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YOU ARE A
HEALTH CARE
DESIGNER
Fast Forward Medical Innovation
Design Bootcamp
JAMA Pediatrics
Unitio
Lenovo
DISCLOSURES
JOYCE LEE, MD, MPH
www.doctorasdesigner.com
Twitter: @joyclee
NANCY BENOVICH GILBY
Professor of Entrepreneurship,
UM Schoo...
JOYCE LEE, MD, MPH
NANCY BENOVICH GILBY
MARK NEWMAN
CO+LAB OBJECTIVES
1 To develop digital health prototypes using participatory
design, including mobile context-aware applic...
AGENDA
Introduction to Design
Understand the 5 basic steps of Design
Thinking
Apply design thinking to create a prototype ...
WHAT IS DESIGN?
“Purpose, planning, or intention that
exists or is thought to exist behind an
action, fact, or material ob...
“Can I park here?”
“For how long?”
Nikki Sylianteng @toparkornottopark
Nikki Sylianteng @toparkornottopark
WHO IS A DESIGNER?
“Folk in black turtlenecks and
designer glasses working on small
things like the Apple Watch”
-Tim Brown
Clinician, QI Director, Researcher
YOU ARE A DESIGNER
DESIGN IS A MINDSET
“Learning to design is learning to see”
-Oliver Reichenstein
The needle is
opposite to the
cap
Design Flaw #1
>15,000
Unintentional injections
from Epi-Pens in the US
between 1994-2007
0
500
1000
1500
2000
2500
3000
< 6
6-1218-64
Total
13-17
>64
Unintentional Injections with
Epinephrine auto-injectors
Simo...
Greenberg, 2010
“Despite instructions rendered on the
package insert, a large number of health
care professionals includin...
Design Flaw #2
Life or death is
stressful! Don’t
make me think!
Design Flaw #3
It’s an awkward
size, & doesn’t fit
in your pockets
Blackberry iPhone
The cap &
needle are at the
same end
Redesign #1
It’s like Siri
and talks to you!
Redesign #2
It’s thinner and
shorter!
Redesign #3
It reminds me
when to refill
The Paternalism of Medicine
“patients frequently do not understand
how and when to use [the epi-pen].”
Sicherer, 2011
Blaming the Patient
“patients frequently do not understand
how and when to use [the epi-pen].”
Sicherer, 2011
The needle is
opposite to the
ca...
“Children had only used their EpiPen device in
29% of recurrent anaphylaxis reactions. This
is perhaps unsurprising becaus...
“Children had only used their EpiPen device in
29% of recurrent anaphylaxis reactions. This
is perhaps unsurprising becaus...
“patients often forget [the device],
allow it to expire”
Sicherer, 2011
Blaming the Patient
“patients often forget [the device],
allow it to expire”
Sicherer, 2011
It’s an awkward
size, & doesn’t fit
in your pocket...
Patient problems are really
healthcare system design
problems
Fix the Design and It’s No Longer
the Patient’s Problem
Let Patients Design and they will
Fix the Problem!
75%
of children fail achieve recommended
blood sugar goals in Type 1 Diabetes
75%
of health care providers/systems fail to
help children achieve recommended
blood sugar goals in Type 1 Diabetes
Healthcare: “Fax us your numbers!”
Kid: “Mom, what’s a fax? Is it
compatible with Snapchat?”
Some people wonder why almost
no one uploads their pump data…
I think I know why: because
getting it to work can be like
C...
DESIGN IS A PROCESS
It’s a form of Problem Solving
HUMAN-CENTERED DESIGN
“An approach that puts human (end-
user) needs, capabilities, and behavior
first, then designs to ac...
THE END-USER IN
HEALTHCARE
It’s patients and caregivers, NOT doctors
or nurses, clinic managers, insurers,
administrators,...
EMPATHY
Understand a problem
before solving it
DEFINE
A patient-defined problem
IDEATE
Collaborative, creative brainstorming
PROTOTYPE
Sketch, draw, glue, code
www.diabetesemoticons.com
WHYAPPLYDESIGN TO
HEALTHCARE?
Billion dollar valuations
42 design firms have been acquired since 2004
50% have been acquired within the last year
with A...
72
Empathy
Define the Problem
Ideate
Share & Capture Feedback
Prototype
Test
How might we design the ideal clinic visit
experience?
How might we design a tool or experience to
support for health, wel...
