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B E T H   |   M O B I L E       H E A L T H        S Y S T E M
  JESSICA FERTIG + MELISSA ALTENHOFEN + ADRIANA GUZMAN




     ADS 714 - Designing Business Services and Consumer Experiences
                         Department of Design - University of Kansas
“SERVICE DESIGN is the application of established design process
 and skills to the development of services. It is a creative and practical
                way to improveexisting services and innovate new ones”
                                                       LIVE/WORK, 2010.



“SERVICE DESIGN helps to innovate (create new) or improve (existing)
   services to make them more useful, usable, desirable for clients and
      efficient as well as effective for organizations. It is a new holistic,
                                   multi-disciplinary, integrative field.”
                                                 STEFAN MORITZ, 2005
About    1 , 20 0 , 0 0 0 A m er i c a n s h a v e h e a r t a t t a c k s ev e r y y e a r
                                1,400,000 people cause accidental death or injury
1 . 6 m i l l i o n a cc i d e n t s p e r y ea r l e a d t o d ea ths or serious injuries
                               4 0 , 0 0 0 p e o p l e a r e k i l l e d in the U.S every year




                         B E T H      |   M O B I L E       H E A L T H        S Y S T E M
90% of
The average North American
                                  the time            5% in cars      5% outdoors
now spends approximately
                                  indoors,
                                                      3hours
                                                      per day




                        B E T H    |   M O B I L E   H E A L T H   S Y S T E M
OUR GOAL:
          Design a system to improve quality of people’s lives
by bringing mobile health and wellness solutions inside the car




                 B E T H   |   M O B I L E   H E A L T H   S Y S T E M
IN OUR JOURNEY TO DISCOVERY
                       Identify the environment, customers, and stakeholders




 Step ONE    Determine top three incapacitating health emergencies


             Asthma and allergies reactions
             Heart attack
             Epilepsy



             Research characteristic symptoms and the
 Step TWO
             requirements of each one of them

Step THREE   Build a Needs Cluster Matrix



                   B E T H    |   M O B I L E   H E A L T H     S Y S T E M
NEEDS CLUSTERS
           “ T h i s s t r a t eg y l o o k s t o c r e a t e a n i n t er s e c t i o n b et w e en c u s t o m e r r eq u i r e m e n t s (w h a t
           t h ey w a n t / n e e d ) a n d c us t o m e r b eh a v i o r a l m o d e s ( h o w t h ey g o a b o ut g et t i n g w h a t
           t h ey w a n t / n ee d ) . . . N e e d s c l u s t e r s i d e n t i f y a g a p i n t h e ma r ke t , a n o p p o r t u n i t y t o
           s e r v e c u s t o m er s i n a d i s t i n c t i v e, n ew w a y. ”



                                                                             USER REQUIREMENTS
                                                                        STOP          MONITOR                                        IMMEDIATE
                                                       OXYGEN          VEHICLE       VITAL SIGNS    MEDICATION       COMMUNICATION
                                                                                                                                     ATTENTION


                ABNORMAL VITAL SIGNS
SYMPTOMS




                SPEECH INABILITY
                IMMOBILITY
                VISUAL DISTURBANCE
                ABNORMAL FACIAL REACTIONS
                BODY DISCOMFORT
                SHALLOW BREATHING                                    4               1                               2               3

                                                                                           1               2                  3               4



                                         B E T H             |     M O B I L E                 H E A L T H                 S Y S T E M
NEEDS CLUSTERS: DEFINITION




1 . D E T E C T: T h e h e a l t h m o n i t o r i n g s y s t e m w i l l ke e p t r a c k o f
the driver wellness and if there is any vital sign change, be-
havioral or physical alterations the system will detect and
alert the driver that there might be something wrong.

2 . C O M M U N I C AT I O N B R I D G E S : B e t h ’s a b i l i t y t o c o m m u n i c a t e
w i t h t h e p a s s e n g e r a n d E M S i n c a s e o f a n e m e r g e n c y.

3 . I M M E D I AT E AT T E N T I O N : B e t h w i l l i m m e d i a t e l y t a ke o v e r
the driver steering wheel. It will stop the vehicle from moving
and it will assist the driver/patience to walk him through the
p r o c e s s o r r e c o v e r y.

