Research
To begin our project, we wanted to become familiar with the 'Find a Location' feature in its current state, hospital website norms for displaying location information, how other industries display location information, and what the true experience of being a patient both online and offline entails. We started by creating a list of guiding questions that helped shape our research process:
Who are UWM’s current site visitors?
How do site visitors use the location webpages currently?
Why do visitors use the locations webpages the way they do?
What from the in-person hospital visitor experience can we bring online?
Which user centered design methods will be helpful in our redesign process?
Assumption Map
Our first step was to create an assumption map. Assumption maps involve ranking a team’s assumptions about a design and its users on two axes: known to unknown and important to unimportant. From there, a team can use research methods to evaluate points that have been labeled as unknown and important. Our assumption map provided focus areas for our next research activities, particularly with the in-person aspects of UW Medicine's locations and the design methods of UWM's competitors.
Competitive Analyses
In conducting our competitive analysis, our primary objective was to gain insights from renowned hospital systems regarding their approaches to "Search for a location to find care." By analyzing their design characteristics, usability highlights, and shortcomings, we aimed to extract lessons that could inform our own project in later stages. The lessons learned from our competitive analysis served as a solid and unique foundation, guiding our decisions and ensuring the development of a robust and user-centered final prototype.
We conducted formal competitive analyses on:
UC San Diego Health (similar university hospital/clinic system)
Univ. of Pittsburgh Medical Center (similar university hospital)
Cedars-Sinai (large hospital/clinic system, non-university)
Hilton Worldwide (global hotel and hospitality brand with thousands of locations)
Informally, we also conducted quick competitive analyses of Zillow's map and filtering system, AirBnB's amenities section, and Nordstrom's search filtering during our ideation phase. These analyses helped inspire our UI layouts.
Notable Takeaways
UCSD Health's Effective Website Layout
UCSD Health's search locations page showcases an effective layout that facilitates information retrieval. With clear sections, organized content, and intuitive search functionality, the page offers users a straightforward means of accessing relevant information.
UPMC's Omnipotent Search Bar and Search Filters
One notable feature of UPMC's website was its omnipotent search bar prominently displayed on the homepage. This robust search tool allowed users to search for specific location information in simple English and provided customized results.
UPMC's advanced filter options allowed users to refine search results based on various criteria such as zip code, distance, languages spoken, and patient age group. These improve result precision and save users time by catering to specific needs.
Cedars-Sinai's Interactive Maps and Insurance Information
Cedars-Sinai's website is distinguished by its straightforward accessibility to essential information, such as operating hours, contact details, and location specifics, presented prominently alongside interactive maps. This direct approach minimizes the need for excessive navigation, facilitating a seamless experience for users seeking quick access to healthcare services.
Insurance information was incorporated into the medical provider detail pages, which allows users to find their desired therapist easily and avoids unnecessary costs. This feature allows patients to swiftly find which providers are covered under their insurance plans, facilitating a more streamlined and informed decision-making process.
Hilton Worldwide's "Business Card"
When displaying specific hotel information, Hilton uses a layout similar to a business card. They display essential stay information, such as the name of the hotel, location and contact information, and its amenities. This allows the user to quickly get a good sense of if the hotel fits their needs.
Field Study at UWMC-Montlake
Our next task was for us to "get out of the office" and actually see what the in-person experience of visiting a UWM location is like. Most UWM webpages have little to no information on amenities, but serve as a vital part in one’s stay, especially long-term stays, in the hospital. The lack of online details about these amenities could lead to unnecessary stress and inconvenience for patients and visitors, who may find it difficult to plan their stay or visits effectively. For instance, families of patients, who spend long hours or days in the hospital, would benefit significantly from knowing where they can recharge their devices, find a quiet place to eat, or simply rest.
We conducted a field study at UW Medical Center-Montlake in order to understand the availability, discoverability, and usability of the amenities inside a UWM hospital. We created scavenger hunt tasks for our team, where we needed to locate and complete various amenity interactions and assess our perceived difficulty. Generally, most tasks were rated as a 3/5 difficulty, with 1 being very difficult and 5 being very easy, signaling room for improvement in communicating amenity information.
List of Team Tasks
Parking - Identify the parking area (employee, patient, and long-term parking areas) and the method by which you pay for parking (kiosk, app, etc.)
Emergency Department - Locate the entrance to the Emergency Department and identify the signage indicating emergency services.
Cafeteria - Read the menu and order something to eat.
Coffee Shop - Purchase a medium-sized coffee and note the price.
Gift Shop - Find a small gift item priced under $10.
Vending Machine - Purchase a bottle of water from the nearest vending machine and note the price.
