ABSTRACT

This research aims at developing a set of requirements for long-term care EMRs and how the present EMRs can be improved to facilitate decision-making and communication among providers. It also provides feasibility for a holistic and comprehensive view of all available residents’ health information through a single interface using a human-centered prototype enabling improved clinical decisionmaking. TigerPlace, a true aging in place, is equipped with three disparate systems: electronic medical records to store their clinical data, telemedicine system to store vital signs and feel, and a relational database system to store date and time stamped sensor information, that do not communicate with each other. By conducting user task, function, and representation analyses, a human-centered evaluation framework was employed which provided an in-depth description of user characteristics, preferences, systems functionality, and effective representations. The objectives are: 1) identify the available data that need to be used to design the holistic representation, that could explore feasibility of better clinical decision support; 2) analyze the design requirements that could be extended for understanding the requirements of a long-term care EMR; and 3) how some of the ideas can be used to meet the information needs of care providers and facilitate communication among providers.