development Archives - Digital Scientists Mon, 02 Sep 2024 17:49:41 +0000 en-US hourly 1 https://digitalscientists.com/wp-content/uploads/2023/02/cropped-digital-scientists-favicon-150x150.png development Archives - Digital Scientists 32 32 From Generic to Exceptional: Why Custom Solutions Are Worth the Investment https://digitalscientists.com/blog/from-generic-to-exceptional-why-custom-solutions-are-worth-the-investment/ Mon, 19 Aug 2024 17:17:38 +0000 https://digitalscientists.com/?p=22311 In a world where digital solutions are abundant, businesses face the critical decision of choosing between generic, off-the-shelf products and custom solutions. While off-the-shelf options may seem convenient and cost-effective,

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In a world where digital solutions are abundant, businesses face the critical decision of choosing between generic, off-the-shelf products and custom solutions. While off-the-shelf options may seem convenient and cost-effective, custom solutions are personalized to address unique business challenges and user needs. Investing in custom solutions not only enhances user engagement but also drives long-term success by aligning closely with your brand’s vision and goals.

The limitations of generic solutions

Off-the-shelf products are designed to serve a broad audience with standardized features and functionalities. They often lack the flexibility to adapt to specific business needs or to integrate seamlessly with existing systems. As a result, you may encounter limitations in functionality, user experience, and brand alignment.

The power of custom solutions

In contrast, custom solutions are designed to address the unique requirements of a business. From the initial concept to final delivery, every aspect of a custom-designed product is tailored to align with business goals, user needs, and brand identity. This personalized approach ensures that the solution meets your needs. 

Why custom solutions are worth the investment

Personalized user experience

Custom solutions are designed with the end-user in mind, resulting in a user experience that is specifically personalized to their needs. Custom solutions create meaningful interactions that enhance user satisfaction, meet business needs, and drive better outcomes.

Enhanced flexibility and scalability

Whether you’re scaling up or adjusting features to meet changing needs, custom solutions can adapt and grow with your business, providing long-term value. We often include a design system with reusable branded components and styles to scale more efficiently and ensure consistency.

Seamless integration

Custom solutions can be designed to integrate smoothly with existing systems and workflows, eliminating compatibility issues with off-the-shelf products. This integration ensures your new solution enhances rather than disrupts your current workflows.

Unique brand identity

Custom solutions translate unique brand attributes into tangible user experiences. This ensures your brand stands out and delivers a consistent message across all touchpoints. Even if brand guidelines are sparse or don’t exist, designers use their expertise to create a strong brand presence.

Designing for inclusivity

Implementing accessibility criteria not only improves accessibility for users with disabilities but also enhances the overall user experience. This isn’t always ensured in off-the-shelf solutions, which could result in usability limitations for people with disabilities as well as legal issues for lack of accessibility compliance.

Greater control and ownership

Investing in a custom solution gives you greater control over the design and functionality of your product. This means you can prioritize features that are crucial to your users and make adjustments as needed without being constrained by the limitations of pre-built solutions. User testing and iterative improvements enhance the user experience of your product over time.

Improved efficiency and productivity

Since custom solutions are customized for specific workflows, they include relevant features and functionality without the unnecessary additions found in generic platforms. Solutions are tested with users and optimized to complement their workflows.

The impact of custom solutions

We’ve experienced success stories where businesses invested in custom solutions. Clients that needed unique functionalities or complex integrations found that custom solutions provided the exact features and interactions they required, resulting in streamlined workflows, enhanced user experiences, and deeper insights.

Unique workflows

Clients often have unique needs that cannot be addressed by off-the-shelf platforms. They often resort to workarounds that are inefficient and frustrating. A customized product based on user needs can have a significant impact on workflows and efficiency.

For example, we recently designed a product for a client who conducts plant evaluations at nuclear stations. They had an inefficient observation and interaction application, which negatively affected cross-operational work and internal/external collaboration. We were able to include features and functionality relevant to their workflows, improving collaboration and efficiency. They were able to eliminate all of the manual workarounds of their previous process and manage everything within a single source of truth.

Integrated platforms

Fragmented workflows are a common problem for our clients. Without a centralized platform, they often rely on multiple disparate tools, leading to inefficient, disconnected processes and scattered data. A centralized platform, customized to a client’s needs, can transform chaotic processes into cohesive and efficient workflows.

For example, we recently designed an integrated platform for healthcare coaches that consolidated their entire workflow into one seamless system. This new platform replaced the need for separate tools for managing appointments, conducting Telehealth sessions, and tracking patient notes. We added AI enhancements to help coaches quickly get summaries and improve writing. By centralizing these functions, we eliminated inefficiencies and provided a unified view of client data and insights. 

Conclusion

Choosing a custom solution over a generic, off-the-shelf product represents a strategic investment in your business’s future. A custom design not only improves user experience and strengthens your brand but also offers the flexibility to grow and change as your needs evolve. This investment pays off by providing lasting value that generic solutions can’t match

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Process-driven design for improved outcomes https://digitalscientists.com/blog/process-driven-design-for-improved-outcomes/ Mon, 19 Aug 2024 16:45:04 +0000 https://digitalscientists.com/?p=22295 Defining and communicating our design process is critical for project alignment with our team and with clients. It establishes a shared understanding of a project’s scope, priorities, and milestones. This

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Defining and communicating our design process is critical for project alignment with our team and with clients. It establishes a shared understanding of a project’s scope, priorities, and milestones. This clarity fosters transparency and trust with clients and helps to manage timelines and deliverables.

The importance of defining and communicating a design process

We’ve witnessed success when we proactively define and communicate our process, leading to smoother collaboration, reduced misunderstandings, and more successful outcomes. On the contrary, we’ve seen projects falter when the design process is ambiguous or poorly communicated. This can result in misaligned expectations, delays, and a loss of trust. We’ve had clients come to us with the frustration of having invested time and money with other agencies but not gotten the results they expected. We’ve been able to gain their trust by clearly defining our process and delivering as promised. A well-defined and communicated design process is crucial for setting clear expectations, aligning goals, and creating efficient workflows.

Clear expectations for project stages and scope

Transparency

Each stage of the design process is clearly outlined so that everyone understands what to expect and when.

Scope definition

Everyone understands what is included, ensuring the project remains manageable and focused.

Alignment of goals and prioritizations

Goal setting

Project goals and objectives are clearly defined, so that everyone has a shared understanding of what success looks like

Prioritization

Alignment on features and elements that are most critical to project success. Typically, we lead an alignment workshop and use engaging exercises like the MoSCoW prioritization (Must have, Should have, Could have, Won’t have).

Structure for efficient workflows and milestones

Structured approach

A defined process provides structure to streamline workflows and improve efficiency.

Milestone tracking

Clearly communicated milestones and deliverables keep the project on track and ensure that everyone is aware of progress and upcoming tasks.

Our design process

We believe in tailoring our process to fit the specific needs and objectives of each project. There’s no one-size-fits-all approach here. Instead, we carefully analyze the requirements and goals of every project to create an agile, customized strategy that ensures the best possible outcomes.

We essentially focus on four main stages: UX research, UX design, product strategy, and development. While we like to lead with UX research and design, product strategy and development are involved from the beginning, so we work in parallel.

UX research

Helps us grasp user behavior, needs, and challenges, uncovering insights that inform actionable recommendations to guide the design and strategy. The following are phases for UX research:

Research plan & objectives 

A research plan is a strategic document outlining objectives, methodologies, a timeline, and resources to ensure systematic, focused, and efficient insight gathering.

  • Directs focus, reducing wasted efforts
  • Guides informed decisions with evidence
  • Aligns teams and clarifies goals

Research methods 

Selecting the most appropriate and effective methodologies to answer specific research questions or to achieve the objectives of a study within the constraints of time, budget, and available resources.

  • Ensures precise, relevant insights into user needs
  • Yields insights directly useful for design and strategy
  • Early problem identification minimizes costly fixes

Interviews

A qualitative research method involving structured conversations with users to understand their experiences, needs, and challenges with a product or service to provide insights for design improvements.

  • Uncovers deep insights
  • Contextual understanding
  • Builds user empathy
  • Identify specific usability issues 

Findings and insights

Systematically synthesizing data gathered during UX research to uncover patterns in user behavior, preferences, and challenges. Reporting insights involves crafting a narrative that conveys these key observations and actionable recommendations clearly.

  • Reveals user needs, challenges, and opportunities
  • Guides product development
  • Informs design decisions

UX design

Create visuals and interactions based on user needs that are intuitive, functional, and provide an enjoyable user experience. The following are phases for UX design:

Information architecture

Structuring complex information (labeling, navigation, hierarchies, and taxonomy) to make content and features understandable and accessible. 