Information Desk - Find operational hours and hospital maps at the desk. Also, take a photo of the signage on the desk.
Quiet Place - Find a designated quiet area and take a photo of the signage indicating it as such.
Wi-Fi Access - Connect to the hospital Wi-Fi network and take note of the network name and password and the pricing if it’s not free.
Pharmacy - Locate the hospital pharmacy and evaluate its proximity to other hospital services.
Charging/outlets - Locate charging stations or outlets and evaluate its proximity to other hospital services, especially dining tables and sitting areas.
Notable Takeaways
During our visit, renovations in progress meant that the way to the parking garage had a detour, which was not communicated online. We would learn on-site that valet is complementary, there is a Parking Cashier window for assistance, and that validation is offered in certain clinics. All of these services are not communicated online.
There is currently no information online about the cafeteria. Inside, the staff were very kind and the food offerings were diverse, though all payment was cashless, which was not communicated before entering. The exit also placed us in an area with staff-only elevators, which we did not know would happen and required us to backtrack to the Cascade Elevators.
We found the vending machines once we had exited the cafeteria and ended up by the internal to hospital elevators. We did not find any more machines during our time there.
There are many areas to sit within the hospital, but designated waiting areas were not clearly labeled. Additionally, most sitting areas on the main floor are located around the entrance. This poses a problem for those with mobility issues who may unintentionally find themselves walking down a long hallway with no place to rest.
Initial User Task Testing
Our goal was to assess the current usability of the UWM website in order to clearly contextualize the pain points we had determined through our previous activities. We employed moderated “talk-aloud” usability tests to achieve this goal through observation of user interactions and the collection of subjective feedback. Test scripts and tasks were written and developed by the Locationologists team with input from our sponsor. Six moderated tests were conducted by the Locationologists via Zoom or in person, facilitating real-time, interview-like usability tasks with instant Q&A sessions following the tests.
Tasks were written based off our team's own experiences searching for functions within the existing system. These included the site's intended uses, such as inputting a zip code or a medical specialty.
Some tasks, like were inspired by the difficulties our team faced when trying to use the Find a Location feature. These tasks do not have obvious answers and were used to see if other users became just as frustrated as us. Additionally, some tasks were features our team discovered completely by accident, such as being able to search a provider's name and have their location appear.
List of User Tasks
Pre-Test Questions
Multi-select: Is English your first language?
Yes
No
Scale (1 - 5 (1 - very little knowledge, 5 - a lot of knowledge)): What is your knowledge level regarding medical-related words and terminologies in English?
Scale (1 - 5 (1 - not comfortable at all, 5 - very comfortable)) How comfortable are you with searching for healthcare providers online?
Multi-select: On average, how often do you use UWM’s website in a year?
Never
Less than / about once per year
About once per 3 months
About once per month
More than once per month
Ranking: Rank the factors (with 1 as most important and 5 as least important) that influence your search choices when attempting to find care online:
Reputation of a specific hospital/clinic
Familiarity (past experience)
Distance
Availability of specialty care
Specific Medical Provider
Other:__
Tasks
Task 1: Eye check (Location Name Search)
Scenario: You're experiencing vision problems and want to get your eyes checked at the Eye Center at UW Medical Center - Montlake.
Task: Use the location name search system to find the clinic with service you need. Please ensure by the information provided on the page that the center offers comprehensive eye exams.
Task 2: Skin Concern (Speciality Search)
Scenario: You have a cancerous mole that requires a dermatologic surgery at UW Medicine.
Task: Use the speciality search system to find the clinic you need.
Questions and Answers: What is the location that you think fits your needs?
Dermatologic Surgery Center at UW Medical Center - Roosevelt
Task 3: Find the Perfect Surgery Center (Zip Code Search)
Scenario: You have a tear in your shoulder and need surgery to repair it. Your case is a bit complex, so you were recommended to schedule a surgery with UW Medicine.
Task: You live in the 98104 zip code. Use this information to find the closest shoulder surgery center to you in the Location Search system.
Questions and Answers: What is the name of this location?
Hand, Elbow, and Shoulder Center at Harborview
Task 4: Where’s That Doctor? (Provider Name Search)
Scenario: Recently, you’ve noticed that your knee hurts and looks swollen. You visited your family doctor and they referred you to a knee specialist, Dr. Nicholas Hernandez, but you can’t remember where he practices.
Task: Using the Location Search system, find where Dr. Nicholas Hernandez practices.
Question and Answer: Where can you be treated by Dr. Hernandez?
Hip and Knee Center at Meridian Pavilion.
Notes: This one is challenging because you have to search in the location name area and cannot include the Dr. title.
