The Penny George Institute       Allina Clinics and Hospitals       Minneapolis College of Art and Design       Team Micro...
Background       • An eight-week project, that originated from the Human Factors course.       • Initiated Feb. 8 when All...
Design Brief          Design Brief for Penny George / Allina Clinics and Hospitals Client Project          May 2, 2012    ...
Goals   #1 Improving the patient and provider experience   #2 Balancing the experience   #3 Promoting and sustaining bette...
Audience                       The primary audience for this                      project are the patients and staff      ...
Single-Minded       Message          Engage and honor all patients,         make every visit a good one,                  ...
Adjectives that capture the tone from our                          interview notes include:                          hopef...
Requirements, Constraints and Deliverables          Requirements:             •	 Honor the patient and make sure s/he is h...
MyStory       	 The patient journey through clinical visits and a       personal journey to wellnessThursday, May 3, 12
Patient Journey (MyStory)               Paitent Journey                                                                   ...
MyStory Personas - Gina                      Gina                      Early 40’s                      - 2 children       ...
MyStory Personas - Dale                      Dale                      Mid 50’s                                    Comes  ...
MyStory Personas - Aleska                      Aleska                      50’s+                                          ...
Patient Journey (MyStory)               Paitent Journey                                                                   ...
Diagramatic Survey                                                                        MyStory Diagram                 ...
Health History Timeline                                                                                MyStory Timeline   ...
Fatigue Inventory Design Audit             Header section is             cluttered and is             one of many pages   ...
Redesigned Fatigue Inventory Page                                                                                         ...
Redesigned Pain Survey Page                                                                                               ...
Overview of Research and Process       • Audit of existing intake forms       • Audit of existing Health Apps       • Usab...
Application Audit                      App Name    Perspective               Pros                       Cons              ...
Application Audit (cont.)        Desired Attributes for Medical App        • Touch-Screen design similar to Skeletal Syste...
Clinical Intake Assistant      Assisted Patient Intake             A clinic assistant helps patient complete the MyStory J...
MyFolio        A comprehensive collection of all the patient’s       intake and output documentsThursday, May 3, 12
What’s Next?       • Final edits       • Final approval of intake packet redesign       • Implementation of packet at Penn...
Thank you!       Comments, critiques and conversationsThursday, May 3, 12
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MCAD-Penny George-Allina Community Project: A Journey To Wellness

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This is a presentation of 26 slides from an eight-week project that originated in the Human Factors course taught in the Science Bacc. Program at the Minneapolis College of Art and Design (MCAD) in Spring of 2012. It was a community parntership with MCAD, the Penny George Institute (PGI), and Allina Hospitals and Clinics.

It started on February 8 when Allina representative Jess Roberts conducted a workshop for the class at MCAD titled “What Is Wellness?”

Its official kick-off was March 7 when the class of 11 students visited the Penny George Institute for a tour and an interview with Dr. Greg Plotnikoff.

A team of six MCAD students (with one instructor and one coach) titled Team Micro set as its goal the improvement of patient and provider consultative experiences by a visual communications “rebalancing” that promotes and sustains holistic health outcomes. Deliverables ranged from intake form textual/visual redesign to reconceptualization of patient experiences at PGI as a journey of wellness examined through the eyes of three personas by an "information architecture" of visually expressed links and nodes.

The team create this presentation and two other report documents in order to help PGI fully realize and practice its vision-mission excerpted here:
"The George Institute seeks to transform health care by blending the art of healing and the science of curing to optimize the health of whole person, mind, and spirit."

Kevin Byrne, Coach for Team Micro and Professor,
Science Bacc. Program at the Minneapolis College of Art and Design
May 3, 2012

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MCAD-Penny George-Allina Community Project: A Journey To Wellness