  • Defines navigation and captures scope
  • Shows page organization and hierarchy
  • Workflows that capture a sequence of actions a user takes to fulfill goals

Wireframes

A blueprint of the user interface that shows content, hierarchy, and functionality for each unique page.

  • Layout of content and interactions that will appear in the prototype
  • Insight into key components that will become part of the design system
  • Provides clarity on scope and functionality
  • Team consensus before investing time on a prototype

Prototype

An interactive representation of a product’s user interface and experience before it goes into development.

  • A tangible product to evaluate and refine
  • Brand alignment and consistency
  • Gain valuable user insights
  • A valuable reference for developers

Design system

A customized collection of reusable design components and styles.

  • Reusable UI elements and styles 
  • Consistent user experience
  • Improved collaboration and handoff between teams
  • Empowers designing and scaling a product efficiently

Product strategy

Strategy that secures user adoption by meeting their needs while reaching business goals, reducing risks, and ensuring quality. The following are phases for product strategy:

Product vision 

A product vision outlines a product’s purpose and future direction.

  • What is the future state of the product?
  • How are we going to help our users?
  • How do we define success for this product?

Jobs to be done

Jobs-to-be-Done Theory provides a framework for defining, categorizing, capturing, and organizing all of a user’s needs.

  • Simple “needs” statements
  • Helps prioritize features
  • Helps define the categories of features (epics)

Epics & user stories

User stories are short requirements or requests written from the perspective of an end user. Epics are larger bodies of work that can be broken down into a number of smaller stories.


  • Ability to manage sprints and align around features and tasks
  • Manage the backlog of items, current sprint’s priorities, with visibility into the status of those tasks, including bugs
  • Ability to manage story points and manage development velocity

Product roadmap

A product roadmap is a shared source of truth that outlines the vision, direction, priorities, and progress of a product over time.

  • Shared plan of action
  • Short- and long-term goals
  • Ability to visualize main deliverables and milestones

Development

Creates a clear development roadmap based upon designs and specifications, focusing on seamless integrations, system behavior, and infrastructure. The following are phases for development:

Requirements

Outlines what the product aims to achieve and how it interacts with users and other systems. It outlines what the product should do from the user’s point of view and its technical needs, focusing on security and legal standards.

  • Prioritization and sequence of actions: A clear inventory of requirements enables effective prioritization
  • Addressing non-functional requirements early, including security and compliance, diminishes legal and operational risks

System architecture

The structural design of the product is defined. It describes the component architecture, selecting specific technologies, frameworks, and 3rd party services used to build the product (the technology stack), and outlines how data is stored, accessed, and managed across the system.

  • Provides a unified blueprint, aligning everyone with the system’s structure and objectives
  • Helps in avoiding delays and inefficiencies that could arise from making these decisions later on
  • Serves as a common language among stakeholders, making for faster understanding and implementation when things change

Behaviors & integrations

Focuses on the product’s dynamic aspects and its interactions with external systems. It covers third-party integrations and APIs the software will connect with, detailing any complex behaviors such as authentication flows, scheduled tasks (crontabs), and other processes that require detailed explanation to ensure smooth operation and interoperability.

  • Ensures a clear understanding of product behaviors and external interactions
  • Facilitates seamless system integration and interoperability
  • Highlights security considerations for safe data exchange

Infrastructure & deployment

Defines the necessary infrastructure for product support, encompassing server specifications, cloud services, etc. It also explains the deployment strategy, articulates procedures for rolling out updates, and ensures the implementation of continuous delivery and integration practices, with consideration for QA/testability.

  • Defines the capacity and scalability of the infrastructure to meet future demands
  • Details deployment strategies for streamlined and efficient product updates
  • Ensures infrastructure robustness for reliable product performance
  • Ensures that the product infrastructure supports thorough testing and quality assurance processes to maintain high standards of reliability and performance

A well-defined design process serves as the backbone for delivering exceptional results. It facilitates clear expectations, aligned goals, and efficient workflows. By focusing on four main stages: UX research, UX design, product strategy, and development, we create an agile, customized strategy based on the requirements and goals of every project.

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From chaos 
to cohesion: Designing a centralized platform to streamline workflows https://digitalscientists.com/blog/from-chaos-to-cohesion-designing-a-centralized-platform-to-streamline-workflows/ Fri, 16 Aug 2024 14:50:45 +0000 https://digitalscientists.com/?p=22275 Fragmented workflows are a common problem for our clients. Without a centralized platform, they resort to using a variety of tools, which leads to disconnected experiences and frustration. This results

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to cohesion: Designing a centralized platform to streamline workflows appeared first on Digital Scientists.

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Fragmented workflows are a common problem for our clients. Without a centralized platform, they resort to using a variety of tools, which leads to disconnected experiences and frustration. This results in slower work and increases the likelihood of errors. They also lose the value of centralized data and insights, and they often resort to time-consuming manual input. We’ve also seen clients use tools that have features that aren’t relevant or that have limited customization, so that they don’t end up with something that clearly meets their needs. This also limits a team’s ability to collaborate and communicate seamlessly, so they often resort to solutions outside of these tools, such as email. Often, each tool has its own learning curve, which means extra time spent learning and managing multiple platforms.

A centralized platform, customized to a client’s needs, can transform chaotic processes into cohesive and efficient workflows.

The benefits of a custom, centralized platform

Integrating workflows into one centralized location has many advantages.

Improved efficiency and productivity

Eliminates the frustrating, time-consuming task of juggling multiple tools to stitch together workflows. We recently designed an integrated platform prototype customized for healthcare coaches where they can manage all of their workflows. This will eliminate their current need for two tools for managing and taking notes during their patient appointments, another tool for setting and managing appointments, another tool for managing telehealth, and a lack of client data and insights.

Enhanced collaboration and communication

More visibility and opportunities for inter-departmental collaboration and insights. We are currently developing an integrated platform for nuclear facility inspections that allows them to leave comments, track updates, receive notifications, and communicate with their team and facility managers. This will eliminate numerous emails, shared printouts, and the lack of transparency and historical data that they currently resort to.

Increased relevance and value

A custom solution eliminates unnecessary features in existing platforms and gives clients functionality tailored specifically to their needs. We’ve seen users overwhelmed by the number of irrelevant options in their current tools, as well as frustrated by the inability to customize certain features that are relevant to their workflows.

Better data management and insights

Centralized data allows more flexibility for gathering and tracking valuable insights, as well as for managing this data. The ability to gather insights from data is a significant issue for a lot of our clients. For many, this is critical to gathering insights and gauging performance.

Simplified training and onboarding processes

Streamlining processes into one location focuses training efforts. This saves clients a lot of time, is less overwhelming for users, and eliminates a lot of effort in managing multiple tools.

A user-centered process for designing a centralized platform

A well-defined and communicated design process helps align expectations and goals.

Define clear goals and objectives for the platform

Collaborate with stakeholders to understand their business objectives and needs. We often begin with an alignment workshop, which includes engaging exercises such as the MoSCoW (must have, should have, could have, won’t have) method to categorize and prioritize requirements and project scope.

Conduct user research to understand needs and workflows

Interview users to gather insights about their needs, goals, and pain points. We synthesize themes and insights to share findings with stakeholders and recommend design improvements.

Evaluate current tools and processes

Evaluate the products clients currently use and how they fit with their workflows to recommend technical integrations and features for the new platform.

Information architecture to organize and structure content 

Visualize workflows to confirm alignment, help guide design and development scope, and align with platform features. Also, organize and structure content into a visual representation of a site map to show hierarchy and relationships between sections of the product.

Iterative design and prototyping to ensure usability and functionality

Design wireframes, essentially blueprints of the user interface, to quickly communicate content, hierarchy, and functionality for each unique page. This sets the foundation to design a clickable prototype with brand attributes and build a design system with reusable UI components and styles. A clickable prototype provides a tangible experience to validate with users, gather feedback, get stakeholder alignment, and guide development scope and efforts.

Key considerations for designing a successful centralized platform

A unified dashboard for a prioritized view of tasks and data

A dashboard is the first page users encounter, and the most valuable content to prioritize is tasks with the most urgency, notifications, and essential data. This may also include shortcuts to content or functionality that users use most often.

Seamless integration with existing tools and systems

Based on scope and needs, there may be existing mature tools that aren’t worth rebuilding but instead integrate into the centralized platform. The important thing is to design the platform so that this integration provides a seamless user experience and prioritizes features that provide value to users.

Relevance and prioritization

Based on understanding user needs through research, prioritize features that are essential and beneficial. Avoid feature creep, which complicates user workflows. Keep features and interactions simple and intuitive.

Data visualization for reporting and analytics

Centralizing data allows more flexibility for gathering and tracking valuable insights. Use the power of data visualization as an engaging means to communicate complex data. Including customization features can also provide valuable flexibility for users.

