The MIPS dashboard provides insight into patient data for medicare doctors participating in Merit-based Incentive Payment System (MIPS). This tool helps doctors navigate through the complexity of government incentive programs by educating doctors on different measures, tracking performance by aggregating patient data, and reporting to receive incentive payment. I was the visual designer on this project and collaborated closely with paired lead interaction designer.
The Center for Medicare & Medicate Services (CMS) require that doctors provide evidence that their patients receive quality care. Doctors must now prove their work through effective management and quality in their day to day practice to receive Medicare reimbursements.
- Build a feature that enables doctors to generate revenue for their practice
- Establish metrics for measuring user engagement with the dashboard
- Develop a structure that enables self service and education from the dashboard
- Provide visual design system that supports the complexity of the MIPS program
- Thought partner and collaborator with interaction designer
- Collaborate with development team
- Deliver and hand off high fidelity designs to development team and stakeholders
This project started with quick research to discover how doctors interact with incentive programs. User interviews and site visits helped us understand user workflow and goals. Collaborating with our research team, we visited medical practices and interviewed users to better understand how they accomplish managing and reporting participation in programs like MIPS. With this insight, we established key findings to help guide our design solution.
DESIGNING THE DASHBOARD
Before we got started on designing the dashboard, we needed to understanding the MIPS program. MIPS is a complex program that is made up of 3 different performance categories: Advancing Care Information (ACI), Improvement Activities, and Quality. We focused on creating a design that was clear, organized, and easy to use by utilizing common design patterns and consistent visual language. Our interaction designer, Killian, provided the low fidelity wireframes of the MIPS dashboard that included the overall structure of the three categories and required information.
My goal as a visual designer is to provide a consistent visual system throughout the dashboard experience. Each category page had different instructions and requirements yet needed to feel unified within the MIPS dashboard experience.
Below are examples of the different information presented within each measure. The initial, collapsed state needed to provide enough detail while exposing more information quickly and easily by expanding the measure. It was crucial to create a unified visual design system that could accommodate the different information held within each measure. I developed a consistent layout of the measures that was flexible enough to house unique and different information based on measure requirements.
This project gave me the opportunity to design and implement different data visualizations within each measure, category page, and overall MIPS dashboard scoring. Color also played a huge role in the development of these graphs. As the MIPS program had existing branding colors for each category, I applied those existing color values to these category pages to align with user expectation. However, Quality measures had a separate criteria that required Orange to mark incomplete and Green to mark complete, which deviated from established MIPS branding colors.
I worked closely worked with our developers during the build of this feature. I provided thorough documentation, cheat sheets, and guides of all states and steps. The final deliverable came through Zeplin with pixel perfect designs and Invision with interaction prototypes. While working with our developers, I would often refer to our component library and patterns to maintain overall product style and pattern consistency.
The next phase of this project we hope to increase user adoption of the MIPS dashboard. We established metrics for tracking the number of users interacting with the dashboard:
- Number of doctors adding measures to their watch list
- Number of doctors actively scoring their performance
- Track return visits to the dashboard
We gained some qualitative feedback from users who shared the new dashboard was "easier to use" than past incentive program dashboards.
With the CMS data submission window now closed, this was Practice Fusion's first year submitting data on behalf of our customers as a CMS-certified Qualified Clinical Data Registry (QCDR). We have collected some exciting numbers regarding 2017 submissions:
- 4,195 Practice Fusion clinicians successfully submitted data to CMS via the MIPS API using the Practice Fusion QCDR
- 90% of those Practice Fusion clinicians earned a positive 4% payment adjustment that will go into effect in Jan 2019
- 43% of those Practice Fusion clinicians earned 70 or more points and will received the exceptional performance bonus – up to a positive 14% payment adjustment
- 186 Practice Fusionclinicians scored a PERFECT 100 POINTS
This was a complex and nuanced project filled with ambiguous details that were often open to interpretation. Although complex and at times confusing, it was an amazing opportunity to work closely with such a dedicated team. I enjoyed the working relationship between project management, user research, interaction design, and development. This project was broken down into phases which allowed opportunity to implement improvements in the visual styling and interactions of the feature.