  1. 1. The Penny George Institute Allina Clinics and Hospitals Minneapolis College of Art and Design Team Micro | Improving the Patient-Provider Experience | MyStory Jenny Kunstel Megan Leitschuh Anthony Konigbagbe John Kozak Jenna Ballinger Quinn WilsonThursday, May 3, 12
  2. 2. Background • An eight-week project, that originated from the Human Factors course. • Initiated Feb. 8 when Allina representative Jess Roberts conducted a workshop for our class at MCAD – “What Is Wellness?” • Kicked-off March 7, when our class visited the Penny George Institute for a tour and an interview with Dr. Greg Plotnikoff. • A team of six students (Team Micro) at MCAD has as its goals, the improvement of patient and provider consultative experiences by a visual communications “rebalancing” that promotes and sustains holistic health outcomes. • Help the George Institute fully realize and practice their vision and mission statement excerpted below… “The George Institute seeks to transform health care by blending the art of healing and the science of curing to optimize the health of whole person, mind, and spirit. “Thursday, May 3, 12
  3. 3. Design Brief Design Brief for Penny George / Allina Clinics and Hospitals Client Project May 2, 2012 Human Factors / Spring 2012 MCAD | 2501 Stevens Ave. S | Minneapolis, MN Team Micro Summarizes: Background, Audience, Goals, Tone, Character, Deliverables, Schedule and Stakeholders.Thursday, May 3, 12
  4. 4. Goals #1 Improving the patient and provider experience #2 Balancing the experience #3 Promoting and sustaining better health outcomesThursday, May 3, 12
  5. 5. Audience The primary audience for this project are the patients and staff at the Penny George Institute. The plan is to create three personas that Team Micro will guide as a journey through wellness.Thursday, May 3, 12
  6. 6. Single-Minded Message Engage and honor all patients, make every visit a good one, visualize solutions.Thursday, May 3, 12
  7. 7. Adjectives that capture the tone from our interview notes include: hopeful, Tone & Character adaptive, safe, trustful, honorable, fun, and celebratory.Thursday, May 3, 12
  8. 8. Requirements, Constraints and Deliverables Requirements: • Honor the patient and make sure s/he is heard • A “last hope” must become a first step, and let’s ensure it is a friendly experience • Better intake, improved follow-up communication. Deliverables: • Improved channels of communication that respond to the needs and wants of three patient personas • A client manual that 1) documents our process and 2) offers recommendations supported by an appropriate combination of “proofs of concept” and digital and/or hard-copy assetsThursday, May 3, 12
  9. 9. MyStory The patient journey through clinical visits and a personal journey to wellnessThursday, May 3, 12
  10. 10. Patient Journey (MyStory) Paitent Journey Paper starts here -> New Patient My Story Interactive Mobile Dialog My Story Web Monolog Assistant Apps Textual/ MyStory IPad/Tablet Essay & Symptoms MyFolio Timeline Staff Review My Story Best 1st Follow Made into a Practices Conversation up with Portfolio in Holistic with Dr. Greg Dr. Greg TreatmentThursday, May 3, 12
  11. 11. MyStory Personas - Gina Gina Early 40’s - 2 children Referred to Allina MyStory Dialog Interactive - 1 Autistic child Web Wants to be Symptoms: off of medications, Depression, 1st wants to get well but Fatigue, Insomnia, Staff Conversation doesn’t know how, Ipad/Tablet Muscular Skeltal Pain, Review with Dr. Greg feels like she isn’t Anti Depressants, getting any better. Sleep Medication Diagnosed with a Rare My Story Follow Road to Genetic Disorder Made into a up with Dr. during 1st visit Portfolio Greg WellnessThursday, May 3, 12
  12. 12. MyStory Personas - Dale Dale Mid 50’s Comes - Stage 2 Colon Cancer MyStory Textual to Monolog (document) - 2nd line of Allina Chemotherapy - Many Side Effects - 3 dif. Chemo drugs - Cost of Meds=$50K Goals: 1st A plan to support Staff Conversation him during Chemo, Timeline Review with Dr. Greg nutritional support, Mental support and well-being MyStory Holistic Made into a Follow Road to up with Dr. Treatment Portfolio Greg WellnessThursday, May 3, 12
  13. 13. MyStory Personas - Aleska Aleska 50’s+ Referred My Story Assistant Essay to Allina Dialog Timeline Symptoms: Chronic Daily 1st MyStory Headaches, Staff Conversation made into a Fatigue, Review with Dr. Greg Portfolio Gastrointestinal Distress Road Follow to up with Dr. Holistic Treatment Wellness GregThursday, May 3, 12
  14. 14. Patient Journey (MyStory) Paitent Journey Paper starts here -> New Patient My Story Interactive Mobile Dialog My Story Web Monolog Assistant Apps Textual/ MyStory IPad/Tablet Essay & Symptoms MyFolio Timeline Staff Review My Story Best 1st Follow Made into a Practices Conversation up with Portfolio in Holistic with Dr. Greg Dr. Greg TreatmentThursday, May 3, 12
  15. 15. Diagramatic Survey MyStory Diagram Name: ___________________ Date: __ / __ / __ 1. Mark the diagram where you have had illness, pain, or areas of concern. AGE Instructions Medical explaing how 2. Number each mark. 0 Organizing to use this body diagram form 3. Write each number on the timeline next to your corresponding age when the 5 information illness occured. 10 15 20 25 Large diagram 30 for ease of use. 35 Female version also available. 40 45 50 55 60 65 70 75 80+ Penny George Institute Instructions for Health and Healing Turn over to complete. indicating that part 2 is on the reverseThursday, May 3, 12
