Review of Activity of the Week 6 Guest Speaker: Dr. Alika Lafontaine Where is a world out there we don't see: Scotoma Short video: You are listening to real patients Momentum vs. Moments What happens after? Tools for Inspiration Pro-tips Key Takeaways

1. Design
(Design every DAMN day)

2. Live tweet with us
@Design4AHS
#DesignSchool

3. Some prototypes
plans that we
loved

4. WEEK 6 - Prototype Planning Activity: Give details about the prototype you plan on testing with your users.
1 What will your prototype look like? 2 Plan how you will test it:
I plan the prototype to appear as a simple, clear, easy-to-access,
easy-to-use document. How will you share this prototype?
I plan to incorporate colours, screen shots where ever This can be e-mailed out and discussed
these help clarify instead of complicate while keeping the on a teleconference with the ETMS Champions group.
amount of reading needed down.
How you would build it: Materials you need: Who will you show it to?
I would probably review existing Review of existing documents that may This can be shown to the immediate design team
documents and the software to look include: as well as with key internal and external users.
what can be adapted for this prototype. Word documents, PDF files, slide decks,
the software. What do you want to learn from testing it?
Whether the prototype would be:
easy to use.
easy to access.
reduce the proportion of reports with errors.

5. Prototype plans

6. Prototype plans

7. Dr. Alika Lafontaine is an award-winning
physician, speaker, alignment consultant,
and the first Indigenous physician listed by
the Medical Post as one of Canada’s 50
Most Powerful Doctors. He is recognized
internationally as an expert on Indigenous
health systems, institutional bias, racism
and reflective practice.
#DesignSchool
Let’s tell better
stories
Next week
@Design4AHS

8. Implemen'ng System Change:
The power of curated
moments and momentum
Dr. Alika Lafontaine
Chair, Governance Council Canadian Medical Associa:on
Journal
Past-President, Indigenous Physicians Associa:on of Canada
Managing Fellow, Alignment by Design Labs

9. About Me
Oji-Cree, Me:s, Pacific-Islander
Have been co-designing and leading health transforma:on ini:a:ves for two
decades
Have led or been part of decision-making within administrator, pa:ent, provider
and policy-making bodies at provincial and na:onal levels
HealthCareCAN, CPSI, RCPSC, AMA, CMA, IPAC, others
Apply a mix of systems thinking, design thinking and alignment thinking approaches
to solve complex, intractable, mul:-stakeholder problems

10. Type Question it asks
Systems Thinking How can we eliminate redundancy, mistakes and
inefficiency?
Design Thinking Are we focused on a human-centred outcome
and do does our service focus on the persons
using it?
Alignment Thinking What are the stratified priorities of multiple,
disparate stakeholders and do our actions take
us to the same outcome?
ALIGN Model © Lafontaine and Lafontaine

11. https://doi.org/10.1177/0840470418794702

13. Moments and Momentum

14. There is a world out
there we don’t see
• skəˈtōmə/Scotoma
• a par:al loss of vision or a blind spot in an otherwise normal visual
field
• can be due to neuromuscular diseases including strokes,
neurodegenera:ve diseases and trauma
ALIGN Model © Lafontaine and Lafontaine

15. There is a world out
there we don’t see
• skəˈtōmə/Scotoma, intellectual
• an inability to perceive distor:ons in percep:on that are obvious to
others
• in philosophy or poli:cs, a person's thoughts or beliefs might be
shaped by an inability to appreciate aspects of social interac:on or
ins:tu:onal structure
• when we profile pa:ents/clients, we apply “blindspots”
ALIGN Model © Lafontaine and Lafontaine

16. Video can be viewed at
https://www.youtube.com/watch?v=TQaqoSDsUro

17. “Our stories are so out of norm and removed
from others experience that those others have
a hard :me believing that these things could
happen. They believe these experiences are
extremes. This is our status quo. For those of
us that live this reality, the status quo is no
longer an op:on for us, our children or our
communi:es.” Cree Elder
ALIGN Model © Lafontaine and Lafontaine

18. Do you believe these stories?
Do those around you- especially those
within decision-making posi'ons- believe
these stories?
Do we share these stories openly?
ALIGN Model © Lafontaine and Lafontaine

19. Momentum vs Moments
• O`en get conflated
• Momentum enables individuals to scale up and out desired
behavior
• Moments enables individuals to rethink beliefs
• If problems are complex, mul:-stakeholder and historically
intractable, system change requires moments first
• Systems that get fixated on momentum have internal
processes designed for momentum
ALIGN Model © Lafontaine and Lafontaine

20. Momentum: How great ideas get trapped
in corporate cultures not ready for change
Organize
Commicee
Dra`Framework
Consulta:on
Dra`Framework
Dra`Report
Consulta:on
Dra`Report
FinalReport
Publica:on&
Promo:on
ALIGN Model © Lafontaine and Lafontaine

21. Momentum is more effec4ve if Momentum is less effective if
Organizations are top-down or
hierarchal
Organizations are consensus-
based, multiple stakeholders
without direct accountability to
each other
Decisions can be uniformly
enforced
Decisions cannot be uniformly
enforced, or the resources
required for compliance are cost-
restrictive
All participants share the same
beliefs and behaviors related to
the outcomes
Participants have a variety beliefs
and behaviors related to the
outcome
ALIGN Model © Lafontaine and Lafontaine

22. Moments: How to get corporate cultures
ready for change
Develop hope
that change is
possible
Create empathy
and inclusion
What value can
stakeholders
provide to our
mission?
Establish value
exchanges
based on shared
priori:es
Have
stakeholders
commit
Use resources
and act
TRUST
ALIGN Model © Lafontaine and Lafontaine

23. Using Moments and Momentum together
• Human-centred outcomes direct stakeholders to a hierarchal
accountability, ie - ”we are all accountable to the pa:ent”
• Empathy creates a safe emo:onal space to discuss harsh truths
• Ar:cula:on of the problem help par:cipants to see the qualita:ve
and quan:ta:ve aspects of the issue
• We should never quit listening to stakeholders about our product or
process
ALIGN Model © Lafontaine and Lafontaine

24. OR
IMPLEMENTATION
Momentum
Moments

25. Crea4ng Moments
Creating Momentum
Creating Alignment

26. Hope + Empathy + Inclusion = Trust
Trust is the ability to take risks with another person
Choosing new ways of doing things always has risk, the
status quo is usually the lowest level of risk
Sustained momentum is always a reflec'on of sustained
trust
ALIGN Model © Lafontaine and Lafontaine

27. Twicer: @AlikaMD
Email:
lafontai@ualberta.ca
Good Luck!

28. Q +
A
#DesignSchool@Design4AHS

29. An efficient failure:
• Didn’t hit the mark
• You learned something (many things)
• Saved from implementing the wrong
solution.
A flawed success:
• Met some, not all, of your users’ needs
• You learned something (many things)
• Iterate to test again
An epic win:
• Met your users’ needs
• Users easily completed tasks and
engaged with all features
• Ready to implement!
New dialysis social
clinic
Privacy card game
Commissary kitchen
redesigned prep

30. Tools for inspiration
Free toolkits
IDEO Designkit.org
Google Ventures Designsprintkit.withgoogle.com
Radboundumc Tinyurl.com/w85kkr6
Cool websites
Upskill + how to design.tutsplus.com/
Design stories openideo.com/our-work
Healthcare design healthcaredesignmagazine.com
Good reads
J. Knapp, Sprint: Solve big problems and test new ideas in five days
S. Johnson, Where Good Ideas Come From
T. Brown, Change by Design

31. Tired of boiling water every
time you make pasta? Boil a few
gallons at the beginning of the
week and freeze for later!
Pro-tip:

32. 1. Question your bias
2. Be humble
3. Romance the pain
Pro-tips
Why is this so hard?

33. Sneak design into
your everyday

34. We built this using
design, but we
need your help.

35. The future
April 9th 7 weeks every
Thursday! Invite your
friends family follow us
on twitter, Instagram to
keep up with the lab!
Our next VDS
launch happens
April 9th, 2020
Anyone is welcome.
Share with your friends
and coworkers.
Signup here for
more info on all our
events + offers

36. Key takeaways
#DesignSchool@Design4AHS
Design every damn day…
Challenge yourself, your team, and
organizational brules
Talk to the humans who have the
problem…

37. Get in touch
Let's chat: Design.Lab@ahs.ca
@Design4AHS
@Design4AHS
D4AHS.com