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Drowning in Data:
Living through a content inventory
when your customer is an information hoarder
Intranets2014 - Sydney
A little bit about me
Team Member
Researcher
Standards author
Humanity evangelizer
Project Lead
2
Alittlebitabout
Mayo Clinic
Largest integrated not-for
profit group practice
60,000 employees at
3 different locations
1.2 million patients seen in 2012
3
Alittlebitabout
Mayo Clinic
Decentralized intranet
Team supports 8,000
authors publishing 2,000
individual websites
Estimated Size: 1.5 mil pieces of content
4
Maud Mellish Wilson
Established Mayo Clinic’s first library (1909)
5
Photo credit: Bookfinch @ Flickr
Earliest Known Relational Database
Circa 1911
6
Photo credit: Sarah Cady @ Flickr
Primitive Information Hierarchy
Circa 2007
7
“Filing sure is swell!”
(…said no secretary, ever.)
8
PAPERLESS FTW!
9
10
Disk space is cheap.
Disk space is cheap.
Source: Mkomo.com
11
12
13
14
Extremely under-reported
Tends to appear along with OCD (but not related)
Typical behavior:
Indecisiveness Perfectionism
Avoidance Procrastination
Trouble organizing Cognitive errors
15
Information processing
• Perception
• Attention
• Memory
• Categorization
• Decision-making
Early experiences
Core beliefs
• Unworthy
• Unloveable
• Helpless
Personality traits
• Perfectionism
• Dependency
• Anxiety sensitivity
• Paranoia
Mood
• Depression
• Anxiety
Cormorbidity
• Social phobia
• Trauma
Beliefs about possessions
• Instrumental value
• Intrinsic beauty
• Sentimental value
Beliefs about vulnerability
• Safety/comfort
• Loss
Beliefs about responsibility
• Waste
• Lost opportunity
Beliefs about memory
• Mistakes
• Lost information
Beliefs about control
Positive emotions
• Pleasure
• Pride
Negative emotions
• Sadness/grief
• Anxiety/fear
• Guilt/shame
Clutter
Acquiring
Difficulty
discarding,
saving
Model of Compulsive Hoarding
Steketee & Frost, 2007
16
17
18
Irrelevant
search results.
19
20
21
Wasted productivity.
22
Knowledge workers:
…cannot find what they need for their
jobs about 40% of the time
…spend 2.5 hrs/day searching for
information
…is duplicating information that can’t
be found 90% of the time
The High Cost of Not Finding Information
Susan Feldman, International Data Corporation (IDC)
http://www.hi.is/~joner/eaps/notfind3.htm
23
? ? ?
?
?
24
Missed
opportunities.
25
2626
27
[Printers] fill the world with
pamphlets and books that are
foolish, ignorant, malignant,
libelous, mad, impious and
subversive; and such is the
flood that even things that
might have done some good
lose all their goodness.
--Erasmus
“
Information Overload, the Early Years
Ann Blair, The Boston Globe, Nov 28, 2010
27
Too much data can
land you in
court.
28
Too much data can
harm people.
29
Too much data
can kill you.
Just Breathe: Building the Case For Email Apnea
Linda Stone, The Huffington Post, Feb 8, 2008
30
The story so far:
What it is
Why it’s happening
Similarities
Why it’s bad
31
Tell me
about your project.
32
Ask the Five Whys.
33
Profits are down from last year.
We need to work more efficiently.
Working efficiently supports the
strategic plan.
This website will tell you how to do that
by increasing your awareness.by
34
35
insight n.
1. The recognition of sources of
emotional difficulty.
2. An understanding of the
motivational forces behind
one's actions, thoughts, or
behavior; self-knowledge.