  16. 16. Health History Timeline MyStory Timeline Name: ______________ Date: _______________ 1. Place each number on the timeline, according to the positive or Instructions negative impact that event had on your well-being. explaining how to use this form Impact on well-being includes: happiness, effect on lifestyle, emotional impact, level of pain and stress. Medical Positive Impact on Wellness Labels clearly indicating what type of timeline Timeline where it is information from part one is applied Negative 0-20 21-50 51-80+ 2. Make a line graph of your overall lifetile well-being throughout your Personal Positive Impact on Wellness This timeline is a visual aid Negative in showing the patient’s overall 0-20 21-50 51-80+ health journey Penny George Institute for Health and HealingThursday, May 3, 12
  17. 17. Fatigue Inventory Design Audit Header section is cluttered and is one of many pages that requires patient’s full name Prompts are accented by black bars. Why not just make them bold? Prompts are clear and easy to understand Is the rating scale too large/broad?Thursday, May 3, 12
  18. 18. Redesigned Fatigue Inventory Page Space provided for patient’s initials so they Initials: _____ don’t need to re-write full name on each page, Brief Fatigue Survey thus simplifying header Rate how fatigue has affected you on a scale of 1 to 5 as descibed below. Fatigue scale 1 = No fatigue 2 = Slight 3 = Moderate 4 = Severe 5 = Intolerable simplified 1. ___ Fatigue within past 24 hours 2. ___ Interfered with general activity 3. ___ Interfered with mood 4. ___ Interfered with walking ability 5. ___ Interfered with work (daily chores included) 6. ___ Interfered with relationships 7. ___ Interfered with enjoyment of life This space gives the patient the In the past week, what have your sleeping patterns been like? Please explain below. opportunity to speak about their ____________________________________________________________________ concerns in detail ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Penny George logo and name added Foilio (page) numbers to page as brand Penny George Institute added so patients can identification for Health and Healing Page 3 of 7 see how many pages are left to completeThursday, May 3, 12
  19. 19. Redesigned Pain Survey Page Initials: _____ Simplified header Brief Pain Survey Rate how pain has affected you on a scale of 1 to 5 as descibed below. 1 = No pain 2 = Slight 3 = Moderate 4 = Severe 5 = Intolerable ___ Worst level of pain in the past 24 hours ___ Interfered with walking ability ___ Least level of pain in the past 24 hours ___ Interfered with work (daily chores included) ___ Level of pain right now ___ Interfered with relationships ___ Interfered with general activity ___ Interfered with enjoyment of life ___ Interfered with mood ___ Interfered with sleep 1 page instead of 2 Currently, what treatments or medications are you receiving for your pain? 12 questions instead of 16 ____________________________________________________________________ Spaces provides ____________________________________________________________________ opportunity for patient to explain ____________________________________________________________________ in further detail If you have taken medication or received treatment in the past 24 hours, how effective have they been? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ The diagram has been removed from this page and has been Penny George Institute given its own page for Health and Healing Page 4 of 7Thursday, May 3, 12
  20. 20. Overview of Research and Process • Audit of existing intake forms • Audit of existing Health Apps • Usability Testing • Redesign of packet • Persona development • Conceptual development • Final redesign of packetThursday, May 3, 12
  21. 21. Application Audit App Name Perspective Pros Cons Snapshot Rating - Interactive one touch - Extensive answers - Medical student - Text heavy Case Hx - Clear approach to 4 medical history taking - Facilitates - Overwhelming - Doctor windows communication between - Patient Zoom Rx - Pharmaceutical doctor, patient and pharmaceutical 4 Companies companies - Real time panels - Health objectives are - Requires internet - Patient clearly presented connectivity Calorie 5 - Live support Counter - Calculates need for vitamin intake - Navigation up and - Does not offer complete Skeletal - Patient down the skeletal system anatomical systems integration System - Easy-to-use 5 Pro II information labeling - Adding & subtracting layers of tissueThursday, May 3, 12
  22. 22. Application Audit (cont.) Desired Attributes for Medical App • Touch-Screen design similar to Skeletal System pro II • Interactive diagram w/ 360° Navigation • Custom pinning & labeling system • Platform Compatibility: Pad, iPhone and Android Phones • Easy to download • Inexpensive • Secure Data TransferThursday, May 3, 12
  23. 23. Clinical Intake Assistant Assisted Patient Intake A clinic assistant helps patient complete the MyStory Journey to Wellness Comprehensive Health History A scribe/assistant is going to be hired. Dr. Plotnikoff’s supervisor gave the go ahead before we even pitched the idea Role The assistant creates a thread of continuity through the patients journey at Penny George. Although their role lives outside of the sustainable wellness process the intake assistant is critical to compiling the patients comprehensive health history. They send out questionnaires, make appointments, answer questions and help with the completion of the health history packet. Possible Types of Candidates Friendly practitioners Vocational tech school paramedicals Allina medical intern rotation, -  Paramedical specialist,  Receptionists  Pre-med Mass Comm. Major Literature Majors People that feel passionately about humanizing the experienceThursday, May 3, 12
  24. 24. MyFolio A comprehensive collection of all the patient’s intake and output documentsThursday, May 3, 12
  25. 25. What’s Next? • Final edits • Final approval of intake packet redesign • Implementation of packet at Penny George Institute • Implement Assistant • Legal & Insurance Sign off • App Development • the Conversation continues......Thursday, May 3, 12
  26. 26. Thank you! Comments, critiques and conversationsThursday, May 3, 12

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