Generative AI for added value

There may be ways to simplify or add additional insights to user workflows by using generative AI. There are some things that it currently does really well, such as summarizing large amounts of content. We recently designed a centralized healthcare platform where generative AI summarizes large amounts of clinical notes to provide healthcare coaches with a summary of each patient’s condition and progress. This is in response to the healthcare coaches pain point of the time-consuming task of reading through a repository of patient clinical notes.

Design for all users

Keep the abilities of all users in mind and follow global accessibility guidelines for designing for people with disabilities. Designing a custom platform provides the opportunity to not depend on the usability shortcomings of other platforms. Read our insights on research and design for accessibility.

A design system for consistency, efficiency and scalability

Concurrently designing a design system with reusable UI components and styles, either beginning from an UI kit or from scratch, helps design smarter. It will ensure the look and experience are consistent, provide clear guidance to developers, and help design and scale the product faster.

Feedback and iteration

Use an iterative design process to refine and improve the product based on user feedback and testing results. Initially, a clickable prototype is indispensable to communicate the experience of the platform, gather feedback, and quickly explore updates.

By integrating all workflows into one centralized platform, you can significantly enhance efficiency, productivity, and collaboration. A user-centered design approach, which includes clear goal setting, thorough user research, evaluation of current tools, and iterative prototyping, ensures that the platform aligns with user needs and business objectives.

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Benefits of AI in Healthcare https://digitalscientists.com/blog/ai-in-healthcare/ Tue, 27 Jun 2023 16:21:55 +0000 https://digitalscientists.com/?p=19141 Continued education is an important part of our growth and understanding. We regularly host Lunch and Learns to share knowledge, and we recently focused on accessibility.

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NewsDay / This Week Health – June 12, 2023: Bob Klein, CEO at Digital Scientists joins Bill Russell, Host of NewsDay.

What role can generative AI play in addressing healthcare challenges and driving innovation within budget constraints? How can health systems leverage technology and digital solutions to improve efficiency, patient care, and overall performance?

Do smaller health systems face unique challenges in implementing digital innovations compared to larger health systems? What are the key considerations for healthcare organizations when deciding to prioritize and invest in AI models and generative AI technologies?

Key Points:

  • Economic challenges
  • Financial losses
  • Efficiency and innovation
  • Rural healthcare projects
  • Constraints and innovation
  • Role of generative AI

Watch the interview

Running time: 28 minutes

This transcription is provided by artificial intelligence. We believe in technology but understand that even the smartest robots can sometimes get speech recognition wrong.

Today on This Week Health.

Understanding the potential of AI in healthcare

Bill Russell: Welcome to Newsday, this week’s health newsroom show. My name is Bill Russell. I’m a former CIO for a 16-hospital system and creator of this week’s health, a set of channels dedicated to keeping health IT staff current and engaged. For five years we’ve been making podcasts that amplify Great thinking to propel healthcare forward. Special thanks to our new stay show partners and we have a lot of them this year, which I’m really excited about.

Cedars Sinai accelerator, clear sense CrowdStrike digital scientists optimum health care IT Pure Storage, Shore test how site LUMION at VMware. We appreciate them investing in our mission to develop the next generation of health leaders. Now onto the show. All right, it’s Newsday and today we’re joined by Bob Klein, Chief Executive Officer, digital scientist. Bob, welcome back to the show. This is your second show. Looking forward to it. Hey, Bill, great.

Bob Klein: Yeah, nice to be back again.

Bill Russell: I was doing a little research on you. I was doing that stalking thing on the internet. I just went to LinkedIn. I didn’t really stalk you. But on LinkedIn, I noticed that you University of Florida ba political science with honors, and then Master’s in Russian and Eastern European Studies. Wow. Well, I happen to so we could really talk about the Ukraine and all the things that are going on there you you’re probably fairly well versed in that.

Bob Klein: Yes, sir, is that it’s a an earlier chapter where I worked in logistics in the former Soviet Union. So yes, I set up an office and give us to manage freight that came through Mary Opal, the port there, and we did a lot of business with the oil field. So Chevron and Halliburton and Schlumberger folks like that and it definitely taught me how to be patient and how to work with in a large bureaucracy and how to be persistent and to get things done and the hands on approach, but that’s logistics in general.

Bill Russell: I mean, doing that kind of work in that area of the world. The geopolitical ramifications of everything that’s going on around has the potential to slow down a project or completely change a project or shut it down, for that matter. There have a long time horizon, especially for a lot of those were big capital investments and that’s the kind of extractive industry that’s paying for everything over there. So it’s oil and gas rhenium gold mines, diamonds things like that. I did some work with Caterpillar overseas there. So yeah, definitely, if that’s in there somewhere, although it’s just I just pull those stories out at cocktail parties, Bill.

Bill Russell: All right. Well, we’ll get into health IT and talking about that will hopefully make people feel better about the challenges that healthcare is facing, although I will preface this we’re going to do a story from Becker’s CIOs or healthcare leaders first how 10 it execs are confronting the economic challenges. And I want to preface this with I’ve seen some promising signs. I saw I think it was Cleveland Clinic posted a positive number. I saw inner mountain posted a positive number. There was somebody else and I can’t remember which health system it is posted the positive number so the operationally well run health systems are coming out of this.

They’re starting to post profits we’re seeing the next year. They’re starting to come out. They were underwater, now. They’re above water. But I also did see a couple of health systems post hundreds of millions of losses and it’s those really big health systems. Scale is scales good when it’s going good and scales bad. When it’s going bad. And it’s really hard to turn those chips around. Assume you’re seeing the same thing. Are you feeling the same thing in some of the conversations? Are we starting to feel like we’re coming out of this?

Bob Klein: Well, I mean, I mean, I have to as a service company, or whatever I do feel it’s the kind of economics of it and some of it I see more in this requirement for efficiency is focus on really short term ROI. And I think last time we talked about rationalizing, spend ongoing spending and licenses and investments in new projects, new capabilities, and so they’ve got to get their house in order to be able to hopefully make larger investments in the future. But I think that’s a challenge of it. I worry. For some the larger Yes, there are some challenges with scale.

But there are those regional health systems that have investment funds that can continue to innovate. I worry about smaller hospitals, smaller systems falling behind, right as technologies that leverage to achieve some of the efficiencies and some improved performance, nevermind, expanded share. And so I think we’ve mentioned this where it’s a lot of pressure to improve performance and make improvements and not just hold steady. But that’s the the challenge of the economic cycle.

Bill Russell: It’s interesting as we just coming back to this article, I think it really illuminates some of the things you’re talking about. We have Eric Lee from permanente group, and he talks a lot about alignment. It’s like we need to be aligned with the specific objectives of our organization aligned with strategic priorities, and to focus our investments on the things that are actually going to deliver as you would imagine a permanent take Group CIO would do but then you have Eric Jimenez, CIO for Artesia, New Mexico talking about as rural healthcare. We’re no stranger to economic uncertainty.

It’s like we live in a perpetual state of economic uncertainty. And so we have to focus on very tactical type projects. And he goes on to talk about RPA and how they’re looking at RPA. Others talk about digital transformation and the things that are going on, but a lot of them really, in this article, seem to be talking about, not the big projects that we think are going to have a significant impact long term. It’s the I guess, when economic times are tough. The lens and the focus gets a lot more close. We’re not looking to in three years out for return, we’re looking like 12 months, which is what you were just saying, what’s the danger in doing that? What are they going to miss if they’re focused only on the next 12 months?

Bob Klein: I don’t know if they have a choice. I mean, the danger is they was back thinking about RPA right? So is RPA innovation, or is RPA paving the cow path I’ve got a lot of kind of paper bound processes, a lot of forums, a lot of things that are they’re not necessarily a big lift. I mean, they’re important to do and they’re important things to streamline and save time and create efficiencies but it’s not. I’m not sure if it would pass for innovation, innovation.

We’ll talk more about these other articles that are more out there. But I know I think that’s the CIOs job to balance things where I’ve got to find efficiency, but I also inefficiency in running the way things are internally just in a way it’s improved throughput or kind of speed of the way things move through the system. But also, I’ve got to kind of do more than that. I have to improve share, I have to be able to touch more people at the lower overall costs, not just speed up the throughput, and it’s a different kind of mindset, and I look at what he decided to do internally and we work with vendors or partners to do and I feel like for where things are going that health IT plays an important role and will play a larger role as technology starts is just as is so important for for this system to survive and thrive. Right. It’s not just the care maintenance and feeding of Epic and Cerner and whatever the laundry list of EHRs it’s more of how do you drive? How do you drive the organization and help apply the technology for leverage? So I know that probably didn’t answer your question, but that’s usually and we’re going to talk generative AI we haven’t done an episode of any show. For the last like, since January that we haven’t talked about generative AI. We haven’t talked about these things. And a lot of times people think oh, that’s innovation. Innovation is the new technologies that are on the horizon. I don’t think that’s true. So I want to bend the paper a little bit in two directions.