36
Cognitive errors
Look out for
37
Mistaken beliefs
Future events
Responsibility
Identity/Self-worth
Look out for
38
FearDealing with
of the future
Documentation
39
40
FearDealing with
of the future
Documentation
Communication
41
42
Documentation
Worst Case
Scenario Plan
Communication
FearDealing with
of the future
43
Responsibility
Dealing with feelings of
Editorial
Committee
44
Editorial Committee
Structure
45
Responsibility
Dealing with feelings of
Oversight
Committee
After-Action
Reviews
46
Identity & Self Worth
Dealing with sense of
Facts & Data
47
48
49
Facts & Data
Identity & Self Worth
Dealing with sense of
Outside authorities
External Consultant Syndrome
Step Two Designs (steptwo.com.au/tag/intranets)
Nielsen Norman Group (nngroup.com/topic/intranets/)
50
FilteringFacts & Data
Identity & Self Worth
Dealing with sense of
Outside authorities
51
Photo Credit: Marina Noordegraaf @ Flickr
52
Let’s review:
Establish insight
Set project goal(s)
Address cognitive
errors
53
Material that is not personally relevant
Hoarder
The Value of Possessions In Compulsive Hoarding: Patterns of Use and Attachment
Randy Frost, et al., Behaviour Research and Therapy, Vol. 33, No. 8, 1995
PMID: 7487849
54
Material that IS personally relevant
Hoarder
The Value of Possessions In Compulsive Hoarding: Patterns of Use and Attachment
Randy Frost, et al., Behaviour Research and Therapy, Vol. 33, No. 8, 1995
PMID: 7487849
55
Non-Hoarder
Shirts with long sleeves Shirts with short sleeves
The Value of Possessions In Compulsive Hoarding: Patterns of Use and Attachment
Randy Frost, et al., Behaviour Research and Therapy, Vol. 33, No. 8, 1995
PMID: 7487849
56
Hoarder
Orange striped
shirts
Red shirts that go
with my black pants Ugly shirts Ex’s Sweaters
The Value of Possessions In Compulsive Hoarding: Patterns of Use and Attachment
Randy Frost, et al., Behaviour Research and Therapy, Vol. 33, No. 8, 1995
PMID: 7487849
57
Teaching organization skills
Organizing Skills
Tips for Teaching
Use visual aids
5858
Teaching organization skills
5959
Teaching organization skills
Organizing Skills
Tips for Teaching
Use visual aids
Explain decisions
6060
Teaching organization skills
Organizing Skills
Tips for Teaching
Use visual aids
Explain decisions
Be a good role model
6161
Teaching organization skills
Organizing Skills
Tips for Teaching
Use visual aids
Explain decisions
Be a good role model
Do it in small chunks
6262
63
Lack of Motivation
Not doing “homework”
Unproductive meetings
Complains
Cancels, comes unprepared
Wastes meeting time
Lack of Motivation
64
Lack of Support
65
External Distractions
Photo Credit: BuzzFarmers @ Flickr
66
Establish a dedicated project room
Photo Credit: BuzzFarmers @ Flickr
Difficult to find
Unlisted phone number
Take email/social media breaks
Block big chunks of time to be there
67
Internal
Distractions
68
Recognize that this is a stamina challenge
Know when to call it quits (for now)
Thinking is hard work!
Do sprints, not marathons
Watch out for perfectionismprocrastination
69
Congratulations,
You made it.
Hoarders & Organizing
Teaching Organization Skills
4 Common Barriers
Recommendations
70
I Intranets
71
Congratulations,
You made it.
Questions?
72

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Drowning in data: Living through a content inventory when your customer is an information hoarder

Editor's Notes

  1. +====================================================+ | | << Adjust Speaker Notes panel to fit this area without wrapping >> | | | a) Hello & thank you | | b) My name is Gianna Pfister-LaPin (just got married) | | c) Flown over 9000 miles to talk to you about an interesting phenomenon | | d) Big / Small problem / Not a problem at all – its affecting all of you | | e) Time to talk about data hoarding | | | | | | +====================================================+
  2. a) Senior UI / UX Designer at Mayo Clinic – Rochester, Minnesota, United States b) Belong to a 13-person in-house team c) Typical day: -- Interaction lead for big strategic projects -- Perform User Research -- Write standards for web based communication -- Most important: Evangelizer for human side of human-communication interaction
  3. a) First & largest integrated not-for-practice medical group practice in the world b) 60,000 employees at 3 different locations -- 7300 Physicians / Nurses / Scientists / Residents / Fellows / Other students -- 52000 Non-clinical Allied Health staff c) In 2012 saw over 1.2 million patients
  4. a) Humanitarian patient care mission supported by decentralized intranet b) Nobody owns it – my team considered the stewards c) Support 8000 authors publishing 2000 websites d) Universally non-technical people e) Not sure of size but Google Search Appliance indexing 1.5 million pieces of content
  5. Started by Maud Mellish Wilson b) Hired in 1909 to set up Mayo’s first library -- Clinic open 43 years -- Over 300 scholarly articles -- Numerous books / journals purchased / donated
  6. ??? Who recognizes this? ??? a) Maud used the Dewey Decimal System b) At its heart a big relational database -- Giant pre-determined information hierarchy -- Everything could fit within it / Everything could be found
  7. Idea was adopted by businesses & individuals b) Required general agreement on labels / structure c) Allowed everyone to find information quickly & easily (in theory)
  8. As information accumulated, had to hire file clerks b) Used complex metadata system, required training c) Still managed to function d) Then someone got the bright idea to GO PAPERLESS
  9. Everything was digital –> AWESOME! b) Upload / download / network drives / make websites / Sharepoints c) Keep multiple copies and revisions of everything d) Didn’t have to hire professionals to organize it e) Didn’t file > pile instead, Google it (best results on front page) f) What’s the problem?
