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Strata RX 2013 | Designing for Dignity in Health Tech

In this Strata RX presentation, Jen van der Meer of Luminary Labs challenges health tech startups to design for a higher aim, offering 8 design principals to enhance the lives of the patients they serve.

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Strata RX 2013 | Designing for Dignity in Health Tech

  1. 1. LUMINARY LABS @JENVANDERMEER @LUMINARYLABS DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer STRATA RX - SEPTEMBER 2013
  2. 2. 2 Jen van der Meer @JENVANDERMEER
  3. 3. 3 Jen van der Meer @JENVANDERMEER
  4. 4. DOES THE TRIPLE AIM SEEM UNATTAINABLE Improve population health Improve the patient experience @JENVANDERMEER Reduce the per capita cost of health care
  5. 5. Leslie Patricelli
  6. 6. Meaningful use. Accountable care. Can we set the bar higher? The names of the following incumbent EMR/EHR providers and the names of patents and doctors are redacted to protect privacy and mediocrity.
  7. 7. HIGHER
  8. 8. HIGHER
  9. 9. HIGHER
  10. 10. THE COST OF TECHNOLOGY Thomas Murphy, MD 2001
  11. 11. So here come the startups. The internet kids. To the rescue. Full disclosure: I am one of those kids. @JENVANDERMEER
  12. 12. To change the world. And we actually think this way –as if we could hold the world in our hands. More ego-maniacal than surgeons, we are. We come, inspired. And improve human lives.
  13. 13. But we are not without fault. @JENVANDERMEER
  14. 14. We tend to design for the motivated, and the healthy.
  15. 15. We get too excited about startup traction, not excited enough about evidence-based outcome Paul Graham’s Startup Curve
  16. 16. We have a huge learning curve to figure out how to disrupt the cost curve Data: OECD Health Data 2005 and 2006. Commounwealth Fund National Scorecard on US Health Performance 2006.
  17. 17. Cost + Compliance Incumbents vs. New Entrants Lifestyle
  18. 18. LET’S SET A HIGHER BAR @JENVANDERMEER
  19. 19. @JENVANDERMEER For each solution born onto the health tech scene, we ask: Are patient’s lives enhanced by the addition of data? Do doctors become more wise? Do nurses feel more empowered? Do spouses know how to effectively intervene? Do adult children of aging parents get more time in their overly stretched days? And do these collective interactions actually result in improved population health?
  20. 20. DATA DESIGN PRINCIPLES THAT SET A HIGHER BAR FOR HEALTH AND HUMAN DIGNITY @JENVANDERMEER
  21. 21. 8 PRINCIPLES: DESIGNING DATA FOR DIGNITY Ethical Sharing Sacred Habits Deeper MotivationData Calming Eye Contact Double Loops The Herd Utility in Context Design for… @JENVANDERMEER @LUMINARYLABS
  22. 22. DESIGN FOR UTILITY, IN CONTEXT @JENVANDERMEER
  23. 23. mHealth apps are only beginning to show the benefits of contextual awareness
  24. 24. Ambient intelligence will become more anticipatory, adaptive, and transparent
  25. 25. Technology that knows to behave differently in context to where you are
  26. 26. Simulating a better future mental state
  27. 27. Ambient Commons, Malcolm McCullough “Preontological awareness is faster”
  28. 28. DESIGN FOR DATA CALMING @JENVANDERMEER
  29. 29. The problem of alarm desensitization
  30. 30. The problem of data noise
  31. 31. The problem of the quantified parent – how to become calm and engaged parent
  32. 32. The payoff when visualization delivers wisdom, not just noise
  33. 33. DESIGN FOR SACRED HABITS @JENVANDERMEER
  34. 34. The smart phone… The perfect BF Skinner box?
  35. 35. “You want minty refreshing taste now, you benefit from tooth health later.” – Dan Ariely
  36. 36. Right thing, wrong reason: quantified dog could lead to self-understanding
  37. 37. DESIGN FOR DEEPER HUMAN MOTIVATIONS @JENVANDERMEER
  38. 38. Insert gratuitous Fogg Behavioral Model chart here A Behavior Model for Persuasive Design. BJ Fogg. Stanford University 2009.
  39. 39. mHealth apps often fail the motivation test, never reaching the unhealthy
  40. 40. Deeper motivators: “It feels good to volunteer simple answer to real questions people have”
  41. 41. Will altruistic motivators be the most powerful? “Contribute to Science”
  42. 42. DESIGN FOR ETHICAL SHARING @JENVANDERMEER
  43. 43. You have the right to not be sensed From: Seven Principles for Big Data and Resilience Projects. 9/23/2013 By Kate Crawford, Patrick Meier, Claudia Perlich, Amy Luers, Gustavo Faleiros and Jer Thorp 2013 PopTech & Rockefeller Foundation Bellagio Fellows.
  44. 44. Even if the value of that data delivers a larger public good
  45. 45. Startups will not necessarily learn the difference between Informed consent and permission marketing
  46. 46. The true north: be transparent about data sharing
  47. 47. DESIGN FOR EYE CONTACT @JENVANDERMEER
  48. 48. Facilitate human contact: does this chart review increase or decrease their understanding?
  49. 49. Does this device increase engagement, understanding, and trust? Or distract?
  50. 50. Aim higher. Diminish the use of screens: wear and forget sensors
  51. 51. DESIGN FOR DOUBLE LOOP LEARNING @JENVANDERMEER
  52. 52. Single loop learning Consequences Feedback Decision Actions
  53. 53. Single loop results, where is the “why”
  54. 54. Double loop learning Consequences Feedback Decision Actions Mental Models Of Real World Decision Rules, Strategies
  55. 55. Time until death @amikahmad NYU ITP
  56. 56. Standing at work today
  57. 57. DESIGN FOR THE HERD @JENVANDERMEER
  58. 58. Social proof = Positive peer pressure
  59. 59. 60
  60. 60. Caregivers are not just a target segment, They are an interaction paradigm
  61. 61. VA Caregiver pilot distributing 1000 iPads to caregivers of veterans
  62. 62. My herd watches out for me
  63. 63. To save everything, click here: HealthDataChallenges.com @JENVANDERMEER | @LuminaryLabs | @HDChallenges
  64. 64. My herd come join us:

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