One is, I think now is the best time to be innovating. And I think innovation within constraints is always better than innovation outside of constraints. And the example it’s a silly example, but I’ve used it for years and people understand it. The most creative people in the world I think are people that take a license plate with like seven characters or six characters. And they like say a whole paragraph in that in those six letters and you’re like, oh my gosh, how did they communicate like, who they are, what they’re interested in? What excites them. I mean, it’s in sixth character. I mean, it really is amazing at times what people can do. And that’s innovation within constraints. We say, Hey, you have seven letters. Now communicate who you are, what you’re excited about in those seven letters, and they do well when you have financial problems. Now it’s like, alright, what are the problems we really need to solve what’s really going to move it forward? And there is I guess, incremental innovation, if you will. We’re doing the same things. And we’re just going to do them better.

RPA falls into that category. We’re going to do it better than we did it before. But then in that constraint of, hey, we’re financially challenged, you start to look at it and say can we do this thing with less? Nurses? Can we do it with less doc? I know that’s controversial to say, but at the end of the day, we don’t have enough of them, and we won’t have enough of them in our lifetime or ever again. I’ve heard a physician telling me we will never have enough physicians ever again. Period. Like we don’t train enough of them. There aren’t enough people going into the business. Therefore that’s the constraint. That’s the license plate. Okay, if that’s the license plate, we can’t keep doing things the same way we’ve been doing it that requires more labor than we have. Therefore, how do we do it differently? It’s that line of questioning inside of constraints that leads us to Alright, I think we can have generative AI respond to our inbox. I think we can have chat bots that interact with more people in the community than we did before. As long as we have some sort of parameters around that chatbot that we know it’s going to be delivering high quality answers and those kinds of things. I’m curious what your thoughts are as I throw that stuff out. Bob Klein Yeah. No, I mean, I think back to your earlier question, I mean, the risk is when you cut budgets, or is people stop willing to experiment and try, right? And innovation is sometimes just we need folks to be working to try and make things better and looking at some of the same measures and have enough time in the day to run experiments and attempt.

So your point about nurses I think about the remote nurses that are on the iPad next to the patient bed of folks that are trying to do that and just to create leverage for the nurses who are on the floor. You don’t necessarily have to come into every room when someone presses the button, or the neti robot that runs that does deliveries across the hospital to save somebody’s time. So a nurse doesn’t have to do it, right. So it seems it’s a little kind of, yes, it gets attention slots, er.

The practicality of AI in healthcare

Those aren’t the only things that are out there just finding things that come to mind, but I think that that’s where they have to keep going because everyone wants to make improvements and like we said last time, there still is this impetus from COVID to reflect lessons learned and to make the changes that I needed.

And I Yeah, AI is just another thing that’s in this list of things that they can be working on and touch digital and technology and software, but it’s almost it’s hard. To prioritize. What are the things that we can do that can have an impact, and we can test out so it doesn’t have to be this big bang effect on anything because that’s really disruptive. Right? So how do I test things out? And I’ve got go no go decisions. It’s not everything is going to be a good idea. And that’s okay. Right. So that’s, that’s why I hope the smaller health systems have the opportunity because in a way, they’re closer to their population. And don’t you don’t know what they could come up with. And I think the there’s this efficiency call but I think there’s also this clinical insights and clinical relevance, like how it is like your we all go to the nurses and we talked about that and we talk about other things, but a lot of opportunity out there that’s digital is tied to things that are clinically significant.

And it’s, I think about all the hardware and all in the alert fatigue as a kind of service provider in this space. We’re not trying to tell the providers what to do. We’re trying to give them insights and create some efficiencies for them.

It’s like, how does the (artificial intelligence and machine learning) technology work for you? 

So he reduced cognitive load in a way that’s like how technology work for you. It’s not all about you know, we’re replacing people or they’re making them more effective.

Bill Russell: Alex’s Lemonade Stand was started by my daughter Alex in our front yard, and by the time she was four, she knew there was more that could be done and she told us she was gonna have a lemonade stand and she wanted to give the money to her doctor so they can help kids like her. It was cute, right? She’s gonna cure cancer with a lemonade stand like only a four year old would think that but from day one, it just exceeded anything we could have imagined because people responded so generously to her.

Bill Russell: We are working to give back and are excited to partner with Alex’s Lemonade Stand this year. Having a child with cancer is one of the most painful and difficult situations a family can face. At Alex’s Lemonade Stand Foundation. They understand the personal side of the diagnosis, the resources needed and the impact that funded research can have for better treatments and more cures. You can get more information about them at Alex’s lemonade.org. We are asking you to join us. You can visit our website. There’s a banner at the top and it says Alex’s Lemonade Stand there. You can click on that and give money directly to the lemonade stand itself. Now back to the show. We have three three stories here. Hippocratic is building a large language model for healthcare. Second one is how will gender have aI impact healthcare and the third one is just calm down about GPT four already. It’s interesting.

I mean, clearly we’re at the peak of the hype cycle. I saw a post just this past week where somebody said for the last any number of years we’ve really elevated the Chief Digital Officer title and we said there’s gonna be digital transformation. And because so much emphasis has been put on AI recently their supposition was that we will have chief AI officers. Well, I’m not sure that we will. But the Chief Digital Officer or someone within the organization is going to start to have a very keen focus on AI models bringing AI into healthcare, but they’re essentially saying look, this is where the change is going to happen. And so when we focus on just the next year, one of the things that happens is we take our eye off the ball on something that’s a big change that’s happening, and it’s going to hit us in in two years or three years. And if we’re not working on that big change today, it becomes an emergency in two or three years like oh, how do we catch up? And so we’re always playing catch up, because we’re not looking at the big macro changes in these things. Generative AI is a big macro change to healthcare.

Bob Klein: Yes, I think it is there. But I guess my question back to you around it is the role that each health system is going to play right. So I have some real bounce about from a macro change being is everyone we’re waiting around for open AI and Microsoft nuance or whoever to show up with some care model and some insights that are going to be built into a bunch of different software products or epic or Cerner.

Whoever, but essentially, the wild gardens that today have all the data and have all the insights like how much can the health systems create their own capability in this area, and they leverage these models like or even open source versions of these models to create their own capabilities because they have unique populations. And some of these articles talk about things that are more patient facing but I think the challenge is creating a personalized care model for each and every individual because health is tied to and I got comorbidities and it just put your arms around this other data for one patient. And can we make any sense for just that one patient and for the provider or the care team that’s trying to support that one person and then or even just somebody’s population, a particular health system so because they can be so different, we do a bunch of we do a bunch of work and post acute care and are building things for them.

But that means I don’t we don’t have much overlap with pediatric. Right. So it feels like there’s an opportunity there. If there’s funding and interest, and honestly I think that’s ultimately differentiated. But I guess my question Bill is, are the health system’s gonna sit back and wait and expect kind of vendors to fill the void and provide all these insights or could be amazon it could be others, or are they going to take the initiative and build some things on their own and get closer to the problem?

Bill Russell: Yeah, I will about a limb here. 60% are going to wait for epic to do whatever epic does for them. If you’re an epic client, you’ve almost been trained to wait for Verona to figure things out integrated put it in there and because it and I don’t say that disparagingly, I mean, you don’t want to get ahead of Verona because if they come out with something after you’ve gone and done something innovative, eventually you’ve invested in areas that you really don’t need to, but we’ve been trained in 60% We’ll wait for the end.

And it could be Meditec. It could be Cerner. It could be whoever I mean, well, if they’re going to do whatever they’re going to do, we’ll wait for them to do it and I think 60% will wait for that to happen or work with them as a partner. To do that. I saw UNC just announced they’re doing something with epic around generative AI, Stanford is UC Davis is and others. So partners are stepping up and saying, Look, we’re not going to do this ourselves. We want to partner with you. You have these capabilities. You’re also our source of truth, our system of record.

So we’re going to do that. This is the vision I think people should be working towards and I don’t know how many will be working towards this. I do know that Amazon will be working towards the CVS we’ll be working towards this. Wal Mart we’ll be working towards this and Walgreens will be working towards this and optim will be moving towards this and UnitedHealthcare and that is Bill Gates was talking about this and I know we’re not supposed to talk to us people’s names who are currently being spirited in the runner media but the Bill Gates is still a great mind from a technology standpoint, and he looked at GPT for a long time ago. And when he was interviewed, he said we are as close as we’ve ever been to everyone having an AI assistant, a physician having an AI system a nurse having an AI system, who understands their job, knows their data can find data for them, and just helps them to be more effective all the time every day.