4. SELF-DRIVING: In case of non immediate EMS response or
d r i v e r ’s i n a b i l i t y t o d r i v e h i m s e l f t o a n E R , B E T H w i l l a u t o-
m a t i c a l l y t a ke t h e c o n t r o l o f t h e v e h i c l e a n d d r i v e i t t o t h e
nearest hospital or center of attention.


                B E T H         |   M O B I L E            H E A L T H           S Y S T E M
53 yr old Roy is a successful public relations executive. He spends 11 hours
        a day at work and comes home home to three teenagers and his wife of 27
        yrs. Roy has been a smoker for 20+ years and lives a sedentary lifestyle.
        Roy has recently started experiencing a frequent sharp pain in his chest
        and arm. They have been suttle attacks, so he does not think seeking help
        from a doctor is necessary.

ROY

        Jen is a 28 year old, High School English Teacher and the proud mother of
        two boys, Austin and Tucker. She has Sever Asthma. She was diagnosed
        at the age of 3 when her parents found her in her bed not breathing. The
        doctors were able to confirm after extensive testing that Jen’s Asthma is
        brought on by pollen.                                                             USER
        Jen takes precaution daily by not allowing her children to have pets, get-        TYPES
        ting allergy shots, and by carrying her inhaler in her purse. However even
        though she takes precautions, during high pollen season’s she does have
 JEN    occasional Asthma Attacks.



        Annie is a 35 yr old elementary school teacher. She was diagnosed with
        epilepsy when she was 8 yrs old. TAnnie’s seizures have been inscreasinly
        getting worse.
        Annie has noticed that her body sends warning signals or “auras” just
        before having a seizure. In her case, everything starts with a flashlight on
        one of her eyes that increases until making her completely blind after
        20-25 seconds. Her aura is short in comparison to other cases, but atleast
        she has some warning. Although It has been 3 years since her last seizure,
        Annie is still always cautious about listening to her body.
ANNIE

                B E T H          |    M O B I L E             H E A L T H              S Y S T E M
PAT I E N T J O U R N E Y M A P




                      Stressed                                                                                        Happy               Engaged
                                                                     Dizzy
          Anxious                                                                          Unconscious                         Thankful
                                                Stressed

                                   Worried                 Sceptic




                            Information    Turn on                                                                             Information
Phases      Setting up                                     Drive                (crisis)       Pull over   Call 911               to the
of the                         to the      the car
Journey                    Journal (APP)                                                                                      Journal (APP)

                    ANTICIPATE                                               ENGAGE                                            REFLECT




                                             B E T H           |     M O B I L E             H E A L T H              S Y S T E M
E X P E R I E N C E P R OTOT Y P I N G + R O L E P L AY I N G




B E T H    |   M O B I L E    H E A L T H     S Y S T E M
DESIGN RESEARCH FRAMEWORK


       What                       What                               What                                What
       we saw                   we learned                         it means                            we can do

Users are conscius about   There is an important relation     Automobile should take               Connect the touchpoints
their medical conditions   between cellphones and cars        advantage of the system is           by developing a sensor
                                                              already being used to synchro        system network using
Often text and talk        Mobile applications on health      nize music and making calls          the devices the user interact
on the cellphone           are well received by most of       and use them to monitor and          in his/her everyday life
                           users when they know about         warn.                                besides the car.
They spend a lot of time   them
just driving                                                  Cars should have a built-in          Empower the user with
                           Automobile are developing          system to sense vital signs.         a programmable application
Family is concerned        new technologies but not                                                that fits her/his profile.
about them                 using a systemic approach.         Service Design approach
                                                              could benefit to establish            Rebrand the driving
Some of them monitor       Medical records are important      a system of touchpoints              experience
their health at home or    for the patients but missed        to help the users to improve
using an app.              by these technologies.             their quality of life.

Family learn warning       The constant communication         It’s vital for the users feel they
symptoms                   with the family is important       have more control in crisis
                           for the users.                     behind the wheel.

                           Users that had a bad
                           experience while driving could
                           have panic attacks in the
                           future if they drive again




                                  B E T H            |      M O B I L E              H E A L T H              S Y S T E M
She gets into the car and start her journey to her mom’s place. She is not very focused and is still thinking
about the conversation with Nick, her husband. Suddenly a light starts flashing on the screen of the car but,
she can’t see it. You can hear her breathing and she can’t help start coughing.




