you are a healthcare designer
TRANSCRIPT
YOU ARE A HEALTH CARE DESIGNERFast Forward Medical Innovat ionDes ign Bootcamp
JAMA PediatricsUnitioLenovo
DISCLOSURES
JOYCE LEE, MD, MPHwww.doctorasdesigner.comTwitter: @joyclee
NANCY BENOVICH GILBYProfessor of Entrepreneurship, UM School of Information
J O Y C E L E E , M D , M P H
N A N C Y B E N O V I C H G I L BY
M A R K N E W M A N
CO+LAB OBJECTIVES1 To develop digital health prototypes using participatory
design, including mobile context-aware applications, and artificial and virtual reality technologies
To offer interdisciplinary learning experiences for students, including interaction with patients and caregivers and technology skills development
To conduct design research to gain insights related to working with technology within the context of health.
2
3
AGENDA
Introduction to Design
Understand the 5 basic steps of Design Thinking
Apply design thinking to create a prototype for health
Reflect on the creations of the entire group and the process
WHAT IS DESIGN?“Purpose, planning, or intention that exists or is thought to exist behind an action, fact, or material object.”
“Can I park here?”“For how long?”
N i k k i S y l i a n t e n g @ t o p a r ko r n o t t o p a r k
N i k k i S y l i a n t e n g @ t o p a r ko r n o t t o p a r k
WHO IS A DESIGNER?
“Folk in black turtlenecks and designer glasses working on small things like the Apple Watch”
-Tim Brown
Clinician, QI Director, Researcher
YOU ARE A DESIGNER
DESIGN IS A MINDSET“Learning to design is learning to see”
-Oliver Reichenstein
The needle is opposite to the
cap
Design Flaw #1
>15,000 Unintentional injections from Epi-Pens in the US
between 1994-2007
0
500
1000
1500
2000
2500
3000
< 66-1218-64
Total
13-17>64
Unintentional Injections with Epinephrine auto-injectors
Simons, 2010
Greenberg, 2010
“Despite instructions rendered on the package insert, a large number of health care professionals including nurses, paramedics, and physiciansinadvertently self-inject while attempting to administer the EpiPen to patients. One recent report chronicles a 6-year experience at a single US poison center that fielded 365 epinephrine injections to the hand.”
Design Flaw #2
Life or death is stressful! Don’t make me think!
Design Flaw #3
It’s an awkward size, & doesn’t fit in your pockets
Blackberry iPhone
The cap & needle are at the
same end
Redesign #1
It’s like Siriand talks to you!
Redesign #2
It’s thinner and shorter!
Redesign #3
It reminds me when to refill
The Paternalism of Medicine
“patients frequently do not understand how and when to use [the epi-pen].”
Sicherer, 2011
Blaming the Patient
“patients frequently do not understand how and when to use [the epi-pen].”
Sicherer, 2011
The needle is opposite to the
cap
Patient Problem or Design Problem?
“Children had only used their EpiPen device in29% of recurrent anaphylaxis reactions. Thisis perhaps unsurprising because a fear ofneedles/injections is common”
Sicherer, 2011
Blaming the Patient
“Children had only used their EpiPen device in29% of recurrent anaphylaxis reactions. Thisis perhaps unsurprising because a fear ofneedles/injections is common”
Sicherer, 2011
Life or death is stressful! Don’t make me think!
Patient Problem or Design Problem?
“patients often forget [the device], allow it to expire”
Sicherer, 2011
Blaming the Patient
“patients often forget [the device], allow it to expire”
Sicherer, 2011
It’s an awkward size, & doesn’t fit in your pockets
Patient Problem or Design Problem?
Patient problems are really healthcare system design
problems
Fix the Design and It’s No Longer the Patient’s Problem
Let Patients Design and they will Fix the Problem!
75% of children fail achieve recommended blood sugar goals in Type 1 Diabetes
75% of health care providers/systems fail to help children achieve recommended blood sugar goals in Type 1 Diabetes
Healthcare: “Fax us your numbers!”Kid: “Mom, what’s a fax? Is itcompatible with Snapchat?”
Some people wonder why almost no one uploads their pump data…
I think I know why: because getting it to work can be like
CRAWLING. THROUGH. BROKEN. GLASS.
@HowardLook
DESIGN IS A PROCESSIt’s a form of Problem Solving
HUMAN-CENTERED DESIGN“An approach that puts human (end-user) needs, capabilities, and behavior first, then designs to accommodate those needs, capabilities, and ways of behaving”
THE END-USER IN HEALTHCAREIt’s patients and caregivers, NOT doctors or nurses, clinic managers, insurers, administrators, or even specialty organizations.
EMPATHYUnderstand a problem before solving it
DEFINEA patient-defined problem
IDEATECollaborative, creative brainstorming
PROTOTYPESketch, draw, glue, code
www.diabetesemoticons.com
WHY APPLY DESIGN TO HEALTHCARE?
Billion dollar valuations
42 design firms have been acquired since 2004
50% have been acquired within the last year with Accenture, Deloitte, IBM, Google, Facebook as the most acquisitive
72
Empathy
Define the Problem
Ideate
Share & Capture Feedback
Prototype
Test
How might we design the ideal clinic visit experience?
How might we design a tool or experience to support for health, wellness, and disease ?
How might we design tailored healthcare to our patients individual/specific needs?
Understand the problem before trying to solve it.
EMPATHY
Interview your client about their experiences with healthcare, wellness, and disease management.
Ask open-ended questions:Who? What? When? Where? Why? How?
5 min per person
Address the client’s specific problems and needs.
DEFINE
Define the problem.
Capture your findings and take a stand on how to address your client’s needs.
I was surprised to learn…The client needs a way to…
4 min indiv idual ly
Sketch solutions for your client’s needs.IDEATE
Generate ideas to test.
Sketch out solutions to your partner’s needs.
Be messy, be creative, get to a good idea.
8 min indiv idual ly
What does your client think of your solutions?
SHARE
Share your solutions and gather feedback.
This feedback will shape your next iteration.
Understand your clients’ concerns and keep their feedback in mind.
5 min per person
Sketch your best idea. Remember your client’s feedback!
PROTOTYPE
Prototype your solution.
Reflect on your partner’s feedback and sketch your best ideas.
How can you best serve the client’s needs?
8 min indiv idual ly
What could be improved?TEST
Test your new prototype.
Share your prototype with your partner and get feedback on the outcome of your design process.
What worked? What could be improved?
5 min per person
What did you come up with?REPORT OUT
Health Care Designers!THANK YOU
www.healthdesignby.us
www.doctorasdesigner.com
Dr. Joyce Lee@joyclee
Nancy Benovich [email protected]