Task 5: Pay It or Ticket
Task Link: https://www.uwmedicine.org/locations/hall-health-center
Scenario: You decide to visit the UWM Hall Health Center (HHC) as your left ankle hurts. But it's your first time visiting the UW campus and you are not sure where you can park or how much it costs. You cannot walk for too long so you are looking for a parking lot that’s close to the HHC and also open to visitors. You visit the UWM website and hope to get more information on it.
Task: Using the resources on the webpage, determine one or two potential places to park that you can input to your car’s GPS map system. Note that you do not have a disabled parking permit or a UW employee/student parking permit.
Questions and Answers
Open Ended: Which parking lot(s) have you decided on?
If you could not find a parking lot, please share what was challenging for you while completing this task.
Y/I’m not sure: Does the parking lot you chose require any permits (e.g., disabled, student, employee)?
T/F/IDK: Is cash accepted for parking payment?
Answer: T
Task 6: Can I get a flu shot here?
Task Link: https://www.uwmedicine.org/locations/primary-care-ravenna
Scenario: You live near the UW Medicine Primary Care Ravenna. Flu season is coming, so you want to get a flu shot. To make sure your appointment is successful, you are checking on the UWM website.
Task: Find within the page if you can get a flu shot in this location.
Question and Answer
T/F/IDK: Is the flu shot available at UWM Primary Care Ravenna?
Answer: F
(Follow up) If true, please share how you found the flu shot on the page.
(Follow up) If IDK, please share what is confusing to you. What would be your next steps to figure out if the location has flu shots?
Task 7: What about tomorrow?
Task Link: https://www.uwmedicine.org/locations/
Scenario: You didn’t have the chance to get the flu shot and you want to see if any nearby UWM locations have it. It’s currently 6 PM on a Friday and you wonder if you can get it done on Saturday.
Task: Using any resource on the site, try to see if there is a location within 10 miles of zip code 98105 that opens on Saturday and offers Immunizations. Choose “Complete Task” only when you are at the detailed page of the location that provides Immunizations.
Question and Answer
Y/N/I’m not sure: Is there a location that fits the above requirements?
If Y, open ended: What is the name of the location?
If I’m not sure, open ended: That was a challenging task. What was challenging for you while trying to find the location?
Open ended: What medical service name, if any, were you looking for while you completed the task?
Note: Want to check if they mistakenly treat “Immunology”, which is available in the filter, as “Immunization”, which is what the right service they are looking for.
Note: This can be very hard, as the filter does not include Immunization. The user has to search “immunization” in the Location Name bar and then confirm the location’s hours. The only one we found is “Primary Care at Fremont”, and “Primary Care at Northgate”
Free Response Failure Test
If the user failed to complete the navigation test: What were the biggest challenges during the test?
Notable Takeaways
Participant B1 is not a native English speaker, so she encountered several difficulties in using the terminologies (eye exam, immunization, etc.) and understanding the parking directions provided on the website. Unclear search bars and confusing layout led to missed information.
Participant CRM1 frequently voiced a desire to call the locations presented for answers rather than use the system. She also struggled with the search bars, stating “Why does it ask me for the location name first? How would I know where I’m going if I’ve never been here before?”
Participant CRM2, being a tech-averse senior user, convinced herself that all UW Medicine care was located only at the four medical centers presented on the home page, causing her to fail almost every task. Similar wording across locations (e.g., campus, center) as well as unclear “Specialties Available” lists caused her to end up at completely unexpected location pages.
Participant CZ1 struggled with using the location search system and locating information the most. In the sixth task, the participant spent over five minutes trying to ascertain whether a flu shot was available, navigating away from the relevant page due to unclear listings of services.
Participant CZ2 was frustrated that he couldn’t search for open hours in the search bars, and also mentioned that the inability to search common languages for specialty was quite annoying, especially for people whose first language is not English.
Participant DG1 found it difficult to return to previous pages or return to the “Find a Location” homepage from a detailed location page. Discoverability issues were highlighted as DG1 struggled to identify provided specialties and utilized methods like ctrl+F to search for keywords on pages.
Affinity Grouping
After organizing and consolidating the results of our usability testing, we categorized similar findings to try to obtain more convincing and representative patterns and conclusions. On Miro, we used sticky notes to first list our respective findings and then create groups of similar sticky notes. Through affinity grouping, we categorized our findings into five main categories: UI, Search System, Parking, Inconsistent/misinformation, and New Amenity Additions.
Analysis
Users often missed important buttons like "See all clinics" and found the proximity of certain buttons bothersome. Navigation issues were compounded by difficulties in moving back to the previous page. Tabs and menus suffered from vagueness in service descriptions and poor discoverability of specialties. Maps lacked visibility and failed to highlight points of interest like parking lots. Location cards suffered from small corner distances and unclear logic in arrangement or filtering.
Users exhibit varied behaviors with the search system, with some preferring to check all locations while others inputted their zip code directly. There was confusion around certain search features, particularly among older users. Medical terminology presented a challenge for users, who struggled with jargon-heavy descriptions without explanations. This was especially true for users who are non-native English speakers. The reliance on medical terms may pose difficulties for users lacking medical knowledge. However, users appreciated the idea of advanced filters for search refinement.
Parking information needs improvement, with users desiring more prominent and understandable displays. Inconsistent and missing information frustrated users, who wished for clearer descriptions, appointment times, and terminology consistency. Users also expressed desires for transparency in amenities such as parking validation and masking requirements, as well as information on urgent care wait times and visitor policies. Suggestions include implementing features like pharmacy wait time indicators and ratings/comments for medical providers and locations.
Future Plans
At the end of our research, we set the stage for our ideation phase by suggesting the following recommendations. Many of these ideas would become constants in our project, influencing our design decisions at every stage and even ending up in our final high fidelity prototype.
Enhanced Search and Map Navigation Features
Consolidate multiple search bars into a single, powerful search tool that uses plain language recognition, and offers advanced sorting systems. This new system should allow users to search for providers, locations, search based on their symptoms in plain language, and search for other online resources as well. In addition, integrate a map in the search page that not only shows the location of healthcare providers but also includes expandable amenities information.
Improve Consistency in Digital and Real-Life Information
Easily and clearly communicate the knowledge of an information desk to the user, regardless of whether or not a center or clinic has one. Update and simplify information provided on amenities for all locations, especially concerning parking rules and cashless payment systems. Inform hospital visitors of 21st Century amenities such as Wifi and availability of charging outlets. Ensure that a location’s “Medical Specialties” section matches what the searcher expects in order to direct them to proper care. Similar wording can be used across locations, but must not confuse users into believing they are at a different location.
Information Display Optimization
Ensure that all services provided by a location on the detailed page are clearly listed and categorized. Some important information identified by our users and us that are missing or hard to find in the current system includes:
providers’ card info.
medical services provided.
insurance coverage.
existing and new location amenities.
To improve discoverability and emphasize information hierarchy, consider implementing icons, accent color, filters, and separate sections for different types of services to help users recognize and navigate directly to the information they need.
Accessibility and User Assistance Improvements
Increase font size for essential information and use bolding and color coding to highlight key details such as insurance options and appointment availability. What’s more, medical jargon can be a major barrier to understanding for many users, especially those without a healthcare background. Integrating an AI chatbot to assist users with clear definitions for medical terms used across the site could enhance user engagement and support.
References
UC San Diego Health. Locations. Retrieved April 15, 2024 from https://health.ucsd.edu/locations/
US News. 2024. Cedars-Sinai Medical Center. Retrieved April 16, 2024 from https://health.usnews.com/best-hospitals/area/ca/cedars-sinai-medical-center-6930444
Cedars-Sinai. Find a location. Retrieved March 28, 2024 from https://www.cedars-sinai.org/locations.html
Cedars-Sinai. Provider: Orr Limpisvasti. Retrieved April 14, 2024 from https://www.cedars-sinai.org/provider/orr-limpisvasti-2416959.html
University of Pittsburgh Medical Center. #1 ranked hospital in Pittsburgh. Retrieved April 16, 2024 from https://www.upmc.com/
University of Pittsburgh Medical Center. Find a doctor, specialist, or provider. Retrieved April 16, 2024 from https://providers.upmc.com/search?primary_care=Primary+Care+Providers&sort=networks%2Crelevance%2Cavailability_density_best
University of Pittsburgh Medical Center. UPMC urgent care - shadyside. Retrieved April 16, 2024c from https://providers.upmc.com/provider/UPMC+Urgent+Care+-+Shadyside/1998692
Hilton. Welcome to Hilton: Hilton Brands. Retrieved March 26, 2024 from https://www.hilton.com/en/corporate
Hilton. Hilton Vancouver Downtown Hotel Details. Retrieved March 27, 2024 from https://www.hilton.com/en/locations/canada/british-columbia/vancouver/?sortBy=RATINGS_ASCENDING&f-amenityIds=boutique&placeId=dx-location::locality::ca::bc::vancouver&query=vancouver&coords=49.26356506,-123.13857269&geocodeType=locality&bounds=48.9368782043457,-123.98455810546875,49.629642486572266,-122.26625061035156.
Appendix I: Full Research Report
Includes full competitive analyses, full field study, and full initial user testing results.