Medlove 2012 Berlin: Design for Community Care

Copyright © 2012, Peter Jones

Designing for Community as the Source of Care Co-creating Care where it happens

Peter Jones Redesign Research

OCAD University, Toronto


“What if Design was designed as a care profession?” And if … Healthcare as systems of services Enabling those who serve people seeking care: Health practice & care organizations. • People not patients. • Systemic, touches every sector • Cases, Methods, Experiences

Rethinking Care 1. Design as Caregiving 2. Co-Creating Care 3. Seeking Health

Rethinking Patients 4. Design for Patient Agency 5. Patient-Centered Care Service Rethinking Care Systems 6. Innovating Points of Care 7. Designing Healthy Information Technology 8. Systemic Design in Healthcare Innovation 9. Futures in Service Innovation

designforcare.com @designforcare

Design for Care: Innovations in Healthcare Experience



Real care occurs in-place, a community we share with others.

Caring requires knowing, trust, patience, humility, honesty, & the primacy of life’s rhythms. “… there must also be developmental change on the other as a result of what I do; I must actually help the other grow.” M Mayerhoff


Schools of Design Thinking in Healthcare

• User Experience / IxD / IA

• Service Design

• Evidence-Based Design

• Environmental Design

• Participatory Design

• Generative Design

• Radical Innovation

• We tend to forget – Sociotechnical systems


Copyright © 2012, Peter Jones 7

SERVICE


A Healthcare Revolution?

Two trends are preparing ux for what’s next :

• Tech - Mobile & Health 2.0

• Social - ePatient & patient-centered

• Our investment matters The way we design for care now defines our field


What’s your Possibility?

• Choose your Context Consumer Health Care Practice Healthcare Organizations Education, Policy & Institutions

• From designing services to co-creating care



People are health-seekers

A health-seeking journey occurs over a lifetime, a continuity that proceeds through youth, adulthood, & older age.


Design more for value demand

Less for failure demand

• From systems perspective, disease focus is intervention

• Patient context is temporary

• Prevention, adherence, & continuity



Where does Health Live?


Where does Health Live?

Dis-eases emerge from so many factors …

Can we design for:

• Home conditions

• Connectedness - Friends & family circles -

• Autonomy, mobility & communications

• Neighborhood, safety, food supply

• = community



How does identity change as a patient?






Can we distribute care resources

among different points of connection?



• Person-Family

• Person-Community

• Patient-Patient

• Patient-Providers

• Providers-Community


Design skillsets in healthcare

Community “All 4 at once” D3.0 & 4.0 require power tools of systems & collaboration. Transfer down: - Sensemaking mindset - Stakeholders - Reframing power - Adjacency

Adapted from Humantific with permission


D3.0 & 4.0 “Changemaking” Power tools are necessary:

- Systemic design approaches.

- Multi-stakeholder collaboration. - Participatory research. - Strategic innovation. - Design of practice & service.

Healthcare Design Contexts in …

Clinical practices for complex care New organizational modes Redesigning business models Service systems Clinical education

Community engagement Healthcare networks Public health - Prevention Policy development Transforming education


Atrial Fibrillation Care Many health services treat chronic & complex illness as exceptions. Patients fall between the cracks & are shuttled around, getting fragmented care. By not adapting to the changing reality of the chronic demographic, costs rise as hospitals increase their exception cases.

Morra, et al (2010). Reconnecting the pieces to optimize care in Atrial Fibrillation in Ontario.

D3 & D4

Copyright © 2012, Peter Jones 28

Atrial Fibrillation System Redesign The improvement of individual experience is an effect in healthcare. Nice but not systemic. Redesign institutional practices & business models.


Community Design

Research Concept

OCAD University Toronto Strategic Foresight & Innovation Winning team, 2011 Rotman Design Challenge Mayo Mom Service Design Concept Martin Ryan, Jen Chow, Jessica Mills, Josina Vink, Phouphet Sihavong


If 90% of U.S. babies were breastfed for 6 months, save $13 billion /year

The United States has one of the lowest rates of breastfeeding of any country in the developed world.

Only 13% of children are exclusively breastfed for the first 6 months.

Correlated with fewer infections, illnesses, & diseases, such as asthma, diabetes and obesity.

1st place Rotman Design Challenge Mayo Clinic


• P2P network & service

• Simple & decentralized

• Enduring connections

MDes Strategic Foresight & Innovation

Living communities are co-creative.

© 2011 Ryan, et al.


Understanding the design moment

The Experience of Breastfeeding

Human-centered Intervention

Understanding phase Expert interviews Lactation Consultant Child Life Specialist Anthropologist

Moms & Dads In-depth interviews

Research Design Research Design

Expert interviews Midwife

Sociologist

Moms In-depth interviews with mothers focused on the

moment of intervention.

“The Latch” Moment of

Wellness



Prepare a mother for the emotional and physical challenges ahead to ensure ingoing assumption is not that “it comes naturally”

Offer safe, unbiased, emotional support and positive reinforcement during the “latch

experience” when it is needed most



MAYO MOM

NEW MOM

Facilitate Connection

Connection



How do we design for healthy communities?

D4.0 design

research skills

Co-creative for

Social Systems

Complex – all 4

Trans-disciplinary

Not-radical Innovation



Thank you.

@redesign @designforcare designforcare.com designdialogues.com redesignresearch.com Strategic Innovation Lab OCAD University Toronto Strategic Foresight & Innovation

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