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Healthcare Experience Design Conference 2012

Amy Cueva - October 31st 2011


It’s been almost six months since last year’s HxD Conference. We’ve been busy processing attendee feedback, reviewing the videos and transcripts posted at the conference site, and brainstorming ways to make the next conference even more informative and inspiring. And, honestly, we’re still coming down from the high of being surrounded by so much passion and commitment.

We want the 2012 conference to have the same amazingly transformative energy, a renewed belief that together we can change the world for the better. But we’d also like participants to leave with a clear sense of direction and focus and some actionable insights and solid methods to put to use back in the real world. Dreams are great, but it takes lots of hard work to make them a reality.

And so at next year’s conference we’ll be focusing on tools and strategies that have been tested in the real world and have proven to be successful. All of our speakers are out there tackling the biggest challenges and putting their theories into practice every day. We’ll learn from their successes and have a chance to explore some of the strategies they use in their work.

Our list of confirmed speakers is growing quickly and includes favorites from last year’s conference like Kaiser Permanente’s Tim Kieschnick. Tim will be presenting on “eHealth equity,” examining health disparities, digital disparities, and health reform from a human-centric point of view. He will introduce us to great new data analytics toolsets which indicate the degree to which mobile extends our digital reach. We’re hoping that Art Swanson, Director of User Experience at AllScripts, will give us a peek at some of the EMR work they’ve done for the iPad. And, of course, make us all laugh as much as we did last year.

We are also thrilled to have Alexandra Drane speaking at next year’s conference. Alexandra is the president and cofounder of Eliza Corporation, a leading provider of healthcare communication strategies and one of Entrepreneur magazines “100 Brilliant Companies.” (2009) She is also the co-founder of Engage with Grace, and is committed to reinventing how we approach the end of life. If you’d like to find out more about Alexandra’s work, check out her talk at TedMed 2010.

The 2012 conference will include a full day of speaker presentations and a day of workshops. Attendees can get hands-on practice in the research methods, design techniques, and experience design strategies our experts routinely employ. "We will explore the patient, clinician and consumer journey across all channels: mobile, social, tablet, in-hospital, and more. "We may even offer a mini behavioral change Boot Camp (gym suits optional!).

If you would like to become a sponsor please contact hxdconf@gomeeting.com.

And if you haven’t already marked your calendar, you might want to get on it. Last year’s conference sold out quickly.

HxD 2012

Westin Boston Waterfront
March 26th-27th, 2012

The revolution continues. Join us next March and be part of it!

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Crappy Back-Office Apps R Us: why I love back-office apps when nobody else does

Joan Vermette - October 26th 2011


Okay, my home office location in Foursquare is meant to be a joke, but I really *do* do a lot of work on back office apps.

jvermette_blog_image-(1).png

And how do I love them? I’m about to count the ways for you.

1. There’s Lots of ‘Em
In truth, loads more of the work of the First World gets done through back office applications than through B2C or B2B platforms. So I love back office apps because there are more of them. More work for me that you don’t want to do. Yay.

2. They’re Important

These apps are crucial. Mutual funds get priced through them, health benefits get assigned and administered, trains run on time through them, people pay their vendors with them, or figure out energy rates – for instance.  What this means is my work, though not glorious, is important. Their dependability is mission-critical, and failure can have bad consequences – and I love the discipline that that imposes on me in using my craft.

3. They’re Easier to Make Significantly Better, Fast
They get no love, and therefore all my love wells up to take care of these poor shoeless cobbler’s kids. My goal as a UXer is to make people’s lives better, and even with the usual strict technical constraints associated with back office apps, making these apps better is frequently like shooting fish in a barrel. Fixing the size of targets, aligning labels with fields, putting controls in better proximity to instructions or data go a long way in improving the usability of these apps. Bamm! – now the workflow is more efficient.

4. I am Soooooo Not My User
These are not retail users. They’ve cut their way through a landscape of what appears to us as mounds of undifferentiated data; their jobs depend on that skill. Terms and labels that are as opaque as coal to you and me are perfectly transparent to them.  So it’s a good idea to refrain from putting labels in the vernacular until you know what they understand, how they understand it and what they need it for.

