User centered design in complex healthcare workflows: the case of care coordination and care management redesign.

We present the User Need Analysis process for the Integrated Care Coordination Information System (ICCIS) research project at Oregon Health & Science University (OHSU). The primary goal of the process was to select a mix of methodologies to perform user need analysis which would lead to generation of system requirements. The ICCIS Team developers would use these prioritized requirements to build the next generation of the ICCIS software that would help meet the overall goals of the care model. First, semi-structured User Discussion Guides and structured questioners were used to collect raw needs from Physicians, Nurses, IT and Administrative personal. Later Conjoint Analysis (CA) and Dimensional Analysis (DA) were used to generate emerging concepts and priorities from the discussions with the end-user community.