University of Minnesota Code Freeze 2016

transcript

1CENTER FOR INNOVATION

Fighting the Gravitational PullDesign in Health Care

Meredith DeZutter, Service DesignerRose Anderson, Service DesignerUniversity of Minnesota | Code FreezeJan 14, 2016

OUR MISSIONTransforming the Experienceand Delivery of Health and Health Care

We are missing the point.

Instead of trying to refine and tweak the current system we need to reconsider how we care for people.

270 projects600+ experiments10,000+ contact hours with patients

Fight the gravitational pull

of the system.

Understanding people and allowing that to drive the change.

microCONSULT – prototype fidelity

Care Plan – digital sandbox

1900Drs. Will& Charlie

15161718192021

36 37 38 39 40 4142 Neurology

Dental Specialties

Dermatology

Emergency Med

Family Med

Medical Genetics

Internal Medicine

Oncology

Physical Med

Psychiatry & Psychology

Radiation Oncology

Radiology

Anesthesiology

NeurosurgeryObstetrics & Gynecology

Ophthalmology – Head & Neck Surgery

Orthopedics

SurgeryUrology

Anatomy

Biochemistry & Molecular Biology

Comparative MedHealth Sciences Research

Immunology

Lab Med & Pathology

Molecular Med

Molecular Pharm

Physical & Biomedical Engineering

Nursing

Development

Education Admin

Finance

Environmental Services

Planning ServicesPublic Affairs

Research AdminMayo Health System Admin

Human ResourcesFinance

Facilities & Support Services

15161718192021

36 37 38 39 40 4142 Neurology

Dental Specialties

Dermatology

Emergency Med

Family Med

Medical Genetics

Internal Medicine

Oncology

Physical Med

Psychiatry & Psychology

Radiation Oncology

Radiology

Anesthesiology

NeurosurgeryObstetrics & Gynecology

Ophthalmology – Head & Neck Surgery

Orthopedics

SurgeryUrology

Anatomy

Biochemistry & Molecular Biology

Comparative MedHealth Sciences Research

Immunology

Lab Med & Pathology

Molecular Med

Molecular Pharm

Physical & Biomedical Engineering

Nursing

Development

Education Admin

Finance

Environmental Services

Planning ServicesPublic Affairs

Research AdminMayo Health System Admin

Human ResourcesFinance

Facilities & Support Services1

8910111213141516

CardiovascularSubspecialties

Cardiomyopathy

+ 13 Specialty Labs

Coronary Physiology & Imaging

Cardiovascular HealthChest Pain & Coronary Physiology

Congenital Heart Clinic

Electrophysiology

CounterpulsationHeart Failure

Heart Rhythm Center

Implantable Device Clinic

Pericardial Disease Clinic

Pediatric Cardiology

Pulmonary HypertensionThrombophilia Center

Transplant

Cardiovascular RadiologyUlcer & Wound Care Clinic

Valvular Heart ClinicVascular Medicine

Women’s Heart Clinic

Cardiovascular Molecular Biology

Cardiovascular Epidemiology

Marfan Clinic

Nuclear Cardiology

Cardiovascular Surgery

Internal MedicineDivisions

We conceptualized an idea to allow two providers, one with a patient, to connect via video for a focused question; we called this a microCONSULT

We completed a total of 27 microCONSULTSAverage length was 9 minutes Saved 17.25 total appointment hours 146 min. for 3 CV; 193 min for 6 Endo; 136 min for 4 GI

Saved patients a total of 118 days; average 4 days The average satisfaction ranking for patients was 6.2 out of 7

Gaps – More FlexibilityThe need arose real-time during an appointment based on new information or situation; real-time availabilityAppointments and providers may not run on time

Next StepsA prototype with combined existing functionality, video, chat, patient information with a new to Mayo offering, a presence algorithm

The gravitational pull of the system re-emerged

ReconciledPortableJust-in-timeInteractiveShared

A unified tool for people inside and outside of Mayo Clinic to see, make, and act on care decisions together.

THE DESIGN OF THE THING

THE NEEDS OF THE PEOPLE WHO USE

THE THING

THE PRIORITIES & GOALS OF PEOPLE WHO MAKE IT POSSIBLE

FOR THE THING TO EXIST AND MAYBE EVEN SURVIVE

ClinicPatient

CARE PLAN PROTOTYPE

SERVICE EXPERIMENT STAKEHOLDERS

Patients Caregivers

Providers Nurses Schedulers

Secure Messaging Triage

ORGANIZATION STAKEHOLDERSIdentity

Management

Clinic Data Sources

Clinical Notes

Experiment Database

Secure Messaging

QUESTIONS

LIFESTYLE / BEHAVIORAL MEDICAL

PerpetuateorReframe?

Thank you.

University of Minnesota Code Freeze 2016

Healthcare