                               B E T H          |   M O B I L E           H E A L T H            S Y S T E M
SCENARIO & STORYBOARD


Jen is a 28 year old, High School
English Teacher and the proud
mother of two boys, Austin and
Tucker. She has Sever Asthma. She
was diagnosed at the age of 3
when her parents found her in her
bed not breathing. The doctors
were able to confirm after exten-                                                                         She is talking to her husband by the phone
                                                                                                         but she gets stressed after the conversa-
sive testing that Jen’s Asthma is                                                                        tion. After hanging up she sees an alarm in
brought on by pollen.                                                                                    her phone about her level of stress and
                                                                                                         respiration rate, but she dismiss it.
Jen takes precaution daily by not
allowing her children to have pets,
getting allergy shots, and by carry-
ing her inhaler in her purse. How-
ever even though she takes pre-
cautions,   during    high   pollen    Jen has had a long day at work and is ready to go home. Before
season’s she does have occasional      that she needs to pick up Austin. He spends the afternoons with
                                       his grandma who lives 10 miles away.
Asthma Attacks.




                                       B E T H            |    M O B I L E                 H E A L T H             S Y S T E M
Beth, the automobile health system in her car starts a passive conversation. Beth shows in the screen the vital signs of Jen and
recommend her to pull over. Even Jen is feeling bad she doesn’t agree, she thinks: Beth I am very close to my mom’s. I am ok.
She coughs more and more and her vision gets blurry and now is not only difficult to breathe but to see the road. Beth sense her
levels of anxiety increasing and takes control of the car. Jen is almost unconscious. Beth pulls over and call Jen’s mom.




                                        B E T H         |    M O B I L E          H E A L T H            S Y S T E M
Jen now is waiting for the attack to go away. After a couple of
minutes she is feeling better but not sure to start driving again,
so that’s why ask Beth to take her home.




                                          B E T H          |    M O B I L E   H E A L T H   S Y S T E M
What is BETH?

BETH is a health and wellness monitoring system to help driver
keep track of their well-being.

                                                               What BETH can do?

BETH stores past and present medical records of the drivers
and it’s most common passengers to keep track of their
“normal” state of wellness. With this stored information, BETH
is able to monitor any physical and behavioral patterns to de-
termine if there is the presence of a symptom that could cause
an attack or seizure while driving. In case of an emergency
BETH calls 911 and assists the driver and try to walk him
t h r o u g h t h e r e c o v e r y p r o c e s s w h i l e w a i t i n g f o r E M S . H o w e v e r,
i f t h e p a s s e n g e r i s u n a b l e t o r e c o v e r, B E T H d r i v e s t h e v e h i c l e
t o t h e n e a r e s t h o s p i t a l o r h e a l t h c e n t e r.


                      B E T H        |   M O B I L E          H E A L T H          S Y S T E M

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Mobile Health Monitoring Concept