So we’re gonna have that aspect of it, including your pharmacist, you name it across the board, everybody’s gonna have an AI assistant, then I would go one step. further and say I think every individual in the community is gonna have an AI assistant that is going to help them with their health, either navigating health care, or understanding the questions we have about health should I eat this should I not eat this? Is gut health really important? How important is exercise how important I know some of these questions to doctors are going to be silly, but these are the kind of Google search questions that get asked. And if we have a an assistant, we all have an assistant that is geared towards making us healthier. The question becomes who is providing that? Right so Hippocratic is one of the stories and they are essentially taking generative AI to med school. And they’re gonna have very specific training around that model so that it can be trusted and it’s going to be used to help people to remain healthy.

My question and I think his question you’re asking is, as a health system if our CIO for a health system, if I were still at St. Joe’s we had 16 hospitals, multiple communities in multiple states. Would I want that provider of that information to come from Hippocratic or CVS or somebody else or what I want it to come from St. Joe’s? And the answer is, it has to come from St. Joe’s because if it doesn’t, you become irrelevant. In health. All you become is whatever they leave you. If it’s the high acuity, high risk care, whatever they leave you that’s what you’re gonna end up with, if you’re not going to be relevant in the day to day conversation of the patient, or even the consumer and their health. Then whoever is there, they’re the ones who are going to direct the economic flow of where that person goes for care.

Bob Klein: I don’t I mean that’s why I feel like the health system has the opportunity but has to put the entire all the pieces together for the patient and to be trusted because you have all the data, and that includes that doesn’t include everything that’s in it’s not necessarily everything. It’s in the HR today. Right? So genomic data, other data so I work a lot with telehealth data, other information and there’s I don’t know there’s all this focus on efficiency. And I’ve we’ve I’ve built something with that uses Changi VT four, and it’s use it as a language model and helps us create something that’s really just the clinical note from a telehealth encounter, and that’s just efficiency, but over time there are other kinds of services being created that will plug in that look at voice biomarkers, for example. So based on our conversation, they might just say, Hey, Bob, you sound like there’s something off, right and it could be some marker based on word choice. Speech, pace, things like that.

And it could say, Okay, let’s find this person for follow up. Right, something seems off, but you have to be capturing that data. You have to be capturing all of my previous telehealth sessions. So right now, not a lot has been recorded. So it’s not recorded. It’s not transcribed. It’s not routine. And so I just look at telehealth is just as another as another sensor for data, just like the in person interactions, all the labs, genomic data so complete data model for that patient. And that’s how the health system has knows the most and knows all the details where this kind of one size fits all on the front end, based on some enormous model isn’t going to be great because like I said, I’ve got published acute 85 year olds and five year olds in the same model. And it started it’s like okay, this just seems to make sense. So it’s going to be super broad or narrow based on the population. I think that’s where the opportunity is. I just don’t know if anyone’s gonna take it.

Bill Russell: Yep. Yeah, the narrow models is the direction more personalized, highly personalized models. I love this discussion. We’re gonna continue this discussion probably in four or five weeks, you’re going to come back on the show, there’ll be a whole new set of articles and we’ll see how much we were right about and how much you know how much has changed. It’s to be honest with you. This space is moving really fast.

Assessing the current market and benefits of AI in healthcare

Bill Russell: It feels to me like every day I opened an article and I read a bunch yesterday about Google’s response to GPT four, but they have a little different bent their models a little different, and it’s better at some things than GPT four, but it’s not as good with text and all that stuff. And so it’s really highly geared towards surgeon.

Bob Klein: The logical inferences aren’t there and these models and so it doesn’t know what it’s doing in terms of the language model for tension PT for us. So just to be cautious about that. My recommendation is use it for what it’s really designed to do. If you go in there, and Bill if you’ve got a long email that you want to reduce the paragraph, you can do that right and it’s okay is that does create some efficiency or automate some of the things where some of the correspondence or stuff like that, I think that that the providers are already using it.

Bill Russell: Well, and I love that model. You said I mean, you take a transcript and you turn it into a soap note. Bob Klein Yeah, yeah. So there can it’s I think it’s that’s disruptive because Microsoft spent $20 billion to buy nuance three years ago, and was that really worth it? And I think each of the health systems need access to this kind of technology for that efficiency we’re talking about, but over time, it’s an efficiency. It’s mostly speech to text which has gotten to be really good, right? And that’s the for me with whisper, which is part of open AI and then it’s like, start creating your own models, build your own model, get smart about your own population. And I hope that their health systems are willing to give that a try and kind of start to experiment, but to go easy with everything that we were reading from hype cycle. Yep, absolutely.

Bill Russell: Bob, thanks for your time. Really appreciate it. Great conversation. Thanks. Thanks so much, Bill. And that is the news. If I were CIO today, I think what I would do is I’d have every team member listening to a show just like this one, and trying to have conversations with them after the show about what they’ve learned, and what we can apply to our health system. If you want to support this week health one of the ways you can do that is you can recommend our channels to a peer or to one of your staff members. We have two channels this week health newsroom and this week health conference.

You can check them out anywhere you listen to podcast, which is a lot of places Apple, Google, overcast, Spotify, you name it, you can find it there. You can also find us on YouTube. And of course, you could go to our website this week. health.com. And we want to thank our Newsday partners again, a lot of them and we appreciate their participation in the show. Cedar Sinai accelerator, clear sense. CrowdStrike digital scientists optimum, Pure Storage, short test, Tao site LUMION and VMware, who have invested in our mission to develop the next generation of health leaders

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Improving accessibility through user research and usability testing https://digitalscientists.com/blog/improving-accessibility-through-user-research-and-usability-testing/ https://digitalscientists.com/blog/improving-accessibility-through-user-research-and-usability-testing/#respond Tue, 09 May 2023 15:14:28 +0000 https://digitalscientists.com/?p=18908 As we continue to advance in research, it is crucial that we keep accessibility at the forefront of our minds. For the last few years, we have been a part

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As we continue to advance in research, it is crucial that we keep accessibility at the forefront of our minds. For the last few years, we have been a part of different pilot programs that have focused on the senior population and individuals with intellectual and developmental disabilities (IDD). These studies have shown us the importance of inclusivity in all aspects of the research process. By prioritizing accessibility, we can create a more inclusive environment that benefits everyone involved. One of the ways we do this is during usability testing. 

The main objective of conducting accessibility usability testing is to understand how assistive technology affects the experience of using the product and to ensure that the system
operates similarly for disabled individuals as it does for non-disabled individuals.
There are many forms of assistive technology; for example, individuals with visual
difficulties might use screen readers or magnifiers, while people with auditory disabilities
rely on captions or hearing aids to experience multimedia.

Important aspects to consider in accessibility usability testing

01. Recruiting a larger number of participants. 

Why is this important? Five individuals might share a diagnosis but have completely different experiences. For example, individuals with the same hearing loss may use very different communication modalities. Some individuals might use a hearing aid to speak, others might communicate with sign language, and another participant may prefer only visual captions. 

Another reason to recruit a larger group is that you might have a group all with the same diagnosis and using the exact same accessibility software, but despite this, you will also find an array of experiences. Some individuals can have years of experience using it, while others will be new to using the tool and are still learning it or adjusting to their own preferences. 

To truly represent and cater to all people when doing accessibility testing, it’s crucial to understand and incorporate a larger range of testers and assistive technology to impact your results. 

02. Reach out to Communities 

We seek to establish connections with community partners with the necessary expertise to cater to their community’s unique requirements. To this end, we have worked with non-profit organizations serving people with disabilities. Other community partners we have considered are online communities and advocacy groups. One of the major advantages of partnering with these communities is that they not only have key informational materials that help our education, they also have specialists to go to for support and consulting, and often have assistive technology specialists on hand who can provide us with additional support when testing products in a usability test.  

03. From start to finish, ensure an accessible experience

At Digital Scientists, we love to use a journey map to plan our usability testing sessions. We suggest using one to plan an accessible usability testing session to ensure that the participants’ full journey (before, during, and after) is accessible. 

Using a journey map to plan a usability testing session

Every touchpoint where you have contact with your interviewees is carefully planned. It is important for us to make our participants feel like we have actively thought about their experience. Some key aspects of the journey to consider are:

Accommodate for different communication needs 

Prioritize accessible communication and consider the needs of interviewees by offering clear descriptors in emails, easy-to-access passwords, and carefully researched communication platforms that accommodate various accessibility needs. Additionally, express that participants should bring their own hardware and proactively inquire about any specific requirements they may have.

Offer location alternatives

When conducting usability tests, we offer remote and in-person options. For remote testing, ensure the platform is accessible and allow participants time to install prototypes onto their software. If opting for in-person testing, offer flexibility to accommodate the participants’ accessibility needs. This includes selecting a location based on their requirements or/and testing at their home. In either case, communicate with them beforehand to ensure their specific needs are understood and where they would feel most comfortable.

