Merit-Based Incentive Payment System

Modernizing Medicare to provide better care and smarter spending

Overview

About the project

Overview: The Merit-based Incentive Payment System (MIPS) is a new way by which eligible clinicians will be measured by U.S. Dept. of Health Services to determine if they are providing quality patient care in an economically efficient way.
This consolidation will reduce the aggregate level of financial penalties physicians otherwise could have faced, and it also provides a greater potential for bonus payments. More about MIPS.

The Solution: A customizable web based application which can record data, generate scorecard and conduct what-if analysis to save time & provide meaningful insights.

Client: Regenstrief Institute, Inc.

Timeline: 4 Months

My Role

I worked as the UX Designer on this project. Some of my responsibilities included:

  1. Planning, defining scope & strategy
  2. Conduct user interviews & observations
  3. Facilitate ideation & design decisions
  4. Sketching, wireframing and prototyping
  5. Front-end dev & collaborate with other devs
  6. User testing and evaluation sessions

The Impact

Currently used by Quality Improvement Advisors (QIA) to guide 15,000+ clinicians across universities, health systems and independent provider-practices in five Midwestern states.

Success Metrics

  1. Efficient & save time in data reporting
  2. Increase in revenue by daily active users
  3. Should be customizable according to user needs
  4. Should be easy to analyze and compare data
Target Audience

Who are the users?

The users of this tool are Quality Improvement Advisors (QIA). QIA's acts as an internal consultant and resource to a health organization with the goal of driving improvement in quality, cost efficiency and patient satisfaction. They gather, compile and analyze clinical reports, identify gaps / strengths & make appropriate recommendations for corrective actions.

User Research

Interviews + Observation

I collaborated with the researchers and domain experts in the team to understand our core users, their environment, and majors tasks to accomplish. We interviewed few participants and gathered data on their current workflow and major challenges. This data helped us in finding opportunites to solve the problems.

Participants

We chose four Quality Improvement Advisors to interview.
Interviews conducted were semi- structured in nature.
All from different health organizations such as IU Health, Purdue Health etc.

Interviews Script

What's the context?
What are your major tasks?
How do you report & analyze data?
What are the major problems faced?
How do collaborations happen?
What tools do you currently use?

Observations

Observations were conducted to get and understanding the QIA's process of data collection from various pysicians and providers and to study the tools / mediums used in their current workflow.

Research Insights

Understanding the user

After conducting interviews and observations I created user personas with information about their behaviors, technologies used, pain points & their needs. View Persona

Problem Space

Issues found from research

1. Long reports and high error rates

3. Organizing & searching data in reports

2. Tedious process to analyze the data

4. Time consuming calculations in Excel

Design Goal

Reframing the problem

How might we empower Quality Improvement Advisors to gather, compile, and analyze clinical reports, so that they can quickly make appropriate recommendations for corrective actions?

Ideation

Feature selection

We brought together our research data and ideated solutions based on the user's problems, behavior, goals and priority.

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Web Dashboard

A dashboard which shows all the important and frequently used features at one place to help users navigate faster

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Organize Reports

Create new reports and save previous ones at one common place to search and compare anytime they want

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Visualizations

Showing meaningful visualizations for the user to glance and understand the reports in an much efficient way

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What-if Analysis

Give users opportunity to rework and check different scores without affecting the original scores in the report

Journey Mapping

Identifying use case

Brainstorming

Sketching initial ideas

Information Architecture

User flow diagrams

Wireframing

Iterating user interface

As we moved on to designing the interface of the application, I wireframed all the UI screens and conducted an intial user testing session.

Expert Evaluation

Exploring different layouts

Shown below are different versions of dashboard page explored and tested early with expert users.

Version 1

ISSUES

Repetitive links and buttons on dashboard
Not showing scores of report

Version 2

ISSUES

Long dashboard page with too much data
Users probably switch between 2-3 reports

Version 3

ISSUES

Side navigation leaves less space for long tables
Scores are the not user’s first priority

Defining Patterns

Design Style Guide

The Solution

Visual Design

The three main components of the overall user interface are the Dashboard, Data Reporting and the scorecard. Some key screens the application are illustrated below.

1. Dashboard

2. Create Report

3. All Reports

4. View ACI Data

5. What-if Analysis

6. Scorecard

Conclusion

Reflection & learning

This was the first project where I was not only responsible for UX design but also project management, strategy, and team leadership. It was a great experience collaborating with developers, product owners and other stakeholders which helped me in developing a holistic idea about feasibility of the design. I learned that every problem looks difficult initially, but with the right approach and design mindset we can solve any issues and achieve great results. Designing effectively means bridging business needs, technical constraints & finally providing user satisfaction.

Additional discussion

Points which are not covered in this case study but could be worth discussing in person:

  • User testing & evaluation
  • Visual design & style guide
  • Product strategy & project timeline
  • Wireframing different alternatives
  • Application front-end development

Thanks for making this far. Here's a gif for you.