  • 1. B E T H | M O B I L E H E A L T H S Y S T E M JESSICA FERTIG + MELISSA ALTENHOFEN + ADRIANA GUZMAN ADS 714 - Designing Business Services and Consumer Experiences Department of Design - University of Kansas
  • 2. “SERVICE DESIGN is the application of established design process and skills to the development of services. It is a creative and practical way to improveexisting services and innovate new ones” LIVE/WORK, 2010. “SERVICE DESIGN helps to innovate (create new) or improve (existing) services to make them more useful, usable, desirable for clients and efficient as well as effective for organizations. It is a new holistic, multi-disciplinary, integrative field.” STEFAN MORITZ, 2005
  • 3. About 1 , 20 0 , 0 0 0 A m er i c a n s h a v e h e a r t a t t a c k s ev e r y y e a r 1,400,000 people cause accidental death or injury 1 . 6 m i l l i o n a cc i d e n t s p e r y ea r l e a d t o d ea ths or serious injuries 4 0 , 0 0 0 p e o p l e a r e k i l l e d in the U.S every year B E T H | M O B I L E H E A L T H S Y S T E M
  • 4. 90% of The average North American the time 5% in cars 5% outdoors now spends approximately indoors, 3hours per day B E T H | M O B I L E H E A L T H S Y S T E M
  • 5. OUR GOAL: Design a system to improve quality of people’s lives by bringing mobile health and wellness solutions inside the car B E T H | M O B I L E H E A L T H S Y S T E M
  • 6. IN OUR JOURNEY TO DISCOVERY Identify the environment, customers, and stakeholders Step ONE Determine top three incapacitating health emergencies Asthma and allergies reactions Heart attack Epilepsy Research characteristic symptoms and the Step TWO requirements of each one of them Step THREE Build a Needs Cluster Matrix B E T H | M O B I L E H E A L T H S Y S T E M
  • 7. NEEDS CLUSTERS “ T h i s s t r a t eg y l o o k s t o c r e a t e a n i n t er s e c t i o n b et w e en c u s t o m e r r eq u i r e m e n t s (w h a t t h ey w a n t / n e e d ) a n d c us t o m e r b eh a v i o r a l m o d e s ( h o w t h ey g o a b o ut g et t i n g w h a t t h ey w a n t / n ee d ) . . . N e e d s c l u s t e r s i d e n t i f y a g a p i n t h e ma r ke t , a n o p p o r t u n i t y t o s e r v e c u s t o m er s i n a d i s t i n c t i v e, n ew w a y. ” USER REQUIREMENTS STOP MONITOR IMMEDIATE OXYGEN VEHICLE VITAL SIGNS MEDICATION COMMUNICATION ATTENTION ABNORMAL VITAL SIGNS SYMPTOMS SPEECH INABILITY IMMOBILITY VISUAL DISTURBANCE ABNORMAL FACIAL REACTIONS BODY DISCOMFORT SHALLOW BREATHING 4 1 2 3 1 2 3 4 B E T H | M O B I L E H E A L T H S Y S T E M
  • 8. NEEDS CLUSTERS: DEFINITION 1 . D E T E C T: T h e h e a l t h m o n i t o r i n g s y s t e m w i l l ke e p t r a c k o f the driver wellness and if there is any vital sign change, be- havioral or physical alterations the system will detect and alert the driver that there might be something wrong. 2 . C O M M U N I C AT I O N B R I D G E S : B e t h ’s a b i l i t y t o c o m m u n i c a t e w i t h t h e p a s s e n g e r a n d E M S i n c a s e o f a n e m e r g e n c y. 3 . I M M E D I AT E AT T E N T I O N : B e t h w i l l i m m e d i a t e l y t a ke o v e r the driver steering wheel. It will stop the vehicle from moving and it will assist the driver/patience to walk him through the p r o c e s s o r r e c o v e r y. 4. SELF-DRIVING: In case of non immediate EMS response or d r i v e r ’s i n a b i l i t y t o d r i v e h i m s e l f t o a n E R , B E T H w i l l a u t o- m a t i c a l l y t a ke t h e c o n t r o l o f t h e v e h i c l e a n d d r i v e i t t o t h e nearest hospital or center of attention. B E T H | M O B I L E H E A L T H S Y S T E M
  • 9. 53 yr old Roy is a successful public relations executive. He spends 11 hours a day at work and comes home home to three teenagers and his wife of 27 yrs. Roy has been a smoker for 20+ years and lives a sedentary lifestyle. Roy has recently started experiencing a frequent sharp pain in his chest and arm. They have been suttle attacks, so he does not think seeking help from a doctor is necessary. ROY Jen is a 28 year old, High School English Teacher and the proud mother of two boys, Austin and Tucker. She has Sever Asthma. She was diagnosed at the age of 3 when her parents found her in her bed not breathing. The doctors were able to confirm after extensive testing that Jen’s Asthma is brought on by pollen. USER Jen takes precaution daily by not allowing her children to have pets, get- TYPES ting allergy shots, and by carrying her inhaler in her purse. However even though she takes precautions, during high pollen season’s she does have JEN occasional Asthma Attacks. Annie is a 35 yr old elementary school teacher. She was diagnosed with epilepsy when she was 8 yrs old. TAnnie’s seizures have been inscreasinly getting worse. Annie has noticed that her body sends warning signals or “auras” just before having a seizure. In her case, everything starts with a flashlight on one of her eyes that increases until making her completely blind after 20-25 seconds. Her aura is short in comparison to other cases, but atleast she has some warning. Although It has been 3 years since her last seizure, Annie is still always cautious about listening to her body. ANNIE B E T H | M O B I L E H E A L T H S Y S T E M