Understand the problem before trying to
solve it.
EMPATHY
Interview your client about their experiences
with healthcare, wellness, and disease
management.
Ask open-ended questions:...
Address the client’s specific problems and
needs.
DEFINE
Define the problem.
Capture your findings and take a stand on how
to address your client’s needs.
I was surprised to learn...
Sketch solutions for your client’s needs.
IDEATE
Generate ideas to test.
Sketch out solutions to your partner’s needs.
Be messy, be creative, get to a good idea.
8 min ind...
What does your client think of your
solutions?
SHARE
Share your solutions and gather feedback.
This feedback will shape your next iteration.
Understand your clients’ concerns ...
Sketch your best idea. Remember your
client’s feedback!
PROTOTYPE
Prototype your solution.
Reflect on your partner’s feedback and sketch
your best ideas.
How can you best serve the client’...
What could be improved?
TEST
Test your new prototype.
Share your prototype with your partner and get
feedback on the outcome of your design
process.
Wh...
What did you come up with?
REPORT OUT
Health Care Designers!
THANK YOU
www.healthdesignby.us
www.doctorasdesigner.com
Dr. Joyce Lee
@joyclee
joyclee@med.umich.e...
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
You are a Healthcare Designer
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Design Workshop for Fast Forward Medical Innovation 2017

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You are a Healthcare Designer

  1. 1. YOU ARE A HEALTH CARE DESIGNER Fast Forward Medical Innovation Design Bootcamp
  2. 2. JAMA Pediatrics Unitio Lenovo DISCLOSURES
  3. 3. JOYCE LEE, MD, MPH www.doctorasdesigner.com Twitter: @joyclee NANCY BENOVICH GILBY Professor of Entrepreneurship, UM School of Information
  4. 4. JOYCE LEE, MD, MPH NANCY BENOVICH GILBY MARK NEWMAN
  5. 5. CO+LAB OBJECTIVES 1 To develop digital health prototypes using participatory design, including mobile context-aware applications, and artificial and virtual reality technologies To offer interdisciplinary learning experiences for students, including interaction with patients and caregivers and technology skills development To conduct design research to gain insights related to working with technology within the context of health. 2 3
  6. 6. AGENDA Introduction to Design Understand the 5 basic steps of Design Thinking Apply design thinking to create a prototype for health Reflect on the creations of the entire group and the process
  7. 7. WHAT IS DESIGN? “Purpose, planning, or intention that exists or is thought to exist behind an action, fact, or material object.”
  8. 8. “Can I park here?” “For how long?” Nikki Sylianteng @toparkornottopark
  9. 9. Nikki Sylianteng @toparkornottopark
  10. 10. WHO IS A DESIGNER?
  11. 11. “Folk in black turtlenecks and designer glasses working on small things like the Apple Watch” -Tim Brown
  12. 12. Clinician, QI Director, Researcher
  13. 13. YOU ARE A DESIGNER
  14. 14. DESIGN IS A MINDSET “Learning to design is learning to see” -Oliver Reichenstein
  15. 15. The needle is opposite to the cap Design Flaw #1
  16. 16. >15,000 Unintentional injections from Epi-Pens in the US between 1994-2007
  17. 17. 0 500 1000 1500 2000 2500 3000 < 6 6-1218-64 Total 13-17 >64 Unintentional Injections with Epinephrine auto-injectors Simons, 2010
  18. 18. Greenberg, 2010 “Despite instructions rendered on the package insert, a large number of health care professionals including nurses, paramedics, and physicians inadvertently self-inject while attempting to administer the EpiPen to patients. One recent report chronicles a 6-year experience at a single US poison center that fielded 365 epinephrine injections to the hand.”
  19. 19. Design Flaw #2 Life or death is stressful! Don’t make me think!
  20. 20. Design Flaw #3 It’s an awkward size, & doesn’t fit in your pockets
  21. 21. Blackberry iPhone
  22. 22. The cap & needle are at the same end Redesign #1
  23. 23. It’s like Siri and talks to you! Redesign #2
  24. 24. It’s thinner and shorter! Redesign #3
  25. 25. It reminds me when to refill
  26. 26. The Paternalism of Medicine
  27. 27. “patients frequently do not understand how and when to use [the epi-pen].” Sicherer, 2011 Blaming the Patient
  28. 28. “patients frequently do not understand how and when to use [the epi-pen].” Sicherer, 2011 The needle is opposite to the cap Patient Problem or Design Problem?
