My continued fascination with Healthcare.gov

I really can’t wait to read the case study (novel?) on Healthcare.gov – the design, development, the rollout, the hearings, the politics, and beyond.  I wonder what would have happened if we’d had the internet when Social Security was implemented.

Members of Congress continue to compare the shortcomings of the website to ecommerce giants Amazon, ProFlowers, and Kayak. I find it interesting how suddenly members of congress are ecommerce design, analyst, and development experts. (I know, I know, we’re all “users.”)

Security of the site was a topic in the hearings today, with lawmakers buzzing over the fact that the site security was not vetted enough (according to a warning memo). Ironically, Rep. Mike Rogers R-Michigan told Health and Human Services Secretary Kathleen Sebelius that, “Amazon.com would never do this.” Welllll…maybe not intentionally. Remember how awesomely bad Amazon.com and Apple cloud services  were hacked last year?

Older articles published prior to the rollout show that Sebelius asked for patience, acknowledging there would probably be glitches in the coming days and weeks after the launch of the site. And that glitches are common, particularly in what the industry commonly refers to as public beta period. The key being that during a beta period, glitches and hiccups are identified and resolved as quickly as possible.

Sebelius also hoped that users would cut them some slack if things don’t go 100% smoothly, referencing unpopular updates to Apple products, “No one is calling for Apple to not sell devices for a year or to get out of the business because the whole thing is a failure. Everyone just assumes there’s a problem, they’ll fix it, let’s move on.”

It’s curiously amazing how consumers give tech companies leeway when using their products while they suffer through their growing pains. Apple’s iPhone wouldn’t let you  copy and paste text for over a year after it went on sale. Windows 8 Start Button anyone? How quickly we forget.

Also, large technology companies like Twitter, Facebook, Amazon.com and Google are used to rolling out new features and fixes all the time from small, nimble deployment teams. Obviously, many of Healthcare.gov’s problems stem from the fact that there were 47 different contracts awarded; so exponentially multiply the anticipated number of code flaws per person on the team x the teams x the different contracts and companies involved. Oh yeah, add all the different databases that had to talk to each other.

Clay Johnson of the Department of Better Technology, a company that designs and builds software for the government, has been doing a great job of pointing out “you get what you pay for” when it comes to government procurement processes (my summary, his is more eloquent and evocative) and building this kind of site. If Amazon.com was the government ecommerce website selling everything under the sun, designed and built the same way as Healthcare.gov, launching the week before Christmas, how do you think it would go?

I was reading the most recent blog post on Healthcare.gov “Healthcare.gov: Improving the Account Registration Process”  (yes, the site has a blog) which lists the biggest improvements the site has made to Account Registration since the site launched.

In combination, the following fixes are allowing users to successfully create an account and be able to continue through the application process.  We can now process nearly 17,000 account registrants per hour – or five per second – with an error rate near zero:

  • We replaced the virtual database with a high-capacity physical one, which allowed more efficient, effective processing and significantly reduced the error rates, or account registration failures;
  • We’ve optimized software configurations to increase efficiency in system interactions;
  • We added capacity by doubling the number of servers;
  • We swapped out a directory component for another that can process more transactions simultaneously;
  • We improved the efficiency of database look-ups through software changes;
  • And we pushed through a patch release with four software fixes to address users that were having a hard time logging in to their accounts. 

Unfortunately, the site crashed in the midst of hearings today, October 30, just when the congress person was pulling it up for reference. But if what they say holds true, 17,000 registrants an hour is no small feat.

 

Mobile is Eating Our World, Russ Whitman, SIC 2013

I recently attended a talk given by Russ Whitman of Ratio Interactive during Seattle Interactive Conference (#sic2013, #sicmobile). Russ and I actually worked together in the 90’s on a product called the “icebox” – an internet enabled kitchen appliance. (Basically, a TV with the internet on it with a washable keyboard and mouse). Oh, how far we’ve come in 15+ years. (And where are we going?)

The industry is now:

  • Big and Micro data; the small things and moments build big data – don’t discount micro-data
  • Personal and Enterprise data
  • Native and Web
  • Cloud and Local
  • Multi-screen beyond smartphones and tablets – TVs, cars, airplanes

Our world is made up of touch, mouse, controller and gesture interaction. Design and UX matter. The shift is worldwide, particularly with rapid adoption.

Consumers have a series of devices, no longer just one computer that stays in one room and does everything:

  • Tablets for reading, browsing
  • Smartphones for staying in touch, killing time, searching
  • PC/laptops as workhorses, transactional machines

The reality is we have screens in front of us every day, and we need to make them more useful. Whether it’s on your wrist, in your hand, on your desk, or in your car. Smart TVs are coming on strong. 67m Smart TVs were sold in 2012; 90m are projected to sell in 2013. It’s time to start thinking about branded, second screen experiences.

Digital video consumption grew exponentially through 2012 on non-PCs; more people are bypassing cable. Brands recognize this and are going digital only. Consider Netflix. They are the first non-TV network (cable or broadcast), to receive Emmy nominations (and awards) for their original series, “House of Cards.”

App downloads drive everything, they are not going away. Brands are working to build their own connected ecosystems through features and capabilities while keeping other brands out – aka “The Walled Gardens”  of Apple, Windows, Kindle/Amazon, and Android.

Why do people seem to use the same 5 apps? It’s a question of viewability and access. Consider how many app tiles/icons a user can see on the screen at one time, and how many screens do they have full of apps? What’s first, what’s last? We need to be smarter about bringing content forward – such as in contextual format, or time of day.

Also bear in mind that not all apps are created contextually equal. For example, a user may have and use up to 3 different note-taking apps, depending on the environment, the device, their immediate needs and goals.

When choosing between contextual experience over consistency – contextual experience always wins. A user won’t use your app or site if it doesn’t work for them in a a particular, preferred context.

The reality is that it’s software and it’s going to break. You can only test so much. Get real people in front of it, using it, as soon as you’re able and as much as possible.

Has Apple Lost it’s Mojo?

Apple-Tech-LiberalArts.SteveJobs

As a long-time Apple user (as in, before it was a cool company), the past couple of years without Steve Jobs has made me question the company’s ability to continue to “Think Different.”

Ben Thompson puts it out there in his recent post, “Whither Liberal Arts,” noting that Tuesday’s unveiling of the latest Apple product upgrades and reinventions didn’t have any of the humanity that was once a part of all things Apple. Thompson makes some pretty compelling points, and it makes me want to stick my head in the sand.

WTF QR CODES dot com

Gotta give a huge shout out to the blog, wtfqrcodes.com, for bringing some hilarity to my dreary NW Tuesday. I can’t believe I haven’t come across this gem before. The (lack of) usefulness and usability of some (most? all?) of the QR’s they post are over the top. My personal favorite – any QR code you have to scan while driving. WTF, indeed.

Quote re: RWD

“The most important part of adapting experiences is not the responsive-centric focus on screen size and breakpoints, but making sure functionality and content is similar across every touchpoint. ” — Steven Hoober

See more at: UXMatters