  • 10. PAT I E N T J O U R N E Y M A P Stressed Happy Engaged Dizzy Anxious Unconscious Thankful Stressed Worried Sceptic Information Turn on Information Phases Setting up Drive (crisis) Pull over Call 911 to the of the to the the car Journey Journal (APP) Journal (APP) ANTICIPATE ENGAGE REFLECT B E T H | M O B I L E H E A L T H S Y S T E M
  • 11. E X P E R I E N C E P R OTOT Y P I N G + R O L E P L AY I N G B E T H | M O B I L E H E A L T H S Y S T E M
  • 12. DESIGN RESEARCH FRAMEWORK What What What What we saw we learned it means we can do Users are conscius about There is an important relation Automobile should take Connect the touchpoints their medical conditions between cellphones and cars advantage of the system is by developing a sensor already being used to synchro system network using Often text and talk Mobile applications on health nize music and making calls the devices the user interact on the cellphone are well received by most of and use them to monitor and in his/her everyday life users when they know about warn. besides the car. They spend a lot of time them just driving Cars should have a built-in Empower the user with Automobile are developing system to sense vital signs. a programmable application Family is concerned new technologies but not that fits her/his profile. about them using a systemic approach. Service Design approach could benefit to establish Rebrand the driving Some of them monitor Medical records are important a system of touchpoints experience their health at home or for the patients but missed to help the users to improve using an app. by these technologies. their quality of life. Family learn warning The constant communication It’s vital for the users feel they symptoms with the family is important have more control in crisis for the users. behind the wheel. Users that had a bad experience while driving could have panic attacks in the future if they drive again B E T H | M O B I L E H E A L T H S Y S T E M
  • 13. She gets into the car and start her journey to her mom’s place. She is not very focused and is still thinking about the conversation with Nick, her husband. Suddenly a light starts flashing on the screen of the car but, she can’t see it. You can hear her breathing and she can’t help start coughing. B E T H | M O B I L E H E A L T H S Y S T E M
  • 14. SCENARIO & STORYBOARD Jen is a 28 year old, High School English Teacher and the proud mother of two boys, Austin and Tucker. She has Sever Asthma. She was diagnosed at the age of 3 when her parents found her in her bed not breathing. The doctors were able to confirm after exten- She is talking to her husband by the phone but she gets stressed after the conversa- sive testing that Jen’s Asthma is tion. After hanging up she sees an alarm in brought on by pollen. her phone about her level of stress and respiration rate, but she dismiss it. Jen takes precaution daily by not allowing her children to have pets, getting allergy shots, and by carry- ing her inhaler in her purse. How- ever even though she takes pre- cautions, during high pollen Jen has had a long day at work and is ready to go home. Before season’s she does have occasional that she needs to pick up Austin. He spends the afternoons with his grandma who lives 10 miles away. Asthma Attacks. B E T H | M O B I L E H E A L T H S Y S T E M
  • 15. Beth, the automobile health system in her car starts a passive conversation. Beth shows in the screen the vital signs of Jen and recommend her to pull over. Even Jen is feeling bad she doesn’t agree, she thinks: Beth I am very close to my mom’s. I am ok. She coughs more and more and her vision gets blurry and now is not only difficult to breathe but to see the road. Beth sense her levels of anxiety increasing and takes control of the car. Jen is almost unconscious. Beth pulls over and call Jen’s mom. B E T H | M O B I L E H E A L T H S Y S T E M
  • 16. Jen now is waiting for the attack to go away. After a couple of minutes she is feeling better but not sure to start driving again, so that’s why ask Beth to take her home. B E T H | M O B I L E H E A L T H S Y S T E M
  • 17. What is BETH? BETH is a health and wellness monitoring system to help driver keep track of their well-being. What BETH can do? BETH stores past and present medical records of the drivers and it’s most common passengers to keep track of their “normal” state of wellness. With this stored information, BETH is able to monitor any physical and behavioral patterns to de- termine if there is the presence of a symptom that could cause an attack or seizure while driving. In case of an emergency BETH calls 911 and assists the driver and try to walk him t h r o u g h t h e r e c o v e r y p r o c e s s w h i l e w a i t i n g f o r E M S . H o w e v e r, i f t h e p a s s e n g e r i s u n a b l e t o r e c o v e r, B E T H d r i v e s t h e v e h i c l e t o t h e n e a r e s t h o s p i t a l o r h e a l t h c e n t e r. B E T H | M O B I L E H E A L T H S Y S T E M