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280 Enhancing Nephrology Care Access: Development and Implementation of a Telenephrology Dashboard Through Human-Centered Design

Published online by Cambridge University Press:  03 April 2024

Melissa L. Swee
Affiliation:
University of Iowa University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Bradley S. Dixon
Affiliation:
Iowa City VA Medical Center, Iowa City, Iowa, United States
M. Lee Sanders
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Kantima Phisitkul
Affiliation:
Iowa City VA Medical Center, Iowa City, Iowa, United States
Angie Thumann
Affiliation:
Iowa City VA Medical Center, Iowa City, Iowa, United States
Mary Vaughan Sarrazin
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Qianyi Shi
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Benjamin R. Griffin
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Meenakshi Sambharia
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Masaaki Yamada
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Heather Reisinger
Affiliation:
University of Iowa Institute for Clinical and Translational Science
Diana I. Jalal
Affiliation:
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
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Abstract

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OBJECTIVES/GOALS: Our objective is to develop a Telenephrology dashboard for the 150,000 Veterans that obtain care through the Iowa City Veterans Affairs Health Care System. Our goal is to create a comprehensive and user-friendly tool for monitoring kidney health and facilitating remote nephrology consultations. METHODS/STUDY POPULATION: We structured our intervention according to the five stages of human-centered design: (1) Empathize, (2) Define, (3) Ideate, (4) Prototype and (5) Test. During the empathy stage, the principal investigator spent 10 hours immersed in the clinical setting observing how nephrologists approach a remote nephrology consultation. These observations were augmented by unstructured interviews with clinicians and patients to better understand the process and dynamics. Following this, a rapid ideation workshop was convened to generate creative solutions that balance technical requirements with the needs of clinicians and patients. These led to rapid prototyping and testing to identify what elements of the prototypes worked and which needed improvement. RESULTS/ANTICIPATED RESULTS: Through the empathy and define stages, three needs were identified: (1) clarity in visualizing data, (2) accuracy of information, and (3) balancing standardization with individualization. During the rapid ideation workshop, the concept of a four-frame dashboard was settled upon. This led to the creation of five prototypes, which were tested. These were reconciled and modified to make a final product. This final product, the Telenephrology Dashboard, contains 5 elements that support nephrologists and supporting staff: (1) a graph of kidney function over time, (2) tables synthesizing lab data, (3) options to drill down events to specific times, (4) customization of views, and (5) integration of kidney disease progression models. DISCUSSION/SIGNIFICANCE: A Telenephrology dashboard was created to facilitate remote nephrology consultations through a Human-Centered Design process. Our next steps include determining if this dashboard may improve end-user satisfaction, referring clinician satisfaction, access to specialist care, and patient outcomes.

Type
Health Equity and Community Engagement
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2024. The Association for Clinical and Translational Science