlement.  These developments offer significant opportunities for architectural and landscape intervention, and will serve as a vehicle to drive a participatory design process.</p>


2021 ◽  
Author(s):  
◽  
Jahmayne Robin-Middleton

<p>Observations over recent years of New Zealand architectural practice indicate that there is growing interest in tikanga Māori in architecture and design practice.  With significant opportunities now available to support Māori in realising their housing and infrastructural aspirations, there is much discussion surrounding the role of the architect, and how they conduct themselves when working with mana whenua (partisan identifiable tribal groups who hold customary authority over Māori freehold land).  Most agree that working with mana whenua requires a collaborative approach, added to that, an approach that sees significant end user engagement.  To this affect, end user engagement within the design process is the primary subject of the research.  The largely Māori settlement of Kohupātiki is the proposed site for this research. Given the interests of this research and its focus on Māori communities, it is quite appropriate that Kohupātiki be the selected site to drive this research.  The community is made up of 4 main families; the Rapanas, Chadwicks, Punas, and Broughtons, all of whom have a vested (customary) interest in the site as it is potentially about to undergo significant transformations over the next 10-20 years.  Some of these transformations include the improvement of road access to the site, the development of a series of Papakāinga (housing developments on Māori land), and a number of refurbishments to significant communal facilities located on the site’s Marae settlement.  These developments offer significant opportunities for architectural and landscape intervention, and will serve as a vehicle to drive a participatory design process.</p>


Author(s):  
Yannick van Hierden ◽  
Timo Dietrich ◽  
Sharyn Rundle-Thiele

In recent years, the relevance of eHealth interventions has become increasingly evident. However, a sequential procedural application to cocreating eHealth interventions is currently lacking. This paper demonstrates the implementation of a participatory design (PD) process to inform the design of an eHealth intervention aiming to enhance well-being. PD sessions were conducted with 57 people across four sessions. Within PD sessions participants experienced prototype activities, provided feedback and designed program interventions. A 5-week eHealth well-being intervention focusing on lifestyle, habits, physical activity, and meditation was proposed. The program is suggested to be delivered through online workshops and online community interaction. A five-step PD process emerged; namely, (1) collecting best practices, (2) participatory discovery, (3) initial proof-of-concept, (4) participatory prototyping, and (5) pilot intervention proof-of-concept finalisation. Health professionals, behaviour change practitioners and program planners can adopt this process to ensure end-user cocreation using the five-step process. The five-step PD process may help to create user-friendly programs.


Author(s):  
Catherine Dulude ◽  
Chantal Trudel ◽  
W. James King ◽  
Karen Macaulay ◽  
Jennifer Gillert ◽  
...  

Many factors contribute to the successful implementation and adoption of electronic medical records (EMRs). Easy access to the EMR, where and when required by clinicians, is a key component of adoption and end-user satisfaction with the system. A pediatric hospital implementing an integrated EMR used multiple methods within an iterative human-centered design (HCD) framework to develop hardware and access solutions supporting future EMR workflows in Inpatient and Emergency Departments. Context of use analysis, participatory design methods, preliminary analysis of evaluative simulations and tacit knowledge of the project team led to the development of guiding principles for hardware implementation and solutions supporting just-in-time documentation within the constraints of existing facility design.


2021 ◽  
Author(s):  
Maibritt Pedersen Zari ◽  
PM Blaschke ◽  
Bethanna Jackson ◽  
A Komugabe-Dixson ◽  
C Livesey ◽  
...  

As the linked impacts of climate change and degradation of ecosystems continue to be felt, particularly in developing countries, it is vital that methods for development that concurrently address adaptation to climate change, rapid urbanisation, and ecosystem degradation be explored. Further development of approaches which are participatory and embedded in an understanding of the importance of symbiotic relationships between socio-cultural and ecological systems is particularly important. Ecosystem-based adaptation (EbA) is one such method that is gaining recognition and momentum in areas where developing nations face converging pressures and drivers of change. EbA methodologies to date, are often ill-defined in an urban context and lack consideration of future social and ecological scenarios however. In response, this paper describes a methodology for developing urban EbA projects in a small island developing nation context. The methodology was developed and applied by a multi-disciplinary team working under the auspices of the Secretariat of the Pacific Regional Environment Programme (SPREP). The application of this methodology in Port Vila, Vanuatu indicated: i) the needs of local people must be at the forefront of project planning, requiring a participatory design process; ii) EbA solutions development must be multidisciplinary and iterative; iii) appropriate quantitative and qualitative data is vital as a basis for EbA project development, requiring adequate time for data gathering; iv) urban and coastal EbA projects must be developed holistically, recognising socio-ecological systems that extend beyond the urban area itself; v) the complex overlapping landscape of governmental and international aid financed projects must inform the development of new EbA projects; vi) potential monetary and non-monetary benefits, costs and risks across multiple factors must be carefully assessed in EbA project development; and vii) project implementation requires ongoing engagement and a readiness to adapt to on-the-ground realities.


