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Nextgen Healthcare Nextgen Ambulatory EHR, Version 5.9 DocuSign Envelope ID: FA9CA56C-9075-4A65-B060-A42739CB9D51 NextGen Healthcare NextGen Ambulatory EHR, version 5.9 Robert Murry, MD Chief Medical Informatics Officer NextGen Healthcare 18111 Von Karman Avenue Irvine, CA 92612 For public release: NextGen Healthcare attests that the usability standard/process and usability report submitted for the certification of NextGen Ambulatory EHR, version 5.9 is accurate and complete per the requirements of the ONC criterion 170.315(g)(3). Robert Murry, MD Chief Medical Informatics Officer DocuSign Envelope ID: FA9CA56C-9075-4A65-B060-A42739CB9D51 NextGen Healthcare NextGen Ambulatory EHR version 5.9 Robert Murry, MD Chief Medical Informatics Officer NextGen Healthcare 18111 Von Karman Avenue Irvine, CA 92612 For public release: NextGen Healthcare used the following usability design industry standard in developing and designing their health IT module, NextGen Ambulatory EHR, version 5.9: NISTIR 7741. National Institute of Standards and Technology. (2010). NIST Guide to the Processes Approach for Improving the Usability of Electronic Health Records (NISTIR 7741). Gaithersburg, MD. http://ws680.nist.gov/publication/get_pdf.cfm?pub_id=907313 Per the National Institute of Standards and Technology (NIST) Guide to the Processes Approach for Improving the Usability of Electronic Health Records, EHRs should support a process that provides a high level of usability for all users. The goals are for users to interact with the system safely, effectively, efficiently, and with an acceptable level of satisfaction. To this end, design to optimize for safety, effectiveness, efficiency and user satisfaction was utilized throughout the design and development cycle. Robert Murry, MD Chief Medical Informatics Officer Version 1.0 1 EHR Usability Test Report of NextGen Ambulatory EHR 5.9 Report based on ISO/IEC 25062:2006 Common Industry Format for Usability Test Reports NextGen Ambulatory EHR 5.9 Date of Usability Test: June 26th – June 28th , 2017 Date of Report: July 6th, 2017 Report Prepared By: Heidi Hang, UX Researcher [email protected] Liliana Troy, UX Researcher [email protected] Marlana Anderson, UX Researcher [email protected] Jennifer Olivier, UX Researcher [email protected] 795 Horsham Rd, Horsham, PA 19044 June 2017 Version 1.0 2 Table of Contents EHR Usability Test Report of NextGen Ambulatory EHR 5.9 ........................................................ 1 Executive Summary ............................................................................................................................3 Summary of Performance ......................................................................................................................... 4 Nurse Tasks .......................................................................................................................................... 4 Provider Tasks ...................................................................................................................................... 6 System Usability Scores ............................................................................................................................ 8 Introduction ......................................................................................................................................8 Method .............................................................................................................................................9 Participants ............................................................................................................................................... 9 Participant Demographics ...................................................................................................................... 10 Study Design .................................................................................................................................... 11 Tasks ............................................................................................................................................... 12 Procedures ...................................................................................................................................... 16 Test Location ................................................................................................................................... 17 Test Environment ............................................................................................................................. 17 Test Form and Tools ......................................................................................................................... 17 Participant Instructions .................................................................................................................... 18 Usability Metrics .............................................................................................................................. 18 Data Scoring .................................................................................................................................... 19 Results............................................................................................................................................. 21 Data Analysis and Reporting ................................................................................................................... 21 Nurse Tasks ........................................................................................................................................ 22 Provider Tasks .................................................................................................................................... 23 SUS Scores............................................................................................................................................... 25 Discussion of Findings ...................................................................................................................... 26 Overall ..................................................................................................................................................... 26 Clinical Decision Support ........................................................................................................................ 27 Clinical Reconciliation ............................................................................................................................. 28 Allergy List ............................................................................................................................................... 29 Demographics ......................................................................................................................................... 30 Problem List ............................................................................................................................................ 31 Medication e-Prescribing ........................................................................................................................ 32 Labs ......................................................................................................................................................... 33 Implantable Device List ........................................................................................................................... 34 EFFECTIVENESS ....................................................................................................................................... 34 EFFICIENCY .............................................................................................................................................. 34 SATISFACTION ......................................................................................................................................... 35 Major Findings ........................................................................................................................................ 35 AREAS FOR IMPROVEMENT .................................................................................................................... 36 Appendices ...................................................................................................................................... 38 Appendix 1: Recruiting Screener ............................................................................................................ 38 Appendix 2: Participant Demographics .................................................................................................. 40 Appendix 3: Non-Disclosure Agreement (NDA) and Informed Consent Form ....................................... 41 Appendix 4: Moderator’s Guide & Tasks ................................................................................................ 42 Appendix 5: Error Analysis ...................................................................................................................... 47 Appendix 6: System Usability Scale Questionnaire ................................................................................ 50 June 2017 Version 1.0 3 Executive Summary A usability test of NextGen Ambulatory EHR 5.9 was conducted between June 26th and June 30th by NextGen UX Researchers Heidi Hang, Liliana Troy, Jennifer Olivier, and Marlana Anderson. The purpose of this study was to test and validate the usability of the current user interface, and provide evidence of usability in the EHR. During the usability test, a total of 25 active clinicians matching the target
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