Many times, users are in the system all day, tabbing and typing frantically: you don’t want to slow them down with the sort of hand-holding you’d provide for a retail customer. Ease of learning takes a back seat to efficiency of use; don’t break up the flow or add instructions unless you’re sure it’s needed.

Engagement is not the primary aim; facilitation is. Your user normally does not have a choice about what they’re given to use, anyway. Make the system get out of the way to let them do their jobs – that’s what will delight these users.

5. More Access to Captive Users
But, because they *are* a captive audience, designers usually have great access to them. Recruiting for research is easier, and feedback from users can be obtained more frequently throughout the design process. This is really important because you are sooooo not them (see #4 above.)

6. Juicy Design Problems Can Arise
Their data problems are usually more complex and interesting. I recently had a project where the client wanted me to flip the axis on the way users interacted with some data. Users had been able to choose several of 100 things and assign several of 750 things to them. The request (later pulled out of scope) was to allow them to also choose several of the 750 things and assign them to several of the 100 things. Users’ familiarity with the 750 things was low; but if a new item was added to this pool of data, users would be able to more easily pick out the new items and assign them to the relevant 100 than the other way around. Both routes into the task were necessary.

Figured out how to map that, yet? See, to me, that’s an interesting design problem.

Conclusion
So these are the main reasons why Crappy Back Office Apps R Us: there’s more work that’s important to do, it’s easy to make a positive impact, you’ll meet people you never dreamed existed who are doing jobs you never thought about, and you’re likely to encounter some interesting challenges.  So though they may not win me any design awards or other acclaim, I’m happy to help get my clients’ teams off the green screens and into something that gives them more job satisfaction while it cuts my clients’ costs.

From the HQ of Crappy-Back-Office-Apps-R-Us, I’m signing out…

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The Road to Ecommerce Ruin (or Nirvana) is Paved with "In-Betweens"

Scott Sonia - September 29th 2011


Last week, I bought a washer/dryer online from a large home goods store.

It was a terrible idea.

But it didn't have to be, had the home goods store not overlooked the importance of user-centric design in the checkout flow.

Ecommerce becomes a bigger business every day. These days, items of all shapes, sizes and intricacies are sold online. Due to this, it becomes ever more important to mind the details within a shopping experience. A particular user-centric element that's important to look for, measure and design to are the tiny details Lou Rosenfeld calls, “the in-betweens. "In-betweens" are the myriad bits of information users need to be aware of while shopping online that, when present, can make their experience sublime. Bits like smart cross-promotions, necessary add-ons, optional add-ons - any sort of important "connection" that a user should be (or could be) making while he or she is trying to successfully buy something online.

When any of those key "connections" are missing on the road to purchase, it can result in an unseen multi-car pileup just around the corner.

Lacking the In-Between

My multi-car pileup started with the first missing user-centric connection. It occurred when I put a washer in my cart. Instead of immediately being given the option to purchase the washer's counterpart, I was met with a zip code entry and then a warranty selector. Before going too far, I backed out, looking for the dryer pair. It wasn't clearly marked on the product page either. I think I found it under the sidebar "Shoppers who viewed this item purchased…" after weeding through other meaningless suggestions.

This was a fantastic opportunity for the company to recognize a specific situation that needed a specific piece of functionality - an "in-between." As a user, I needed an explicit, separate and clear link to purchase the product's natural pair, at least as an option. (Spoiler alert: I hadn't actually found the correct dryer.)

Not Recognizing the Emotional State of Your Users

The second missing user-centric connection occurred when I finally went through the cart process. I was met with a series of decision pages. First, the warranty, then a page with a list of "Required Parts and Services," followed by a list of "Optional Parts and Services." This was good. Putting aside where and how, it is generally a good experience to step the user through any pieces that are necessary to the purchase at some point in the process. These are "connections." As we've learned, they're important.