For testing in a common space, ensure accessibility. This includes checking for steps, elevators, door width, table height, and room size to accommodate service dogs, caretakers, or interpreters. Verify that the toilet is accessible. Furthermore, consider transportation to and from the location to ensure accessibility. In participants’ homes, also ensure that you understand their needs and that if they have any requirements for you to step into their place, you respect them.

Include time flexibility in your session schedule 

Accessibility usability testing cannot follow a one-size-fits-all approach. For this reason, we tailor each session to meet the needs of every participant we interview. Our testing process involves two task lists: a shorter one with essential must-have questions and a longer list with additional tasks we can use if the participant is willing. We allocate extra time for our team and for participants to ensure that everything runs smoothly. Sometimes software setup or unforeseen issues may cause delays. However, we remain flexible and value participants who share detailed feedback and opinions. Ultimately, we prioritize meeting everyone’s needs and ensuring the process runs smoothly.

Offer communication alternatives when moderating

Ensuring that moderation is accessible starts with making sure that all consent forms, non-disclosure agreements, instructions, directions, tasks, or forms are written and presented in clear and simple language. Provide alternative ways to communicate instructions or ideas in case participants need additional clarification. 

Additionally, handouts should be designed with participants’ preferences and need. For example, offer the option of receiving documents by email in accessible formats such as HTML, PDF, or plain text. Another important practice is to emphasize at the beginning of the test, that we are testing the website or product, not the participants themselves, to make them feel at ease.

During the testing session, we introduce ourselves and any observers in a way that makes participants feel comfortable. We briefly introduce ourselves, explain the setup, and tell participants what to expect during the session. We always reassure them that they can stop the session at any time.

04. Maintain privacy of information 

During usability tests, participants may share personal and sensitive information, such as private health information, personal stories, or sometimes protected data. We are HIPAA compliant and ensure the confidentiality of our interviewees. We make sure that they all know that they can opt out of the test or have the choice to stop at any time of the testing process for whatever reason. It’s crucial to take necessary measures to respect their privacy and safeguard all their data.

05. Be open to critique

One of the things we enjoy the most about accessibility testing is opening ourselves up to receive critique, as it allows us to improve our products and testing methods. We can improve our products and testing methods by listening to user feedback to meet diverse needs better. User feedback also enables us to make targeted improvements that address specific concerns. By doing so, we hope to continue to innovate and gain new insights that inspire us to create even better products and services.


Accessibility is an on-going effort 

For us, accessibility usability testing is a journey where we prioritize the comfort and support of all participants during our usability testing sessions from start to finish. We believe this approach benefits both our participants and our clients by leading to more accurate and valuable insights to improve their products. Ultimately making your products accessible will not only improve the experience for people with disabilities but also benefits seniors, those with temporary or situational limitations, and even users without disabilities. However, simply meeting accessibility guidelines is not enough – real usability testing is necessary to uncover usability issues and ensure the best possible user experience. Accessibility for us is an ongoing effort and integrated into the development process rather than treated as a yes/no checklist item to prioritize all users’ needs truly.

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Accessibility: How to create accessible digital products https://digitalscientists.com/blog/accessibility-how-to-create-accessible-digital-products/ Wed, 03 May 2023 13:57:57 +0000 https://digitalscientists.com/?p=18890 What is accessibility? Creating products that everyone can use, is a core foundation of our mindset and process. Accessibility – designing products that people with disabilities can use, is an

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What is accessibility?

Creating products that everyone can use, is a core foundation of our mindset and process. Accessibility – designing products that people with disabilities can use, is an essential part of this.

Achieving accessibility includes following international web accessibility standards, as well as research and testing to understand our users and their needs.


International accessibility standards

The World Wide Web Consortium (W3C) develops international standards for the Web – HTML, CSS, and many more. Their Web Accessibility Initiative (WAI) develops technical specifications, guidelines, techniques, and supporting resources that describe accessibility solutions. 

They create Web Accessibility Content Guidelines (WCAG), considered to be the international standard for web accessibility. In the United States, this has been adopted by Section 508 – accessibility requirements for electronic and information technology developed, maintained, funded, or used by the Federal Government.

WCAG is consistently updated. We are currently on 2.1, with 2.2 expected in Spring of 2023.

WCAG is based on four principals and 13 guidelines

Perceivable

Users must be able to perceive the information being presented

  • Text alternatives for non-text content
  • Alternatives for audio and video
  • Adaptable content that retains information and structure
  • Make it easier to see and hear content

Operable

Users must be able to operate the interface

  • Make all functionality available from a keyboard
  • Provide enough time to read and use content
  • Avoid causing seizures or physical reactions
  • Provide ways to help users navigate, find content, and determine where they are
  • xMake is easier to operate functionality for inputs beyond a keyboard

Understandable

Users must be able to understand the information as well as the operation of the user interface

  • Make text content readable and understandable
  • Make pages appear and operate in predictable ways
  • Input assistance to help users avoid and correct mistakes

Robust

Users must be able to access content as technologies advance

  • Maximize compatibility with current and future technology

Success criteria

WCAG 2.1 guidelines are categorized into three levels of conformance, in order to meet the needs of different groups and situations.

Industry standard is WCAG 2.1 AA (which also means conformance to A).

Training and internal processes are needed to implement and evaluate conformance to success criteria. Creating documentation provides an artifact that measures things such as conformance. Documentation may be requested by clients, or may be needed to fill out a Voluntary Product Accessibility Template (VPAT) that details the level of conformance.


Accessibility is a shared responsibility

Accessibility should be considered from the beginning of a project. This ensures that it’s part of the process, and minimizes added time and expense of going back to fix accessibility issues.

Product Manager

Leads the product and incorporates accessibility into the process with clear checkpoints, roles and responsibilities.

User Researcher

Includes people with disabilities during research and testing, to help ensure they are understood and their needs are met.

User Experience Designer

Considers all of the ways people use a product, to provide options for an optimal user experience for all users.

Visual Designer

Makes design decisions such as color, typography, and layout, to influence how content is viewed and understood.

Content Author

Leads how content is structured and written, to improve readability and understanding.

Developer

Uses techniques such as semantic coding and ARIA (Accessible Rich Internet Applications), to ensure that the codebase can accommodate all users and assistive technology.

QA / Tester

Checks accessibility success criteria compliance before release. This may be a dedicated role, or it may include Designers and Developers checking their work, with a final QA before release.


Be apprehensive of quick fixes

Companies advertise overlays, plugins, and toolbar widgets as cheap and automated accessibility fixes. Many people with disabilities are sharing that these are not effective solutions. Some of the issues are:

  • Override assistive technology settings, and force users to learn a whole new system
  • Don’t repair underlying issues, therefore they don’t achieve full WCAG compliance
  • Loading speed and performance are out of your control
  • May conflict with your user’s preference for data privacy and protection

We’re committed to creating products that everyone can use

As the world’s largest minority, people with disabilities deserve to access digital content. Understanding and incorporating accessibility guidelines can be a complex process. Research and testing takes time. However, it’s not just about checking off boxes to mitigate legal liabilities, it’s about doing the right thing and ensuring everyone can access digital content, tools, products, and services. By creating accessible digital products we can help ensure that people with disabilities can easily access helpful information online, protect digital investments, and can have full access to a wide range of online services.

As we continue to design, build, and learn, we promise to work hard to understand the needs of people with disabilities, for the best user experience possible.


Resources

W3C Web Accessibility Initiative
Strategies, standards, and resources to make the Web accessible to people with disabilities.

WCAG quick reference guide
A customizable quick reference to WCAG 2 requirements and techniques.

Section 508
The United States Government’s website dedicated to Section 508 and accessibility requirements.

ADA
Guidance on how state and local governments, and businesses open to the public can make sure that their websites are accessible to people with disabilities.

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Accessibility: What it is and why it matters https://digitalscientists.com/blog/accessibility-what-it-is-and-why-it-matters/ Mon, 27 Mar 2023 19:54:24 +0000 https://digitalscientists.com/?p=18586 What is accessibility? Accessibility recognizes that people interact with technology in diverse ways and removes barriers so that people with disabilities can more fully engage with digital content, tools, products,

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What is accessibility?

Accessibility recognizes that people interact with technology in diverse ways and removes barriers so that people with disabilities can more fully engage with digital content, tools, products, and services.


Statistics and facts about disabilities

People with disabilities are the world’s largest minority

61 million adults in the United States live with a disability

26% of adults in the United
States live with a disability

Over 1 billion people worldwide live with a disability

Almost everyone is likely to experience some form of disability—temporary or permanent, at some point in life.

— Sources: CDC; WHO

Types of disabilities

Physical

Amputation, arthritis, paralysis, repetitive stress injury

Auditory

Hard of hearing, deafness

Visual

Color blindness, low vision, blindness

Speech

Mute, dysarthria (weakness or paralysis of muscles for speech), stutter

Cognitive

Learning, neurological, ADHD, autism spectrum disorder, mental health disabilities (medications may also have side effects), memory impairments, learning disabilities, seizure disorders

Disabilities can be permanent, temporary, or situational

Temporary disabilities

Even a short-term injury or context affects the way people interact with the world around them. Think about a limb injury, ear infection or laryngitis.

