
Usability for a $1M Medicaid eHR rollout
Conducted research and training with clinicians during a system-wide eHR implementation, informing usability recommendations and risk mitigation.
Brief overviewHide overview
Statewide Medicaid eHR Implementation & Change Management · research initiative within a university social work program
Context. Medicaid agency implementing a new electronic health record system for intellectual/developmental disabilities (IDD) care coordination, including an embedded Level of Care Tool for clinical decision support.
Challenge. A new eHR system launched alongside a major change-management shift from paper-based documentation, increasing cognitive load, disrupting clinician-patient rapport, and introducing new use errors across the statewide rollout.
Solution. Conducted research and training with clinicians during a system-wide eHR implementation for an inter-operational platform between providers and clinicians, informing usability recommendations and risk mitigation.
Results
- Trained 2,000+ clinicians and administrators across the statewide rollout
- Capped caseloads at 32 and documentation fields at 20 (down from a proposed 50) based on cognitive-load findings, reducing errors and burnout
- Recommendations shaped a phased paper-to-tablet transition that increased adoption
Methods & Tools. Ethnography · Contextual Inquiry · Usability Testing · A/B Testing · Focus Groups · Service Blueprint
Frameworks. HIPAA · Medicaid Waiver Compliance · DMH/BIDD Regulatory Requirements