  10. Uh oh, we’re running out of disk space. So what? Disk space is cheap!
  11. 1980 - $300,000 a GB b) 2010 – under $0.10 a GB c) Just buy more GBs if you run out
  12. Everyone wants a server room in their house – blue lights / blinky things b) This is what I imagine the digital cloud looks like
  13. Display by Maxtor (hard drive company) – 8 years of digital photos printed out ??? Who has kids? ??? b) I put my camera on burst mode – kids move so fast they are blurry c) End up with 50 slightly different shots each time d) So hard to delete pictures of my kids
  14. Connection between my digital photos & this kitchen b) Binge-watching HOARDERS on Netflix ??? Who has seen this show? ??? c) Great motivator – I want to clean everything d) Hoarders on TV == Owners of intranet sites during content inventory
  15. Appears to be highly under-reported – only when authorities are alerted b) Found with other impulse control disorders like anorexia c) Most frequently appears along with OCD – but not related d) Typical hoarder personality traits: -- Indecisive -- Procrastinate -- Avoid persons or places that make them anxious -- Hold selves / others to unrealistic standards Most important for us: -- Have trouble organizing -- Tend to make cognitive errors
  16. Model developed by Gail Steketee & Randy Frost in 2007 -- Trouble organizing appears in “Information Processing” antecedent -- Cognitive errors appear in “Beliefs About” antecedent -- Both == clutter growing out of control b) Are you getting worried? -- Medical student syndrome – literary self-induced hypochondria c) Hoarding tendency in all of us: not a problem unless: -- Danger to health & welfare, authorities are called in --- Like the Health department --- Or the Information Architect
  17. Customer asks for help with redesign b) Meet / Explain our Process / Give blank content inventory spreadsheet c) Document every web page / image / PDF / word doc d) If keep, assign owner / review date e) Usually this goes smoothly – but sometimes I get back a spreadsheet that looks like this…
  18. I used to go ahead and IA this site b) Too much content / getting old / nobody was using it c) Shoveling garbage old > garbage can shinier d) Learned that this was having negative consequents on fellow employees / whole organization
  19. Internet – stuff never goes away b) Intranet – same thing
  20. Residency Supervisory Policy – six years old Olive Grill Menu – three years old c) Renal Pathology Resident Rotation schedule – over ten years old
  21. a) Duplication of content is also a problem b) Three bottom examples are duplicates of top (official copy) of Dental-Vision reimbursement form c) How do you know which one you should use?
  22. Another way digital hoarding costs your company is through wasted productivity.
  23. a) Susan Feldman – International Data Corporation writes: b) Knowledge workers: -- Cannot find what they need 40% of the time -- More than half of intranet searches are abandoned -- Spend 2.5 hrs/day searching for info (One quarter of a work week) -- 90% of time spent preparing reports generates data that already exists
  24. a) All adds up to missed opportunities for your company b) Highly skilled / highly intelligent employees are wasting time: --- Trying to find info --- Giving up / adding more to the clutter --- Could be spending time doing better things
  25. We have all heard about information overload
  26. Not a new thing b) Gutenberg – printing press 15th century c) Erasmus – Dutch theologian / social critic d) Written 400 years before the internet
  27. a) The situation has not become much better b) Too much data --- land your company in court c) The Joint Commission -- Nonprofit accreditation entity in the US -- Assesses health care organizations for quality / performance standards (handwashing) -- Also checks that staff has fast / accurate access to ------ Clinical procedures ------ Emergency response plans d) Unannounced visits > clinical staff panic
  28. a) Information overload == any typical hospital b) “Alarm fatigue” research is being done BUT firehose of info > Electronic Medical Record c) IT Team in charge of the EMR interface keeps getting asked to add more info to the screens d) Physicians call the shots at most hospitals e) Dr Vitaly Herasevich -- EMR interface f) Much less data / only shown when triggered g) Statistically significant reduction in errors
  29. Linda Stone – Huffington Post – 2008 -- 80% of us hyperventilate / hold breath during information processing tasks (reading/writing email) b) Medical apnea --- Disturbs balance of oxygen, carbon dioxide, nitric oxide --- Body becomes acidic == suppresses immune system --- Directly linked to heart attacks
  30. What digital hoarding is b) Why it’s becoming easier to do it c) Similarities to compulsive hoarding of physical objects0 d) Why it’s so bad to do Time to talk about fixing this situation.
