Merit-Based Incentive Payment System (MIPS)

Modernizing Medicare to provide better care and smarter spending

Overview

About the project

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.

Regenstrief Institute wanted to build an online platform for physicians & healthcare advisors to report & track performance efficiently thereby decreasing administrative burdens.

My Role:
User Research, Interaction, Visual design, Prototyping & Testing

Duration:
April'17 - September'17

The Solution

MIPSight Web App

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

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 & Observations

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 QIA (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

1. What's the context?
2. What are your major tasks?
3. How do you report & analyze data?
4. What are the major problems faced?
5. How do collaborations happen?
6. 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

Users mainly use MS Excel spreadsheets to enter data & frequently edit values in the tables to compare their scores.

Users want to see the results in a concise and visual format which is easy to understand, share with stakeholders.

QIAs' want to quickly find and organize relevant data and practises from several others in the list.

Due to the complexity of calculations they often fail to complete & deliver meaningful analytics on time.

Issues found

Problems Space

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?

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

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

Conclusion

Overall Impact

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

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by incentivising the performance of physicians, providers etc.

Additional discussion

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

  • User testing & evaluation
  • Product strategy & project timeline
  • Internal Design critiques and feedback
  • Application front-end development

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