Situational disabilities

As people move through different environments, their abilities can also change dramatically. In a loud crowd, they can’t hear well. In a car, they’re distracted. New parents spend much of their day doing tasks one-handed.


Why is accessibility important?

01. Accessibility is part of being inclusive

The web offers valuable resources and services that everyone deserves to access, and that people with disabilities rely on.

“The power of the Web is in its universality. Access by everyone regardless of disability is an essential aspect.”

Tim Berners-Lee ——- W3C Director and inventor of the World Wide Web

02. Accessibility improves the user experience

Essential for some, useful for all. Anyone can experience periods of limitations, or prefer different ways of finding and consuming information. Some benefits are…

  • High contrast helps during glare
  • Voice recognition helps keep hands free
  • Captions help in a loud environment

03. Accessibility drives innovation

Accessibility features in products and services often solve unanticipated problems. Sometimes limitations can propel us to think through problems differently and come up with unique solutions.

04. Accessibility minimizes legal risk

Many countries have laws requiring digital accessibility, and the issue is of increased legal concern. In the United States, there are two main laws governing digital accessibility – the Americans with Disabilities Act (ADA) and Section 508.

The ADA is a law that protects people with disabilities in many areas of public life. Title II applies to web accessibility for State and local governments. Title III applies to businesses that are open to the public.

Section 508 establishes accessibility requirements for electronic and information technology developed, maintained, funded, or used by the Federal Government.

05. Clients may require accessibility

In addition to client requirements, every federal agency or any organization that interacts with a federal agency is required to complete a legally binding Voluntary Product Accessibility Template (VPAT)—it details a product’s level of conformance with International Web Accessibility Content Guidelines (WCAG).

“By 2025, all G20 countries – which account for 90% of the global world product – will establish enforceable legal standards for digital accessibility, leading to a “GDPR moment” in which businesses scramble to achieve compliance.”

GARTNER REPORT

06. Accessibility adds value

Some clients may not realize the importance or value of accessibility. This gives us an opportunity to establish the value of our contributions to the success of their product. It may also give us a marketing edge against competing agencies.

Although accessibility adds some additional effort, it will be a much larger effort to have to go back and fix a product.

07. Accessibility may affect your reputation and marketability

Diversity, equity, and inclusion efforts are important to business success and reputation. People may prefer to support companies who share their values and who design products that fit their needs.

“By 2023, digital products in full WCAG Level 2 compliance will outperform their market competitors by 50%.”

GARTNER REPORT

08. Accessibility positively affects SEO

There’s a considerable overlap between features that improve accessibility and SEO performance. 

  • Metadata
  • Image Alt text
  • Link anchor text
  • Heading tag structure
  • Audio and video transcriptions

How people with disabilities access digital content

People with disabilities use assistive technologies or adaptive techniques to access digital content. In order to use these successfully, they rely on content that has been designed and coded following accessibility standards, and that has been tested.

Assistive technologies

Software and hardware that people with disabilities use to improve interaction with the web. Some examples are:

+ Alternative keyboard or mouse
+ Refreshable braille display
+ Screen magnifier
+ Screen reader
+ Voice recognition software

Adaptive techniques

Techniques to improve interaction with the Web. These include techniques with standard software or mainstream web browsers, such as the following:

+ Increasing text size
+ Turning on captions
+ Reducing motion
+ Voice control
+ Pointer control


We’re committed to creating products that everyone can use

As the world’s largest minority, people with disabilities deserve to access digital content. Understanding and incorporating accessibility guidelines can be a complex process. Research and testing takes time. However, it’s not just about checking off boxes to mitigate legal liabilities, it’s about doing the right thing and ensuring everyone can access digital content, tools, products, and services.

As we continue to design, build, and learn, we promise to work hard to understand the needs of people with disabilities, for the best user experience possible.

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Lunch and Learn: Designing and developing accessible products https://digitalscientists.com/blog/lunch-and-learn-designing-and-developing-accessible-products/ Mon, 27 Mar 2023 18:19:01 +0000 https://digitalscientists.com/?p=18423 Continued education is an important part of our growth and understanding. We regularly host Lunch and Learns to share knowledge, and we recently focused on accessibility.

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Continued education is an important part of our growth and understanding. We regularly host Lunch and Learns to share knowledge, and we recently focused on accessibility. Accessibility relates to understanding the needs of people with disabilities and designing products so they can fully engage with them. The presentation focused on:

  • Disability statistics and facts
  • Why accessibility is important
  • How people with disabilities access digital content
  • How to create accessible products

Watch the presentation

Running time: 20 minutes

Q + A

Below are highlights from our discussion during the presentation.

Q:

As it relates to building applications that address both populations, challenged or not, what is the best practice? Are companies creating two instances of the same application; are they embedding features, but it’s the same instance?

A:

Creating one instance, using the same code base, and following Web Accessibility Content Guidelines (WCAG) to ensure people with disabilities can access content.

Q:

Does this affect a product that receives funding from the Federal Government?

A:

Yes, it will most likely be required to meet WCAG 2.0 Level AA success criteria. Section 508 establishes accessibility requirements for electronic and information technology developed, maintained, funded, or used by the Federal Government.

Q:

Have any of these regulations, laws or any other guidelines crept into software as a medical device (SAMD) yet? Some of the themes that you talked about in terms of reduction of risk, making sure that the user experience is accessible for everybody; those are some of the themes that also come into the medical device world, except that the risk level is higher.

A:

Section 508 would apply to any user interface that we design for a medical device, if the Federal Government is associated. Regardless, I would assume that these medical devices need testing and FDA approval, and the user interface would be an aspect of this.

It should also be a part of the process to understand users through investing time in research and testing, and designing products that meet their needs. I think this is a significant aspect of creating products that everyone can use, and that would help mitigate errors.

Q:

What kind of trends do you see in terms of the different private sectors that are reaching these standards?

A:

It seems that accessibility is a trending topic. I’m seeing conferences and workshops dedicated to accessibility, as well as more articles and tools related to the importance of accessibility and best practices. Starting out several years ago, I had difficulty finding clear guidance as a Designer. Lately, I find more support geared towards design, as well as software plugins and tools for testing things like color contrast and color blindness.

Many companies, such as top tech giants, have established internal accessibility training and documentation, and integrate accessibility into their products and services.

Q:

Do you think Covid had something to do with awareness, just because people relied even more on technology and they weren’t going out as much?

A:

We definitely relied more on technology – from working at home, attending school remotely, and accomplishing tasks that we may have previously done in person.

From what I’ve been hearing, it seemed to accentuate the weakness in digital content delivery – whether it was lack of access to needed technology, or poor user experiences. I would think this contributed to awareness, since access to technology is essential for people with disabilities.

Q:

Is this a moving target at all? Like how often are they updating this as it relates to mental disabilities.

A:

There are several WCAG success criteria already that support cognitive disabilities. WCAG 2.2 is due early this year, and this includes additional success criteria for cognitive disabilities.

Whether they’re being implemented, is another challenge. Lawsuits have been increasing, which is an indication that people’s needs aren’t being met.

To sum up, our lunch and learn session on designing accessible products for healthcare and individuals with disabilities was a significant step in our commitment to designing products for everyone. The team was engaged in the discussion and shared their insights on the importance of accessibility. Our responsibility as a product design, development, and product management team is to ensure that our products are inclusive for all, regardless of their abilities. At Digital Scientists, we believe that by designing accessible products, we can positively impact people’s lives. 


Resources

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Remote patient monitoring: Quick reference guide https://digitalscientists.com/blog/remote-patient-monitoring-quick-reference-guide/ Fri, 21 Oct 2022 14:52:11 +0000 https://digitalscientists.com/?p=8004 As organizations increasingly recognize the power of virtual care, more providers are turning to remote patient monitoring to help them strengthen the provider-patient relationship and change how people access healthcare.

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As organizations increasingly recognize the power of virtual care, more providers are turning to remote patient monitoring to help them strengthen the provider-patient relationship and change how people access healthcare. Through remote patient monitoring platforms, patients can be monitored from the comfort of their homes via wearables, IoT devices, and sensors, thus eliminating unnecessary patient visits and improving patient engagement & self-management. Curious to learn more? Here’s a quick reference guide that covers what you need to know about remote patient monitoring.

Table of Contents


WHAT IS REMOTE PATIENT MONITORING?


RPM BY THE NUMBERS

RPM Market Leaders


WHAT ARE THE BENEFITS OF REMOTE PATIENT MONITORING?