  31. a) UX / IA Role > becomes sort of a therapist b) Working on intranets == fellow employees as customers c) Different spots in org chart == different emotional baggage e.g. Quantifying work hours because of layoffs -- Create administrivia categories / labels -- “Synergistic supply management” -- “Operationalizing strategic advantage” e.g. Quality improvement initiative -- Created lots of content – only important to small work area d) Often we have a solution but don’t now the problem e) Need to find the real problem to fix – Therapists call this “determining treatment goals”
  32. Ask “why” they are doing the project – 5 times b) Be careful not to sound like a jerk Why are you doing this website? -- Because we want to increase awareness of the Whatever Initiative 1) Why do you want to increase awareness? -- Because it supports our strategic plan 2) Why is it important to support our strategic plan? (Customer fidgeting – assumed shared cultural awareness) -- Because strategic plan sets the direction that all employees should work towards 3) Why should all employees work in the same direction? -- Because it makes us more efficient 4) Why is it important to be efficient? (Going in circles – bear with me) -- Because we had to cut operating budgets by 20% this year 5) Why did we cut operating budgets? -- Because profits down last 3 quarters and we aren’t as profitable as last year
  33. Profits are down from last year b) We need to work more efficiently c) Working efficiently supports the strategic plan d) This website will help you do that by increasing your awareness of the Whatever Initiative Fill in the blank -- THAT is a real UX problem to solve
  34. a) Insight: understanding of problem & recognition of ability / responsibility to fix it b) Critically important – can’t do treatment without it c) Sketekee & Frost > hoarders universally lack insight d) Therapists show hoarders photos of hoard to achieve insight e) Info Architect can draw a map of the digital hoard f) I like to do it manually
  35. Node map from Department of Nursing intranet redesign Written up in James’ Robertson’s book “Essential Intranets” Content inventory already completed but it was so big > incomprehensible to the team / very clinical content for me Took 4 days to make this map Exposed obvious symptoms of hoarding, duplication, even missing content Overwhelming; helped get Nursing leadership to approve timeline extensions / additional contractor resources
  36. a) I started thinking cognitive errors > lack of project goals / lack of insight b) Cognitive errors == negative patterns of thought / beliefs that affect mood c) Tend to show up as Mistaken Beliefs
  37. a) Fear of something in the future -- Believe their info will save the day (reality: will never find it) ---- Seen in people who lived through legal trouble ---- Seen in people who tried / failed to delegate effectively b) Inflated sense of responsibility -- Believe they must shelter / collect info or it will be lost & homeless ---- Always very proud of collection ---- I’ve seen meeting minutes / agendas, project files, photos, videos, scanned receipts c) Customer has strong tie to website / validates sense of self -- Might be out of control in other areas of life -- Compensates by “owning” the site & all content ---- Resents you / sees as an intrusion ---- Most difficult to deal with
  38. a) Fear of future seems to be most common b) Fear of: retaliation / legal trouble / looking stupid / general anxiety c) Documentation == security blanket
  39. Information hierarchy b) Project process > what happens at each phase c) Gantt chart done in Excel d) Real time dashboard These help communicate past, present, future events
  40. a) Well informed customer == calm customer
  41. Regular update meetings b) Send recaps of minutes by email c) Listen; you don’t solve their problems or take on more work d) Karen McGrane – 2013 IA Summit – “cognitive” vs “real empathy”
  42. Sometimes there’s a real future danger b) Archive old material away c) Organize it so it can be found d) Ask customer to promise to delete when no longer needed
  43. Customer feels responsible for data b) May have historical or nostalgic significance c) More likely: customer feels unqualified to make IA decisions – just adds everything d) Points to lack of editorial oversight support
  44. Ideal website editorial committee provides oversight b) Helps with decisions about content & structure c) Should include SMEs / Representatives from major work areas d) Should be informed by good user research e) Put persona info in meeting room
  45. Content seems related to old projects > lack of a post-mortem process at company b) Serves same purpose as funerals c) Lots of info on the web about after-action reviews / project post mortem d) Part of an Agile workflow / Continuous quality improvement
  46. Professor Dick: leading physicist from CERN – can find anything in 5 seconds b) This kind of hoarder can be especially hostile / resent your intrusion into his space c) May challenge your authority / expertise d) Best to defend yourself with facts & data
  47. My favorite data: website usage statistics b) Common cognitive error is belief that collection is very valuable c) Therapists appraise hoards > sometimes worth something, usually junk d) Website not performing well > a real problem UX can help with
  48. External Consultant Syndrome b) Has a level of credibility in-house team doesn’t have
  49. a) Two good sources of information: b) Step Two / Nielsen Norman Group
  50. a) Finally it’s important to stress the importance of filtering information
  51. a) It is impossible to collect every fact / article on a topic b) Better to be the local authority with the best / most relevant info
  52. Discussed how to figure out project goal – even when customer doesn’t know it b) Reviewed insight – how to promote it c) Went over cognitive error / mistaken beliefs – how to deal with them d) Remember the other hoarding behavior relevant to us today? Trouble organizing.
