I've been in about four industries when it comes to User Experience (UX): Video Game, Product Sites, Automotive, and now, Health IT. From my experience, the first two I mentioned, the top ones in their category have a solid UX. When I see Automotive UX and Health IT, not so much. In fact, for Health IT, there is a hashtag trending #letdoctorsbedoctors just because of the issues of time spent trying to figure out the software. One one say they may not be tech-savvy and be on with it, but have you realized some doctors are video gamers? Some doctors understand technology very well, yet there is so much struggle with healthcare software usability.
Why is there such a rift in the industries? Well, let's talk about that.
Video games are all about risk, especially the more indie you get. But that's all right, because the indies have the freedom to experiment without being tied down to a brand, or some convention.
HealthIT and AutoUX, are constantly doubting what they do, and often times going conservative in decisions that require great vision. They focus on all the times that great vision failed, without focusing on why. Sometimes, it could be as simple as they never asked users in the alpha stages what would help fulfill their need.
Apparently, in the two HIT places I've worked, posting a video on Youtube demonstrating what your product does to prospective buyer is against company policy because someone could steal part of our screens.
Sometimes, like in the case of a very expensive HealthIT system, I think they say that just to hide how poor the UX is on their systems.
If someone does better than you, then make yourself better. That's basic competition! Don't be afraid. It's as if some was handed to do a job, and all they want to do is keep the job by doing the minimal.
Do you know how fast you can go with paper? Try it. Pencil and Paper, 20 minutes, try to just dump the basics of a flow, and start rearranging it. For me, I've been able to go through 7 different prototypes to reach the best UX I could in just 2 weeks. If I was using illustrator and axure, I could maybe get through 1. Process matters. You don't have to agile. You could be lean. Just whatever you do, don't do waterfall.
And don't even get me started on going straight to code. That takes EVEN more time.
I plan on creating a UX Kit to help more people get into thinking about UX. It's really not that hard. I hope you follow these blog posts and keep up to date with the process.