Discovery of User Requirements to Support Remote Health Coaching and Care Coordination in a CMS Demonstration Project.

Remote interventionists in the novel ASSETs for Aging in Place demonstration project rely on smart home and wearable sensor data to understand daily behavior patterns of older adult clients discharged from nursing homes to the community and to inform coaching during telehealth visits to help clients self-manage personal goals for health and independence. We employed contextual inquiry during design of the interventionist dashboard to support the new ASSETs program. Focus groups with interventionists and leadership characterized themes for primary dashboard goals, interface and technology needs, and data collection expectations. Four contextual inquiry sessions with interventionists characterized user goals, barriers, and standardized user workflows. We articulated a sequential discovery process for user requirements that can be replicated in dashboard design for future remote service delivery programs that will rely on sensor data and telehealth visits.