  53. a) Randy Frost & colleagues – research on how hoarders sort & classify b) Material that is NOT personally relevant: behaves the same as non-hoarders c) Creates same number of categories
  54. a) When sorting materials that IS personally relevant: b) Hoarders make many more categories c) Report much higher levels of anxiety d) Test turns out to accurately present hoarding tendencies
  55. a) Non-hoarders take 4 shirts b) Arrange into rational, objective categories – logical to others
  56. a) Hoarder will organize same 4 shirts very differently b) Makes many more categories c) Categories arranged according to emotional / subjective qualities d) These are not easy to understand by others
  57. a) I was surprised to find out not everyone is good at organizing b) I was asked to document my process / workflow; got frustrated because I couldn’t explain what I did c) Looked at teaching adults with ADD d) ADD is becoming commonplace – we all suffer from it once in a while e) ADD is a disorder of the Executive Functioning part of the brain (like compulsive gambling or Autism Spectrum Disorders) f) Seems to respond well to visual aids
  58. a) Weight chart – records progress b) Checklist – steps that need to be accomplished c) Node map – visual menu of choices
  59. a) Explain decisions about content b) Best ways to teach c) Requires patience / persistence
  60. a) Being a good role model establishes customer trust b) Don’t need to have everything labeled with sticky notes c) Show up for meetings / workshops; be on time d) Have necessary documentation available e) Appear calm and competent f) If you are anxious == customer will be anxious
  61. a) We always underestimate how hard it is to do a content inventory for a redesign b) Department of Nursing took 750+ hours to complete c) 2 full-time employees working 10 weeks straight d) Required taking regular breaks and a flexible schedule One day the project manager tells you content inventory is taking too long… -- Four common barriers to finishing this phase of the project
  62. a) It’s possible that project members are simply lacking motivation
  63. a) Lack of motivation looks like: b) Customer isn’t doing homework c) Pattern of meeting cancellation d) Comes to meetings unprepared e) Wastes meeting time by complaining about workload / health / other projects f) May require meeting with customer’s supervisor to determine project priority
  64. a) Speaking of supervisors, who recognizes this guy? (Bill Lumbergh – Office Space) b) Support from leadership is essential; otherwise project will keep circling drain c) Your administration helps your project by: -- Protecting working time -- Communicates project status to their leadership -- Authorizes timeline extensions / budgets for contractor help
  65. a) Third barrier is external distractions; includes: -- Checking email / Facebook / Twitter / Yammer / other social network (even if work related) -- Being paged excessively -- Frequent phone calls -- Visitors to office with questions / gossip b) Any other intrusion that interrupts “flow” / important headspace
  66. a) Establish dedicated project space b) Should be difficult to find c) Should be difficult to call as well d) Take regular breaks for email / social communication e) Schedule big chunks of time to spend there, alone / with the customer
  67. a) In protected cocoon in project room b) Staring at mountain of work c) Just can’t seem to get started d) Last barrier is Internal Distractions – can’t outrun them.
  68. a) Information architecture and categorization is exhausting b) Daniel Kahneman – Thinking, Fast and Slow – 2011 -- System 1 Thinking: snap decisions, quick judgment, emotional, subconscious -- System 2 Thinking: slow, logical, ponders, considers past experience / future predictions ------- Info architecture is System 2 Thinking c) Couch potato can’t run triathalon without training d) Customer can only work for 5-10 minutes; set a timer e) Sometimes you have to call it quits f) Watch out for perfectionism --- really procrastination
  69. a) You made it to the end, congratulations! b) Covered: -- How hoarders differ from non-hoarders in how they organize -- How to teach organizational skills -- Four common barriers to completing content inventory -- Recommendations for handling external / internal distractions
  70. a) A few final thoughts: --- No matter how time consuming the process --- No matter how difficult / frustrating the customer --- No matter how stupid you might feel sometimes when you don’t know the answer b) …The work you do has far-reaching affects c) Every employee at your company who comes to this site looking for an answer d) Every customer that employee helps by finding the answer e) At Mayo Clinic my work directly benefits millions of patients every year via patient care staff f) Internets get the glory, but it’s for these reasons and more that I <3 INTRANETS QUESTIONS???