So because the site had these pages, I immediately felt at ease. I trusted that this large company had done their homework, had learned what they needed to offer when a user put a washer/dryer in his cart, and all I needed to do was check the boxes and I'd be good as gold.

As an aside, a more nuanced aspect of designing for the user experience in e-commerce is recognizing and respecting the emotional state of the user. Realize that you, the behemoth, money-flush company who has been well-established in the industry, is a steward of the user's trust because of that. Users want to, should be able to (indeed, are forced to) believe these companies have spent some of that cash on making their e-commerce site a 100% perfect experience. It doesn't seem like a far fetched thing to ask of them. "If company X is offering the ability to buy online, they must be sure it'll work, right?"

So I was in trust mode at this point. I trusted that I was looking at the necessary pieces needed to install the particular items I had in my cart. I happily clicked the boxes for a couple of installation parts. For the optional selections, I even more happily clicked the "haul-away" option and nothing else.

Fast forward a week to the day two guys lugged a washer and dryer into my kitchen, took one look at the gas line running to the old dryer and said, "we can't touch this." To which I said, "huh?"

I knew it was a gas dryer. I even made sure the new one I bought was gas as well, I even happily clicked the little box that said, "Gas Dryer Installation Kit" in the checkout. I had done everything right to ensure a smooth installation, at least as far as I could know. Turns out the second missing user-experience connection was that "Gas Dryer Installation Kit" was not all it appeared to be. I found this out after the guys had left, two uninstalled appliances sat in my kitchen, two old appliances sat still installed in my wash room, and I was on the phone with the large home goods store for an hour.

What the checkout had not made clear was that "Gas Dryer Installation Kit" was simply the "kit," not the actual "installation." In fact, the installation was another option, one which I pointed out to the (admittedly kind) customer service person was not in the "required parts" list that I had trusted to give me the full picture of this transaction. This was met with confusion, until she did a little digging and realized that the reason it was not in the list was because of that little zip code thing I had breezed right through. In Massachusetts, no one but a licensed plumber can touch a gas line.

So the actual "installation" of the dryer was never going to happen, regardless of what I happily selected on that checkout page. The system was smart enough to know what not to show me, but never bothered to tell me what I truly needed to understand. It was a very important missing "in-between."

Putting the Pieces Together

After I haggled my way to future plans to clean up this mess, I noticed that the washer/dryer sitting alone in my kitchen sported separate series numbers. This is when I realized that missing user-experience connection number one had reared it's ugly head and left me with a slightly mismatched pair of appliances.

This mattered because the third missing user-experience connection was that the site had neglected to include in it's list of necessary items to purchase: a stacking kit. This was presumably because the system didn't know that I was trying to buy a matching pair and/or knew I hadn't picked a matching pair and/or whatever…the net result was that I had no stacking kit when and if I ever got someone to install these things for me.

I ended up going out myself to buy the stacking kit (not knowing for sure if it would work on a mismatched pair) so that my local plumbing company could come in and finally clean up the mess. Luckily, it worked and another week later, the entire transaction was, finally, complete.

Rosenfeld referred to the in-betweens as "missing metrics." They are the tiny connections born of user expectation, trust and the specific purchasing situation that users expect to see as they are purchasing specific items on your site. They go missing because they require close user research and a dedication to constantly studying your approach to catch them - a commitment many large companies (and even UX professionals) simply don't (or can't) make, even though most users expect they have.

I've worked on large e-commerce sites long enough to understand the incredible amounts of tiny, intricate connections and data a large company has to keep track of for a transaction like mine to go completely smoothly. It's hard. But isn't it worth it? I may never shop at this place again because of this experience. I may disparage this brand to my friends and family. I suppose that may not hurt their bottom line all that much, but multiply it by all their users, and it might. If a brand wins over every user with a great online shopping experience, that translates to huge dividends.

And while there is a lot to keep track of, a lot that can go wrong, it's also not rocket science. It simply requires a commitment to getting in the head of your users. Study what you're doing, talk to them, hire a UX professional.

For both companies selling online and for UX professionals working to help them sell online, spending time on the metrics of the "in-betweens" is a connection not to be missed.

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