2020 ◽  
Vol 188 ◽  
pp. 00001
Author(s):  
Abdi Prasetyo ◽  
Hestiasari Rante ◽  
Dwi Susanto ◽  
Aliv Faizal Muhammad ◽  
Michael Lund

Participatory design is a method that involves stakeholders in each design process, from the beginning to the end of the process. This method focuses on the opinions expressed by the participants. This method refers to Scandinavian method of participatory design. This paper presents how to build an animated comic website that fits the needs of end user. The main participants are the 11th grade students of SMAN 3 Lamongan in East Java, Indonesia, and supported by the history teacher and an IT expert.


2003 ◽  
Vol 42 (04) ◽  
pp. 371-375 ◽  
Author(s):  
M. G. Faber

Summary Objectives: Two forms of participatory design (PD) – management-dominated and end-users focused – are described in the design and introduction of an electronic patient record (EPR) for a mental health care centre. Methods: Qualitative research methods were used to achieve a ‘fine-grained’ insight into the EPR development process and its impacts. These methods included interviews, document study and observation of project group meetings. Results: Management-dominated PD is highly structured, led by managers and centred around rationalisation of work. End-user focused PD is more bottom-up oriented. Central in this approach are users’ working patterns and user needs. In the case described, both forms actually lead to a poorly functioning EPR. It is explained why these results could be expected. Conclusion: Our findings suggest not to reject PD, but to find a more appropriate balance between the two forms of PD.


2020 ◽  
Vol 35 (4) ◽  
pp. 1123-1156
Author(s):  
Ritika Batra

Abstract While Public-Private Partnership (PPP) is widely adopted across various sectors, it raises a question on its meagre utilisation in the housing sector. This paper, therefore, gauges the perspective of the stakeholders in the building industry towards the application of PPP in various building sectors together with housing. It assesses the performance reliability of PPP for housing by learning possible take-aways from other sectors. The role of key stakeholders in the industry becomes highly responsible for an informed understanding and decision-making. To this end, a two-tier investigation was conducted including surveys and expert interviews, with several stakeholders in the PPP industry in Europe, involving the public sector, private sector, consultants, as well as other community/user representatives. The survey results demonstrated the success rate with PPPs, major factors important for PPPs such as profitability or end-user acceptability, the prevalent practices and trends in the PPP world, and the majority of support expressed in favour of the suitability of PPP for housing. The interviews added more detailed dimensions to the understanding of the PPP industry, its functioning and enabling the formation of a comprehensive outlook. The results present the perspective, approaches, and experiences of stakeholders over PPP practices, current trends and scenarios and their take on PPP in housing. It shall aid in understanding the challenges prevalent in the PPP approach for implementation in housing and enable the policymakers and industry stakeholders to make provisions for higher uptake to accelerate housing provision.


Author(s):  
Sameer Goel ◽  
Rajeev Dwivedi ◽  
A.M. Sherry

In recent years, a number of developing countries have identified e-government implementation as a key policy priority and have launched various e-government programs. While there has been a lot of success in these endeavors, evidence of failed programs has drawn attention to the risk involved in implementation and role of four key stakeholders play vital role of success of e-government programs. Based on the literature study, multiple factors have come up which influence the success of e-government programs. Among these factors, alignment of the departmental processes and end user participation are two critical parameters for success of e-government programs. The study of the perception of different stakeholders on these factors is important to understand the improvements which can be made on these variables. Hence the objective of this paper is to; (1) to understand the criticality of these factors in the success of e-government programs. (2) To understand difference in the perception of key stakeholders on these factors. Literature review followed by questionnaire based survey methodology has been followed to achieve the desired objectives. The study was carried out in northern states of India.


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