Registry: Development Process
The following outlines the design and development phases of the CCCN online and paper point-of-care tools.
Pre-design phase
Training consultants, Claire McLaughlin and Susan Mann, conducted workplace surveys and interviews at
the start of the effort to determine readiness.
Clinics and private practices signed an agreement to participate in Diabetes Registry project. Patients were
selected based on defined selection criteria
Proof of concept and working version of the Diabetes Registry was developed
Design phase
User experience specialist hired to redesign the user interface to the proof-of-concept version already
employed and in use by PMG
Work scenarios were determined on which to fine tune the Diabetes Registry software and provide a
usable user interface
A prototype user interface design was proposed based on an agreed upon information architecture
and user requirements.
A user interface specification was developed to guide the software development phase.
Development phase
The user interface to the Diabetes Registry project was developed using Microsoft Visual.net technology.
The UI spec was used to guide the development process
A bug database was created to track and fix software bugs as they were identified in the development phase
Several people performed quality assurance testing to validate the software as it was being developed.
Launch
The Diabetes Registry project was launched and user statistics gathered to track usage
Discovered infrequent usage by CCCN project participants
Usability assessment study was conducted to determine why there was low usage. Both surveys
(online point-of-care, paper point-of-care) and in-office interviews were performed
Barriers to adoption were identified by the usability assessment study and reevaluation of the Diabetes
Registry point-of-care determined the termination of the electronic point-of-care tool.
Barriers to adoption were presented in the May 2007 Steering Committee meeting. Barriers to adoption
included: 1) compensation was a primary motivator for provider care adoption of the electronic care tool,
2) limitations in the breadth of data provided by the Diabetes Registry caused low provider investment,
3) small healthcare provider offices have workflows and practices heavily invested in the paper filing system,
and 4) long form paper version of the Diabetes Registry point-of-care was too cumbersome.
(see CCCN User Interface Prototype to view more detail)