Key benefits of RPM


HOW REMOTE PATIENT MONITORING WORKS?

RPM use case


OUR APPROACH TO BUILDING RPM SYSTEMS

RPM planning, implementation & post-implementation support


GENERAL FAQ

What is a remote patient monitoring device?

Is it better to buy or build a remote patient monitoring device?

How long does it take to build An RPM solution?

How much does it cost to build an RPM app?


What is remote patient monitoring?

Remote patient monitoring (RPM) is a digital health solution that enables healthcare professionals to monitor and capture patients’ health data outside a traditional healthcare environment. Remote patient monitoring technologies collect and record patient data for review, diagnosis, and clinical management. New monitoring devices are emerging daily, but a few common examples include blood pressure monitors, cardiac implants, and blood glucose meters. Below are a few stats that demonstrate RPM’s emerging role in healthcare.


RPM by the numbers

The global remote patient monitoring market is projected to triple to $175 billion by 2027. Some key factors driving this growth are the rising number of chronic diseases, a growing geriatric population, and advancements in telecommunications.

*Source: Strategic Market Research LLP

RPM statistics


Benefits of Remote Patient Monitoring?

Accelerated by the pandemic, RPM has proved to be one of the most significant drivers in reshaping the Health at Home model. Now widely accepted by hospitals and health systems worldwide, RPM offers convenience to consumers while reducing time spent in high-cost settings like hospitals and assisted living.

Key benefits of Remote Patient Monitoring

  • Extends & improves access to care
  • Improves outcomes through earlier symptom detection
  • Enhances patient engagement & self-management
  • Strengthens the patient-clinician relationship
  • Improves data-driven decision-making & clinical insights
  • Reduces hospital-acquired infections
  • Improves clinician satisfaction
  • Promotes better access to care
  • Eliminates unnecessary patient visits
  • Reduces missed appointments
  • Increases the efficiency of nurses and providers
  • Boosts net patient revenue
  • Better utilizes medical resources
  • Reduces hospital re-admissions
  • Contains administrative costs
  • Lowers cost of care for payers & providers

How remote patient monitoring works

RPM enables patients with chronic or recurring conditions to receive continuous monitoring and treatment outside a clinical setting. This allows clinicians to collect patient data in real-time, thus reducing the need for routine in-patient visits while strengthening the patient-clinician relationship. See the use case below to learn how a diabetes patient can better manage their care using an RPM app.

Remote Patient Monitoring use case

Michelle has Type 2 diabetes and needs round-the-clock monitoring of her blood glucose levels.

A physician-led care team provides Michelle with a connected glucometer that allows for the automatic wireless transmission of blood glucose readings to the team. The team also gives Michelle a mobile app to help track her blood sugar and other health indicators. Michelle can view her care plan, log food intake, order test strips, and receive health coaching through the app. Michelle is instructed to self-test her blood glucose daily. A care team member reviews the transmitted readings and follows up with Michelle if her results show a deterioration in glycemic control. The care team also provides Michelle with ongoing coaching through the app.

Every month, the RPM vendor sends a report to Michelle’s primary care provider with an update on her glycemic control and condition. In addition to the monthly reports, the vendor contacts Michelle’s primary care provider if any other health issues arise.

Michelle’s RPM solution helps reduce her need for in-person visits and promotes early intervention by clinicians who track her data digitally. Through easier access to diabetes care management, Michelle can better maintain healthy blood sugar levels and improve her overall health outcome.


15 steps to RPM implementation

As more organizations discover how RPM can transform care delivery and improve patient outcomes, many are making RPM a strategic priority. Not sure where to start? Here are 15 quick steps to guide you through RPM planning and implementation.

Pre-planning phase

1. Identify a specific need and desired outcome

What challenges are you facing as an organization? What patient needs are not being met today that could be improved with RPM in place? RPM can be used to track a wide range of conditions, including heart disease, diabetes, asthma, and Parkinson’s. Your frontline staff can help you identify the pain points and opportunities RPM can most effectively address in the day-to-day needs of patients and clinicians.

2. Validate your product with real users

Are you taking a patient- and provider-centric approach when considering your RPM solution? Get to know your users’ needs, pain points, and desired outcomes through a systematic approach to user research. 

3. Align stakeholders

Are your teams aligned on process and intended outcomes? Successful RPM implementation needs executive buy-in and commitment across departments, including clinician, administrative, and IT teams.

4. Form your internal team

Have you identified key individuals to lead? Implementing an RPM system requires an organization-wide commitment and a leadership team comprised of individuals from each department who will touch the RPM system. Recruit your most innovative thinkers to lead the initiative.

5. Evaluate ‘buy vs build’ scenarios

What are the pros and cons of buying or building an RPM system? Health professionals are overwhelmed by countless digital products that have failed to address the specific needs of patients and providers. Evaluate the pros and cons of buying an off-the-shelf product vs. building a custom product.


Planning phase

6. Vendor selection

Have you considered your team’s capabilities and time capacity for your initiative? Internal IT typically does not have the same skill-sets as a product, design, and custom software development company, yet it will be a key partner in integrations, security, and compliance. Also, evaluate the pros and cons of using a vendor with onshore vs. offshore resources.

7. Define the ecosystem

How will you set up a secure RPM ecosystem? Your internal IT team will be a critical stakeholder in signing off on your implementation. You’ll need a full stack of technologies, including Bluetooth connectivity, a mobile interface, a server for data transfer, and secure data storage. In addition, the ecosystem must be reliable & fault-tolerant, with continuous device functionality with or without an internet connection.

8. Define the user experience

How well do you understand your user’s journey? A frictionless user experience is critical to user adoption. You’ll need an intuitive interface specific to your users and their conditions. For example, can your patient operate the device and system on their own without the help of vendor training?

9. Blueprint a process

Who will help you outline each step in the implementation process? When considering an RPM system, you’ll need an experienced partner to outline each step, from identifying technology requirements to planning for scale.

10. Map out your workflow & integration needs

How will RPM integrate into your practice and network? Establishing a workflow across departments can help you identify integration points and ensure system continuity. In addition, you’ll need to implement privacy and security controls throughout the ecosystem to safeguard patient data and prevent medical identity theft.


Implementation phase

11. Design, develop and iterate

Product acceptance is critical to getting your program off the ground. A strong product, design, and development team can ensure that the right product is built for the right end users. The more upfront effort you put into validating the correct experience, the faster you will get to market with high quality.

12. Launch a beta program

Have you considered a beta program to test your system with real users? Launching a beta program is one of the most effective ways to gather user feedback and fix any bugs before a final release. Work with your vendor to set up a training program and quick-reference guides for your staff and patients. Proper training will ensure user adoption

13. Evaluate success

How will you measure patient engagement? By defining goals on the front end, you can track program success and communicate findings to your internal stakeholders.

14. Anticipate scale

Do you have the resources and infrastructure to scale your program? In the planning stage, anticipate what you’ll need for future growth.

15. Plan for post-implementation support

Have you considered all your post-launch support needs? Post-launch support is critical to the ongoing functionality and security of RPM systems. Ensure that you have support staff who can provide ongoing software maintenance and are fully trained in HIPAA compliance.


The future of RPM

Remote patient monitoring is transforming healthcare. Now one of the most effective tools used to treat chronic and acute conditions, RPM has entered the mainstream as a powerful solution that can provide more timely and efficient care. As healthcare providers continue to harness the power of RPM, new healthcare applications will proliferate – along with more ways to deliver high-quality care that will improve the patient experience.

Let us help you start your RPM journey today!


Remote Patient Monitoring FAQs

Is telehealth the same as RPM?

Not quite. Telehealth refers to an industry that uses telecommunication as a way for healthcare providers to care for patients remotely, without an in-person visit. The most common example of telehealth is video conferencing.

RPM is a subset of telehealth. RPM specifically refers to the practice of monitoring and capturing patients’ health data outside a typical healthcare setting using wearables, IoT devices, and sensors.  

What are the most common devices used for remote patient monitoring?

New RPM devices are being developed each day, but the most common type of device currently used is a smartwatch, blood pressure monitor, blood glucose monitor, pulse oximeter, smart scale, spirometer, and medical alert system.

What diseases can be managed using RPM devices?

Many chronic conditions can be monitored using RPM systems, and the list is growing. Among the diseases that are often managed using RPM devices are hypertension, diabetes, congestive heart failure, COPD, hypertension, pneumonia, and post-surgical cases.

Who can use RPM?

With the expansion of telehealth during the COVID-19 crisis, more patients than ever can now have access to healthcare through RPM devices. In 2021, the Center for Medicaid and Medicare Services (CMS) issued a final rule that practitioners may provide RPM services to remotely collect and analyze physiologic data from established patients if the monitoring is reasonable, medically necessary, and “used to develop and manage a treatment plan related to a chronic and/or acute health illness or condition.”

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