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Best Practices to Evaluate Student-led Design
  Projects for Global Health Technologies:
             Quantified metrics




                 Molly Blank
aeolus.co.in/
Overview
 Problem Identification
   Students vs. the world
 Needs
   Leverage education, provide insight
 Concept Generation
 First Prototype
   Define metrics
 Test, feedback, iteration



       Problem   Needs   Concept generation   First prototype   Test, feedback
Expectation




There must be an intuitive place to
          start, right?
    Problem
reality
Problem Sources

            Inherent complexity
          Engineering education
           Institution limitations




Problem


                                     biodesign.stanford.edu
Engineers vs. the World
  Little scaffolding for Significant human factors
human-centered design          considerations
       Analytical          Social, quality of life
                         value difficult to quantify
    Misconceptions            Highly dynamic

Challenging enough in Generally international
  the same room…         collaborations


      Problem
Problem Statement
Despite growing interest and opportunities in global
health design, there is a disconnect between young
engineers’ educations and the expertise required to
  design a successful global health technology.




      Problem
Needs screening
 Allow students to understand the space in which
  they are designing
 Encourage good design
 Improve outcomes
 Educate




              Needs
Tools
 Information
  availability
 Visualizations
   WHO
   UW IHME
   World Bank




                                        healthmetricsandevaluation.org
                   Concept generation
http://hdr.undp.org/en/data/explorer/
Quantified Metrics
      Advantages                           Challenges

• Play to student                  Potential for abstraction
  strengths                        Choosing the most
• Provide structure                   representative, valuable
• Leverage existing                   for designs
  training




                      Concept generation
Due Diligence
 Yes, health indicators are important
  Pathophysiology, epidemiology


 Disease state fundamentals
   Well established
   Don’t get stuck here




                       Concept generation
Boots on the ground




           First prototype
Find value




Moneymaker Max
     $38
         First prototype

                           kickstart.org
Tech savvy




http://www.nationmaster.com          http://www.socialbakers.com/facebook-statistics/
Human Resources
 Put it in context
 Availability of medical professionals, Pittsburgh
   WHO – Average of 2.1 doctors per 10,000 people
   US census bureau says about 300,000 people in
    2011
   61 doctors by African region average




                              First prototype
Allegheny General
         Hospital: 800
Allegheny General Hospital Suburban
               Campus                  Children's Hospital of Pittsburgh
   Western Pennsylvania Hospital      Magee-Womens Hospital of UPMC
    Western Pennsylvania Hospital          UPMC Cancer Centers
                Forbes                   UPMC Eye & Ear Institute
   Children's Institute of Pittsburgh           UPMC Mercy
   HealthSouth Harmarville Rehab      UPMC Mercy South Side Outpatient
               Hospital
                                              UPMC Montefiore
 Jefferson Regional Medical Center
                                              UPMC Passavant
   LifeCare Hospitals of Pittsburgh
                                             UPMC Presbyterian
     Pittsburgh Specialty Hospital
                                              UPMC Shadyside
    Saint Clair Memorial Hospital
                                             UPMC St. Margaret
   Southwood Psychiatric Hospital
                                      UPMC Western Psychiatric Institute
       Allegheny Cancer Center
Moving Forward
 Adoption and support of the technology is the
 only metric needed for long-term success
   Ensures the iteration of the device
   Regardless of initial success
Iterate

Test, feedback, improve




                          Test, feedback


                                           Squiggle by Damien Newman
Conclusion
 Encourage global health design
   Despite inherent challenges of global health
    compounded by engineering education
   Make expertise
 Create a common language, metrics
 Iterate, fail, improve
Thank You
 Dr. Jim Antaki,
   Antaki Lab
MRC the Gambia
Open 2013:  Best Practices to Evaluate Student-led Design Projects for Global Health Technologies: Quantified metrics

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Open 2013: Best Practices to Evaluate Student-led Design Projects for Global Health Technologies: Quantified metrics

  • 1. Best Practices to Evaluate Student-led Design Projects for Global Health Technologies: Quantified metrics Molly Blank
  • 3.
  • 4. Overview  Problem Identification  Students vs. the world  Needs  Leverage education, provide insight  Concept Generation  First Prototype  Define metrics  Test, feedback, iteration Problem Needs Concept generation First prototype Test, feedback
  • 5. Expectation There must be an intuitive place to start, right? Problem
  • 7. Problem Sources Inherent complexity Engineering education Institution limitations Problem biodesign.stanford.edu
  • 8. Engineers vs. the World Little scaffolding for Significant human factors human-centered design considerations Analytical Social, quality of life value difficult to quantify Misconceptions Highly dynamic Challenging enough in Generally international the same room… collaborations Problem
  • 9. Problem Statement Despite growing interest and opportunities in global health design, there is a disconnect between young engineers’ educations and the expertise required to design a successful global health technology. Problem
  • 10. Needs screening  Allow students to understand the space in which they are designing  Encourage good design  Improve outcomes  Educate Needs
  • 11. Tools  Information availability  Visualizations  WHO  UW IHME  World Bank healthmetricsandevaluation.org Concept generation
  • 13. Quantified Metrics Advantages Challenges • Play to student  Potential for abstraction strengths  Choosing the most • Provide structure representative, valuable • Leverage existing for designs training Concept generation
  • 14. Due Diligence  Yes, health indicators are important  Pathophysiology, epidemiology  Disease state fundamentals  Well established  Don’t get stuck here Concept generation
  • 15. Boots on the ground First prototype
  • 16. Find value Moneymaker Max $38 First prototype kickstart.org
  • 17. Tech savvy http://www.nationmaster.com http://www.socialbakers.com/facebook-statistics/
  • 18. Human Resources  Put it in context  Availability of medical professionals, Pittsburgh  WHO – Average of 2.1 doctors per 10,000 people  US census bureau says about 300,000 people in 2011  61 doctors by African region average First prototype
  • 19. Allegheny General Hospital: 800 Allegheny General Hospital Suburban Campus Children's Hospital of Pittsburgh Western Pennsylvania Hospital Magee-Womens Hospital of UPMC Western Pennsylvania Hospital UPMC Cancer Centers Forbes UPMC Eye & Ear Institute Children's Institute of Pittsburgh UPMC Mercy HealthSouth Harmarville Rehab UPMC Mercy South Side Outpatient Hospital UPMC Montefiore Jefferson Regional Medical Center UPMC Passavant LifeCare Hospitals of Pittsburgh UPMC Presbyterian Pittsburgh Specialty Hospital UPMC Shadyside Saint Clair Memorial Hospital UPMC St. Margaret Southwood Psychiatric Hospital UPMC Western Psychiatric Institute Allegheny Cancer Center
  • 20. Moving Forward  Adoption and support of the technology is the only metric needed for long-term success  Ensures the iteration of the device  Regardless of initial success
  • 21. Iterate Test, feedback, improve Test, feedback Squiggle by Damien Newman
  • 22. Conclusion  Encourage global health design  Despite inherent challenges of global health compounded by engineering education  Make expertise  Create a common language, metrics  Iterate, fail, improve
  • 23. Thank You Dr. Jim Antaki, Antaki Lab MRC the Gambia

Editor's Notes

  1. Prologue I have been trained as an engineer. I am a believer in the engineering process. NeedCraft it into a problem statement tackle withcareful measurements, iterate, and improve into a painstakingly perfected design. But I became an engineer to help peopleBackground/interest in medical devcices, global health was an obvious directionHow?I have been and currently grapple with, the very issues that I will enumerate for you today regarding working on medical devices for developing markets with classical engineering training and a program geared for . So what this presentation does not offer you, is a perfectly optimized solution to a problem, but rather to offer us a common problem statement and an initial idea upon which to iterate.
  2. As a student with no idea where to start, I throught the Gambia would be a good place. Clinical visits, interviews with patients, locals, and clinicians in both privately and government-funded clinicsMany of the ideas and metrics today come from a combination of first-hand experience, literature, and a little creativity. So in this incredibly complex multi-dimensional problem, how can we encourage and educate engineers to create medical devices that have hope for impact; or at the very least, leaving students feeling like they could go and tackle the world’s most intractable problems?
  3. Just because the problems are different, doesn’t mean the same engineering process doesn’t applyIt’s important, first, to break down the problem.
  4. This is the million, or more likely, multi-billion dollar question. If you find the answer, let Bill Gates know.
  5. So let’s start to elaborate on the problem that students are facing. Ironically, many schools without dedicated global design programs are in and of themselves a sort of low resource environment for successful global health design because they lack the resources to help students succeed in a space where experience pays. We don’t all have Biodesign, yet.
  6. Students have been solving problems with finite parameters, and structured tasks. When they finally hit their capstone?
  7. But, as a good engineer,
  8. Improved mechanisms of finding, searching, interpreting data
  9. UN development indicatorsThe World Bank and other resources are available as well
  10. Providing numbers to represent a very human problem risks just making the problem more abstract
  11. First, and most important metric to begin. How many clinicians have you spoken to? Do you have advocates? If someone in your target market is excited about the idea, that’s the first important metric, and a good sign.
  12. Misconception that many students have is that whatever they make has to be cheap – but that’s not actually the case. It doesn’t have to be. $38 is the entire savings of a family, or a month’s wagesDetermine how healthcare is delivered and then determining the value of the Time saved? Resources saved?
  13. Another factor students underestimate is the tech savvy of developing areas. Nearly everyone has a mobile phone now,
  14. From what I’ve seen of design teams and designs, the single most under-estimated factor is how overpowered clinics can be.
  15. Now imagine the waiting room.
  16. Furthermore, there’s a need for transparency. With a common language to discuss our failures,