We are here at the microsystem festival but
some people had to stay home
• https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html
#/bda7594740fd40299423467b48e9ecf6
• https://storymaps.arcgis.com/stories/4fdc0d03d3a34aa485de1fb0d2
650ee0
Qulturum makes a difference – Chairman of Health
and Care in the region, Rachel De Basson
• “…she says that Qulturum is unique in the
country, from where many of the regions
improvement efforts with health and care
are developed. Qulturum follows the
national and international development
and transform that to our systems
intelligence. New knowledge are spread
and scaled up in the regions processes
with support of the employees at
Qulturum”.
Stop Phubbing - No Co me passion it
• Phubbing is a term to
describe the habit of
snubbing someone in
favour of a mobile
phone
• https://www.youtube.co
m/watch?v=objanxLjgnA
Or is it tomorrow’s Co-me passion IT?
• Phubbing is a term to
describe the habit of
finding resources for
Compassion
Thinkers 50
“Seeks out and blends new ideas on change with a deep understanding of implementing change in complex
systems”.
“An exceptional courage and fighting spirit”
Helen Bevan
NHS, UK
Marjorie Godfrey
Dartmouth Institute, USA
Speaker of the year
Best team ever”A roster never seen”
• Over the past 10 years, more and more evidence is
gathering how the ability to create value-creating
relationships in service enables better outcomes in
complex situations.
• We increasingly understand the importance of
individualisation and person-designed situations.
• Organisations that develop social networks with their
partners and surrounding context seem to feel much
better
.
A soil for the compassionate
A lot of things have happened since last year:
2020-02-26
• Residents’ trust in the health and care services
• Access to healthcare you need
• Access by telephone in primary care
• 4th lowest cost/inhabitant (25 571, average nearly 50 000)
• Overbedded and care on other units
• Medical assessment within three days
• Investigations and treatments started within 30 days in child
psychiatry
• Proportion of elderly (over 75) patients introduced to
physical activity
• Proportion of elderly (over 75) using antipsychotic drugs
51 indicators – Region Jönköping at the top (2nd)
• Västerviks sjukhus
• Värnamo sjukhus
• Hallands sjukhus Varberg
• Länssjukhuset Ryhov
• Gällivare sjukhus
• Höglandssjukhuset Eksjö
• Hallands sjukhus Halmstad
• Danderyds sjukhus
• Gävle sjukhus
• Blekingesjukhuset Karlskrona
• Södersjukhuset
• Hudiksvalls sjukhus
Best” hospitals 2019
This has been the best year ever;
for humanity overall, life just keeps getting better, The New York Times, Nicholas
Kristof
Improve the possibility for resilience
Agneta
Best to become better, work
smarter and to find better answers
If you want to go fast, go alone, if
you want to go far, go together
African proverb
I always lived to seize the moment
and to squeeze every drop of
expectation out of myself for whatever
that moment gives you
Greg Norman
Ref:
Sandro Boticceli
The House of CoMePassionIT
A global learning place
2020-02-26
(ange enhet via Infoga sidfot)
• Everybody can be
their best self
• A place that
strengthens the
capacity of resilience
• We support how to
learn to learn and
learn to relearn
Earth Fire Water
20th year of Co Me Passion and ImprovemenT
2020-02-26 (ange enhet via Infoga sidfot)
https://pictorgallery.blog/2018/07/25/hip-
hip-hurra-for-danmarks-alla-konstmuseer/
Erik Bröndum
Michael Ancher
Anna Ancher
Premier speaker– Professor in rehabilitation engineering
Ten thoughts about time
We learn as we live
Every day counts
As the horizon moves
With time on your side
Friendship
Love Collaboration
ArtRelationship Partnership
Kindness is doing small acts for others
without expecting anything in return.
Anders och Sofia
Maureen Bisognano’s three key points for building a culture
of ”What matters to you?’’
2020-02-26 (ange enhet via Infoga sidfot)
I am treated with respect and dignity by everyone I encounter,
every day.
I am given the tools and knowledge to do my work so that it adds
meaning to my life.
Someone notices.
“
“
“
Compassion
When we have peoples
life in focus and work
with humanity in our
services
From providing care–
to supporting people to
take care of themselves
based on each person’s
abilities
Compassion can help us to build trust if we:
• Recreate the health that is lost based on the design of care
• Support motivation, promote patient self-efficacy and make
chronic diseasses a manageable experience for each
individual patient
• Shorten the time from worry about illness to improved
quality of life
• Make it possible to improve the inclusion of patients in
healthcare
• Get different actors to work together in the care processes
https://patientmakt.wordpress.com/category/filosofi/
Inspired by Ulrika Sandén
Trust is
• similar to how design thinking can reshape the conditions for
improved quality of care
• about leaving the fragmented New Public Management behind in
favor of New Public Governance
• about an innovative public ethos, humanistic leadership, new forms
of service logic where public services are collaborated with users.
https://patientmakt.w
ordpress.com/categor
y/filosofi/
Ulrika Sandén
To be CoMe Passionate to be compassionate and how
can the digitalisation(IT) beCoMe an opportunity?
We are in a battle of future mindset
– to be relevant!
2020-02-26 (ange enhet via Infoga sidfot)
Only dead fish swim
with the stream
Why certain
experiences have
extraordinary impact
Erik Johansson: The
reality I am
portraying exists but
on a different scale
New world - third revolution
2020-02-26 (ange enhet via Infoga sidfot)
• Where the delivery of service happens
• Aging and the increasing burden of chronic
disease
• Rapid expansion of technology
• Research output at unprecedented levels and
speed
• Increasing patient expectations for engagement
• Challenges to dramatically improve safety and
flow
• Designing a learning system to decrease variation
Axial shift in health and care
Transforming our actions to magnify societal impact
weme
eGo
eCo
Curative
Preventive
Health
Acknowledgement: Otto Scharmer
Non-infectious diseases
Social innovations
We will get better results by optimising
three things at the same time:
Connecting through networksGreat care processes without
variation
Interprofessional
collaboration and
interdependency
”The fear is that people still do not
know what is going on!” …Greta in Madrid
2020-02-26 Barn- och ungdomsmedicinska kliniken
A person or leader who finds gaps and
reminds us of gaps changes the game
The United Nations
decided from April
2019 to test to turn
all maps upside
down to
compensate the
discrimination…….
https://online.seterra.com/sv/p/fn-
vander-kartan
Non-contagious
disease
• Patterns
• Processes
• Functions
• Systems
• Structures
• Regulations
• Laws
• Values
• Understanding
of the world
• Cancer
• Cardiovascular
• Mental illness
• Dementia
• Diabetes
• Obesity
• Excluded
• Inactivity
• Sedentary
• Loneliness
• Stress
• Smoking
• Alcohol
• Emissions
• Challenge
• Welfare
Consumption of
health
interventions
• Security
• Safety
• Unemployment
• Affiliation
• Knowledge
• Understanding
• Fossil fuels
• Economic
• Convenience
• Education
• Food
• Industry
Focus on
wholeness:
health and care
• Self responsibility
What level
should we
intervene
at?
Genomics, Psychographics, Big Data, and Algorithmocracy
Inspiration
Zayna Khayat
Health innovator
Saint Elisabeth Health Care
Canada
We need to create a different future:
but how do we get there?
Shifting our mindset from technical to social
innovation
• We cannot start the innovation process by designing a solution
• If we start from a place of compassion, we can increase inclusion
and well-being in health and education and other welfare –related
areas
• If we bring in solutions too early, we will lose people:
• They cannot relate to the concept, the journey and to each other
• Other people’s contexts, other people’s solutions
• The “IKEA effect”: people own what they help to create
Ref: Social innovation - nya lösningar för inkludering, Malin
Lindberg, Luleå University of Technology
People own
what they
help to create
Qulturum builds on its history of social
innovation
Taste of water
When every breath is life
then life becomes long.
Faith and hope is crucial
http://runningahospital.blogspot.co
m/2011/08/self-dialysis-in-
sweden.html
Esther family and
relatives - a world
movement!
https://nhshorizons.passle.net/post/102f6ki/learnin
g-from-the-jonkoping-health-system-in-sweden
The self-dialysis unit
The tradition of social innovation continues
180906
The Health
Cafe
Social innovation requires partnership
http://www.mynewsdesk.c
om/se/siq/images/miden-
melle-hannah-multi4-
1875832
The Center for Coproduction : To
conduct research, education,
innovation and utilization of
knowledge in partnerships and
networks with together with the
stakeholders of Jönköping
Academy
https://center.hj.se/jonkoping-
academy/en.html
A person or leader who finds gaps and
reminds us of gaps changes the game
Bladder cancer: social innovation and compassion
A person or leader who finds gaps and reminds
us of gaps changes the game
The greatest
social innovation
challenge:
moving our focus
UPSTREAM
What is moving upstream?
Moving upstream means looking systematically beyond specific
episodes of ill health, thinking about health and its root causes, as well
as actions that might productively address such causes, much earlier in
the process of service to the people. It is about refocussing on
prevention and creating the conditions that make it easier for people to
build agency in their lives and for their health.
Using technical innovation, rather than social
innovation, we have started this process
1. Spread and scale up other people’s ideas and innovations
2. Combine disciplined improvement science and pragmatic
improvement practice within the same improvement journey
3. Utilise complexity principles when we are changing complex
systems
4. Underpin all our innovation and improvement work with an
appreciation of social and behavioural methods for change
BMJ 2019;365:l2068 doi: 10.1136/bmj.l2068 (Published 10 May 2019),
Trisha Greenhalgh professor, Chrysanthi Papoutsi postdoctoral researcher
Four things we must be able to do as improvers
Patrik Blomqvist,
Maria Johansson,
Marcus Lidin,
Qulturum
The four principles in action: Esther SimLab
• Talk with us - we are in the same
situation
• Share your ideas
• Be a coach or become a coach
To be compassionate
Never be alone
Support with reflections and question
around your disease
Reference:kerstin.ramfelt@rjl.se
The four principles in action:
Young Pioneers
Young Pioneers
are phubbing!
We are phubbing at the
Microsystem festival!
2020-02-26
Festival Pioneers acts into COMEPASSIONIT!
Social innovation has no boundaries
• Avslutande film

COMEPASSIONIT

  • 2.
    We are hereat the microsystem festival but some people had to stay home • https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html #/bda7594740fd40299423467b48e9ecf6 • https://storymaps.arcgis.com/stories/4fdc0d03d3a34aa485de1fb0d2 650ee0
  • 3.
    Qulturum makes adifference – Chairman of Health and Care in the region, Rachel De Basson • “…she says that Qulturum is unique in the country, from where many of the regions improvement efforts with health and care are developed. Qulturum follows the national and international development and transform that to our systems intelligence. New knowledge are spread and scaled up in the regions processes with support of the employees at Qulturum”.
  • 4.
    Stop Phubbing -No Co me passion it • Phubbing is a term to describe the habit of snubbing someone in favour of a mobile phone • https://www.youtube.co m/watch?v=objanxLjgnA
  • 5.
    Or is ittomorrow’s Co-me passion IT? • Phubbing is a term to describe the habit of finding resources for Compassion
  • 6.
    Thinkers 50 “Seeks outand blends new ideas on change with a deep understanding of implementing change in complex systems”. “An exceptional courage and fighting spirit” Helen Bevan NHS, UK Marjorie Godfrey Dartmouth Institute, USA Speaker of the year
  • 7.
    Best team ever”Aroster never seen”
  • 8.
    • Over thepast 10 years, more and more evidence is gathering how the ability to create value-creating relationships in service enables better outcomes in complex situations. • We increasingly understand the importance of individualisation and person-designed situations. • Organisations that develop social networks with their partners and surrounding context seem to feel much better . A soil for the compassionate
  • 9.
    A lot ofthings have happened since last year: 2020-02-26
  • 10.
    • Residents’ trustin the health and care services • Access to healthcare you need • Access by telephone in primary care • 4th lowest cost/inhabitant (25 571, average nearly 50 000) • Overbedded and care on other units • Medical assessment within three days • Investigations and treatments started within 30 days in child psychiatry • Proportion of elderly (over 75) patients introduced to physical activity • Proportion of elderly (over 75) using antipsychotic drugs 51 indicators – Region Jönköping at the top (2nd) • Västerviks sjukhus • Värnamo sjukhus • Hallands sjukhus Varberg • Länssjukhuset Ryhov • Gällivare sjukhus • