C*RE THE SYSTEM 2019 | LET'S DESIGN A FUTURE HEALTH SCHOOL
•
0 likes•68 views
Door Emilie Wagner & Alexei Wagner van Standford University. Keynote tijdens Dutch Design Week, C*RE THE SYSTEM 2019.
Recommended
More Related Content
Similar to C*RE THE SYSTEM 2019 | LET'S DESIGN A FUTURE HEALTH SCHOOL
Similar to C*RE THE SYSTEM 2019 | LET'S DESIGN A FUTURE HEALTH SCHOOL (20)
More from Health Hub Utrecht
More from Health Hub Utrecht (12)
Recently uploaded
Recently uploaded (20)
C*RE THE SYSTEM 2019 | LET'S DESIGN A FUTURE HEALTH SCHOOL
- 1. 11/13/19 1 THE FUTURE OF MEDICAL EDUCATION DESIGN FOR HEALTH ALEXEI WAGNER Physician + Medical Director alexeiw@Stanford.edu EMILIE WAGNER Instructor emilie@thinkmobius.com EMILIE WAGNER, MBA Instructor, Hasso Plattner Institute of Design (the d.school) Stanford University ALEXEI WAGNER, MD, MBA Assistant Professor Department of Emergency Medicine Stanford University School of Medicine
- 2. 11/13/19 2 DESIGN FOR HEALTH: HELPING PATIENTS NAVIGATE THE SYSTEM HASSO PLATTNER INSTITUTE OF DESIGN (the d.school)
- 3. 11/13/19 3 David Kelley Founder HASSO PLATTNER INSTITUTE OF DESIGN (the d.school)
- 4. 11/13/19 4 HASSO PLATTNER INSTITUTE OF DESIGN (the d.school) HASSO PLATTNER INSTITUTE OF DESIGN (the d.school)
- 5. 11/13/19 5 HASSO PLATTNER INSTITUTE OF DESIGN (the d.school) TODAY’S JOURNEY Design Thinking Overview About Design for Health (d.school class) Notable Educational Tools The Future of Medical Education
- 6. 11/13/19 6 DESIGN THINKING OVERVIEW Source: Stanford d.school TECHNOLOGY (feasibility) HUMAN VALUES (usability, desirability) BUSINESS (viability) DESIGN INNOVATION A HUMAN-CENTERED PROBLEM SOLVING APPROACH
- 7. 11/13/19 7 Source: 101 Design Methods, Vijay Kumar BUSINESS + TECHNOLOGY-DRIVEN INNOVATION DEVELOP THE TECHNOLOGY IDENTIFY THE BUSINESS FIT THEM TO USERS CREATE CONCEPTS RESEARCH ANALYZE SELECT IMPLEMENT EVALUATE IT’S LINEAR AND A SOLUTION IS ID’D EARLY
- 8. 11/13/19 8 DESIGN-DRIVEN INNOVATION Source: 101 Design Methods, Vijay Kumar DEVELOP THE TECHNOLOGY BUILD THE BUSINESS UNDERSTAND USERS CREATE CONCEPTS Source: The Process of Design Squiggle, Damien Newman IT CAN FEEL MESSY TO UNCOVER NEEDS
- 9. 11/13/19 9 PRODUCT BRAND ENVIRONMENTS SERVICES OPERATIONS A COMPETITIVE ADVANTAGE $40k $30k $20k $10k ‘04 ‘06 ‘08 ‘10 ‘12 ‘14 DESIGN MANAGEMENT INSTITUTE | http://www.dmi.org/?page=DesignDrivesValue 219% D Index S & P Index $39,427 $17,999 DVI COMPANIES: Apple Coca-cola Ford Herman Miller Ibm Intuit Newell Rubbermaid Nike P&g Starbucks Starwood Stanley Black & Decker Steelcase Target Walt Disney Whirlpool DESIGN VALUE INDEX S&P’s 500 INDEX 10 Year Return A MEASURABLE COMPETITIVE ADVANTAGE
- 10. 11/13/19 10 IT’S EVERYWHERE One tool in a 1 hour meeting An end-to-end approach to a 3 month project ANOTHER RESOURCE, NOT THE ONLY RESOURCE
- 12. 11/13/19 12 Empathize Synthesize Ideate Prototype Empathize Synthesize Ideate Prototype
- 13. 11/13/19 13 Empathize Synthesize Ideate Prototype Empathize Synthesize Ideate Prototype
- 14. 11/13/19 14 Empathize Synthesize Ideate Prototype FLARE AND FOCUS ^ Flare Uncover needs ^ Focus Reframe the problem Empathize Synthesize Ideate Prototype ^ Focus Select and refine ^ Flare Generate ideas
- 15. 11/13/19 15 ATTITUDES Be mindful of your user
- 16. 11/13/19 16 Be open + suspend judgment Bias towards action Communicate visually
- 17. 11/13/19 17 Collaborate Radically IN SUMMARY, DESIGN THINKING = HUMAN CENTERED
- 18. 11/13/19 18 IN HEALTHCARE, IT’S ABOUT BEING… PATIENT CAREGIVER AND PROVIDER CENTERED
- 19. 11/13/19 19 Source: Accenture’s Insight Driven Health – Hospitals see link between patient experience and bottom line (2016) % of patients rating hospital 9 or 10 (highest) on HCAHPS) Hospitalaverageincomestatementnetmarginpercent PATIENT SATISFACTION IS INCREASINGLY IMPORTANT Clinical Needs Informational Needs Emotional Needs SATISFACTION : PATIENTS’ NEEDS CREDIT: CHRIS WAUGH, SUTTER HEALTH 3 TYPES OF PATIENT NEEDS
- 20. 11/13/19 20 MEDICAL EDUCATION IS MORE THAN JUST UNDERSTANDING THE PATHOLOGY OF DISEASE AND THE PATH OF DIAGNOSIS… Clinical Needs Informational Needs Emotional Needs ABOUT DESIGN FOR HEALTH
- 21. 11/13/19 21 DIVERSE STUDENT BACKGROUNDS REAL WORLD PARTNERS + PROJECTS EMERGENCY DEPARTMENT EXPERIENCE MENTAL HEALTH SERVICES FOR VETERANS IN-PATIENT PSYCHIATRY EXPERIENCE COMMUNICATION IN THE OPERATING ROOM THE ANNUAL PHYSICAL EXAM ACCESS TO URGENT CARE
- 22. 11/13/19 22 10 WEEK ARC PROJECT 1 Problem Framing PROJECT 2 Problem Solutioning Weeks 1-5 Weeks 5-10 EXPERIENTIAL CLASSES (LECTURE + COACHING)
- 23. 11/13/19 23 PRESENTATIONS TO HOSPITAL LEADERS NOTABLE EDUCATIONAL TOOLS
- 24. 11/13/19 24 Empathize Synthesize Ideate Prototype Mindmapping Journey Mapping Observation Immersion Willowing 1. MINDMAPPING
- 26. 11/13/19 26 MINDMAPPING Uncovers assumptions, interpretations, and biases among students Serves as a shared reference point at the start of the journey Quickly unpacks a complex topic Visual record of initial thoughts that can be used for end-of-course reflection MINDMAPPING BENEFITS
- 27. 11/13/19 27 2. JOURNEY MAPPING FEELING THINKING DOING Prompt A: Think of your own experiences as a patient and capture… PATIENT TIME JOURNEY MAPPING
- 28. 11/13/19 28 FEELING THINKING DOING Prompt B: Reflect on your medical education and/or career… PATIENT TIME JOURNEY MAPPING JOURNEY MAPPING
- 30. 11/13/19 30 Prompt A Experiences as a Patient Gain empathy for patient POV See the end-to-end patient experience Recognize complexity of patient experience by comparing to others’ More readily remember own experiences to share with patients BENEFITS OF JOURNEY MAPPING FOR PERSONAL REFLECTION Prompt B Experiences as Medical Student/Provider Acknowledge and learn from lows Appreciate and learn from the highs 3. OBSERVATION
- 32. 11/13/19 32 OBSERVATIONAEIOU framework ACTIVITIES ENVIRONMENT INTERACTIONS USERSOBJECTS Students… Gain a different, more textured, birds-eye-view perspective See the environment from the patients’ POV rather than their provider POV OBSERVATION BENEFITS
- 33. 11/13/19 33 4. IMMERSION “People will forget what you said. People will forget what you did. But people will never forget how you made them feel.” Maya Angelou Author, Poet, Civil Rights Activist
- 34. 11/13/19 34 A. LEGO IMMERSION ACTIVITY A. LEGO IMMERSION ACTIVITY
- 35. 11/13/19 35 A. LEGO IMMERSION ACTIVITY B. EMERGENCY PATIENT ROLE PLAYING
- 36. 11/13/19 36 B. EMERGENCY PATIENT ROLE PLAYING B. EMERGENCY PATIENT ROLE PLAYING
- 37. 11/13/19 37 C. SELF TRIAGE CHALLENGE C. SELF TRIAGE CHALLENGE
- 38. 11/13/19 38 C. SELF TRIAGE CHALLENGE
- 39. 11/13/19 39 GENUINE empathy for patients Our students feel the roller coaster of emotions and wrestle with the same questions as patients. Therefore, they now care about their non-clinical needs, such as: • Anxiety heightened by wait time • Frustration from inefficient, incomplete information gathering Patient needs are ingrained in our students and live on in their work Low-risk environment (role playing, simulation, LEGOs!) makes way for honest conversations IMMERSION BENEFITS 5. WILLOWING
- 40. 11/13/19 40 Empathize Synthesize Ideate Prototype Mindmapping Journey Mapping Observation Immersion Willowing WILLOWING Credit: Laura Pickel d.school
- 41. 11/13/19 41 WILLOWING Why is this an interesting idea to our user? Credit: Laura Pickel d.school WILLOWING Credit: Laura Pickel d.school
- 42. 11/13/19 42 Simple framework to… Ground people in the user’s POV when generating ideas Visually facilitate a generative and deep conversation Note: Willowing consistently, identified as the “favorite” tool among our healthcare students WILLOWING BENEFITS THE FUTURE OF MEDICAL EDUCATION
- 43. 11/13/19 43 ORGS ARE RECOGNIZING DESIGN TOOLS AS VALUABLE FOR MED ED LARGE US ORGS ARE INVESTING HEAVILY IN MED ED INNOVATION AMA’s Accelerating Change in Medical Education $30 million USD in funding to improve physician education One component: AMA Reimagining Residency Initiative $15 million USD One grant: Teach systems-based practice using design thinking* *Proposal title: Developing Residents as Systems Citizens: The Systems-Based Practice Competency for the 21st Century Healthcare System. Hospitals represented: Pennsylvania State College of Medicine, Kaiser Permanente, Geisinger, Allegheny Health Network
- 44. 11/13/19 44 TRADITIONAL APPROACH TO CURRICULUM DESIGN NEW APPROACH TO CURRICULUM DESIGN
- 45. 11/13/19 45 Let’s be more patient-centered and learner-centered in medical education Teach medical students to be even more patient-centered We can’t assume a doctor-in-training graduating from the current medical education model will understand and empathize with the end-to-end patient experience. It’s complex and critical to teach. Teach medical students in more memorable, rich ways The teaching methods used at the d.school are sticking. Integrate them into medical education, starting with the 5 tools shared here today: Mindmapping Journey Mapping Observation Immersion Willowing 2 RECOMMENDATIONS THANK YOU ALEXEI WAGNER Physician + Medical Director alexeiw@Stanford.edu EMILIE WAGNER Instructor emilie@thinkmobius.com