  29. 29. “Children had only used their EpiPen device in 29% of recurrent anaphylaxis reactions. This is perhaps unsurprising because a fear of needles/injections is common” Sicherer, 2011 Blaming the Patient
  30. 30. “Children had only used their EpiPen device in 29% of recurrent anaphylaxis reactions. This is perhaps unsurprising because a fear of needles/injections is common” Sicherer, 2011 Life or death is stressful! Don’t make me think! Patient Problem or Design Problem?
  31. 31. “patients often forget [the device], allow it to expire” Sicherer, 2011 Blaming the Patient
  32. 32. “patients often forget [the device], allow it to expire” Sicherer, 2011 It’s an awkward size, & doesn’t fit in your pockets Patient Problem or Design Problem?
  33. 33. Patient problems are really healthcare system design problems
  34. 34. Fix the Design and It’s No Longer the Patient’s Problem
  35. 35. Let Patients Design and they will Fix the Problem!
  36. 36. 75% of children fail achieve recommended blood sugar goals in Type 1 Diabetes
  37. 37. 75% of health care providers/systems fail to help children achieve recommended blood sugar goals in Type 1 Diabetes
  38. 38. Healthcare: “Fax us your numbers!” Kid: “Mom, what’s a fax? Is it compatible with Snapchat?”
  39. 39. Some people wonder why almost no one uploads their pump data… I think I know why: because getting it to work can be like CRAWLING. THROUGH. BROKEN. GLASS. @HowardLook
  40. 40. DESIGN IS A PROCESS It’s a form of Problem Solving
  41. 41. HUMAN-CENTERED DESIGN “An approach that puts human (end- user) needs, capabilities, and behavior first, then designs to accommodate those needs, capabilities, and ways of behaving”
  42. 42. THE END-USER IN HEALTHCARE It’s patients and caregivers, NOT doctors or nurses, clinic managers, insurers, administrators, or even specialty organizations.
  43. 43. EMPATHY Understand a problem before solving it
  44. 44. DEFINE A patient-defined problem
  45. 45. IDEATE Collaborative, creative brainstorming
  46. 46. PROTOTYPE Sketch, draw, glue, code
  47. 47. www.diabetesemoticons.com
  48. 48. WHYAPPLYDESIGN TO HEALTHCARE?
  49. 49. Billion dollar valuations 42 design firms have been acquired since 2004 50% have been acquired within the last year with Accenture, Deloitte, IBM, Google, Facebook as the most acquisitive
  50. 50. 72
  51. 51. Empathy Define the Problem Ideate Share & Capture Feedback Prototype Test
  52. 52. How might we design the ideal clinic visit experience? How might we design a tool or experience to support for health, wellness, and disease ? How might we design tailored healthcare to our patients individual/specific needs?
  53. 53. Understand the problem before trying to solve it. EMPATHY
  54. 54. Interview your client about their experiences with healthcare, wellness, and disease management. Ask open-ended questions: Who? What? When? Where? Why? How? 5 min per person
  55. 55. Address the client’s specific problems and needs. DEFINE
  56. 56. Define the problem. Capture your findings and take a stand on how to address your client’s needs. I was surprised to learn… The client needs a way to… 4 min individually
  57. 57. Sketch solutions for your client’s needs. IDEATE
  58. 58. Generate ideas to test. Sketch out solutions to your partner’s needs. Be messy, be creative, get to a good idea. 8 min individually
  59. 59. What does your client think of your solutions? SHARE
  60. 60. Share your solutions and gather feedback. This feedback will shape your next iteration. Understand your clients’ concerns and keep their feedback in mind. 5 min per person
  61. 61. Sketch your best idea. Remember your client’s feedback! PROTOTYPE
  62. 62. Prototype your solution. Reflect on your partner’s feedback and sketch your best ideas. How can you best serve the client’s needs? 8 min individually
  63. 63. What could be improved? TEST
  64. 64. Test your new prototype. Share your prototype with your partner and get feedback on the outcome of your design process. What worked? What could be improved? 5 min per person
  65. 65. What did you come up with? REPORT OUT
  66. 66. Health Care Designers! THANK YOU www.healthdesignby.us www.doctorasdesigner.com Dr. Joyce Lee @joyclee joyclee@med.umich.edu Nancy Benovich Gilby nabgilby@umich.edu

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