A. I. in Utah: Accomplishments and Sustainability

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A. I. in Utah Accomplishments and Sustainability

• 2006 Annual Assessment Initiative and NAPHSIS
  Leadership Conference

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Outline

• Accomplishments
• Website improvements
• Evaluation
• Documentation
• Transfer to other states
• Sustainability

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Suicide Deaths per 100,000 Population by 61 Small
Areas, Persons Age 15-44, Utah, 2004
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Emergency Department Encounters for Motor
Vehicle, Traffic - Pedal Cyclist Injured per
10,000 Population, Utah 2004
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IBIS Evolution

• User experience
• Features and functionality
• Accessibility
• Maintainability
• Easier to learn, document

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Interface Maintainability

• Before
• Hundreds of static html pages that were all
  interrelated and fairly cryptic
• Had to search through pages of text
• Required a fair amount of specialized expertise

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Interface Maintainability

• Now
• A couple dozen XML files
• Hierarchical format allows for excellent
  organization
• Still requires a fair amount of specialized
  expertise, but the learning curve is not so steep
  (Hey, if I can do it, ...)

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XML Used to Maintain Interface

• - ltANSWERSgt
• ltNAMEgtSexlt/NAMEgt
• ltSINGLE_SELECTION /gt
• - ltANSWERgt
• ltTITLEgtBoth Male and
• Femalelt/TITLEgt
• ltVALUE /gt
• ltSELECTED /gt
• lt/ANSWERgt
• - ltANSWERgt
• ltTITLEgtMalelt/TITLEgt
• ltVALUEgt1lt/VALUEgt
• lt/ANSWERgt
• - ltANSWERgt
• ltTITLEgtFemalelt/TITLEgt
• ltVALUEgt2lt/VALUEgt
• lt/ANSWERgt
• - ltANSWERgt
• ltTITLEgtUnknownlt/TITLEgt

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Website Evaluation
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Evaluation

• Ongoing
• Web Logs
• Standard Survey Page
• One-Time
• Heuristic
• User Analysis, Satisfaction
• ADA, Section 508 Compliance

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Heuristic Evaluation

• Nielsens Heuristics
• Visibility of system status
• Match between system and the real world
• User control and freedom
• Consistency and standards
• Error prevention
• Recognition rather than recall
• Flexibility and efficiency of use
• Aesthetic and minimalist design
• Help users recognize, diagnose, and recover from
  errors
• Help and documentation

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Heuristic Evaluation

• IBIS Strengths
• Visibility of system status
• The system uses the green status bar, change of
  button words, etc. that keeps the user informed
  of the system status.
• User control and freedom
• At every stage of a query there is a button that
  allows the user to modify their query. It also
  allows them to start over with the start new
  query or reset buttons. The options allow the
  user to customize the way the system operates.
• Error prevention
• The user interface is simple to operate and gives
  help options available along the way.
• Recognition rather than recall
• Users do not need to type in requests, just click
  on selections.
• Flexibility and efficiency of use
• The options in the query system lets the user
  customize the way the system displays and runs.
  The Admin system is very flexible, allowing any
  category/series.

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Heuristic Evaluation

• IBIS Weakness
• Consistency and standards
• There are some links that point to pages with
  different titles. Also the titles on the query
  pages are not completely consistent.
• The boxes on the Admin system do not exactly
  match the titles for the sections on the
  resulting page displayed to the public.

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Analysis of Web Logs

• UDOH licenses Summary Webreports Log Analysis
  Software
• Query modules most often accessed
• Indicator profiles most often requested
• Common keywords, referring sites
• Results reported here do not include requests for
  publications (.pdf files), which are stored on a
  different server.

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Analysis of Web Logs

• Monthly
• 3,000 unique visitors
• 4,700 visits
• Over 20,000 page requests
• Between 12/19/2005 and August 11, 2006, IBIS-PH
  was visited by
• 18,049 unique visitors (IP addresses)
• In 48 countries

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Analysis of Web Logs

• Referring sites
• 34 utah.gov
• 33 google.com
• 9 search.msn.com

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Most Requested Indicator YTD 2006
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Most Requested Indicator July 2006
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Dataset Query Requests YTD and July 2006
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User Analysis

• Procedure
• Online Survey. All visits to the site were
  intercepted. Users were taken to a page that
  requested their participation.
• Incentive Drawing for MP3 Player.
• Respondents
• 103 IBIS users responded to the survey
• Characteristics
• 69 worked for UDOH,6 Local health, 10 other
• 48 accessed the site from work, and 49 from
  both work and home.

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User Survey Reported Usage
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User Survey Reported Satisfaction
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Accessibility

• Web Content Accessibility Guidelines 1.0
  downloaded from W3C were used as criteria to
  evaluate IBIS 508 compliance.
• This is compliance with standards for accessing
  the Web with assistive devices for persons with
  impaired vision.

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ADA Accessibility Evaluation

• The following accessibility issues were
  identified with the IBIS website. These were
  addressed to the extent possible.
• Provide a text equivalent for every non-text
  element.
• Organize documents so they may be read without
  style sheets.
• Use the clearest and simplest language
  appropriate for a site's content.
• Ensure that pages are usable when scripts,
  applets, or other programmatic objects are turned
  off or not supported. If this is not possible,
  provide equivalent information on an alternative
  accessible page.
• Make programmatic elements such as scripts and
  applets directly accessible or compatible with
  assistive technologies

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Software Documentation

• http//ibis.health.utah.gov/doc/ introduction.html

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Software Documentation

• Why document?
• Train new staff members.
• Orient I.T. system administrators who must
  support IBIS-PH.
• Help states who adopt the system.
• Information for states selecting a system.
• Orient new software developers who wish to / need
  to develop for IBIS-PH system.
• User manuals for End Users

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Documentation
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Documentation
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Documentation
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Documentation
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Peer Areas Project and Analysis Tool

• http//ibis.health.utah.gov/
• home/help.html

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Transfer to States

• Older versions of Utah system
• Nevada, Wisconsin, Arkansas, others
• States in Current A.I. Grant Cycle
• Arizona, Alaska
• Potential States
• New Jersey, Iowa, New Mexico, New York, others?

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Sustainability

• IBIS-PH will last forever, IF
• Web standards do not change
• Hardware does not change
• User needs do not change
• No new functionality is required

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IBIS-PH Will Evolve - or Fade Away

• Solutions
• Continue to fund Utah to maintain it
• Fund some other state or entity to maintain it
• Distribute the maintenance burden across other
  stakeholder states and/or entities
• Stakeholders

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Open Source Vision

• United States of IBIS
• Our vision is for a coalition of states to
  collaborate on the IBIS system, sharing Open
  Source software, and maintaining the system
  collaboratively.

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- Thank You -Lois M. Haggard, PhDloishaggard_at_uta
h.gov801-538-9455
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User Survey Reported Usage
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User Testimonials

• I think this is a wonderful website. I use it
  frequently when I am doing research. I write
  grants for a non-profit agency. The website is
  very useful. It would be nice if there were
  yearly rates rather than a three year average.
  This is the only place I am able to find data
  specific to Glendale and Rose Park. Other sites
  only provide county or state wide information.
  Thank you! Great Resource!

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User Testimonials

• This website is SO fun! I have spent far more
  time on it that sic I should, but the
  information is fascinating!
• Useful in researching health related topics,
  especially for Utahns. Direct access to data and
  reports that support various types of research
  and issues.

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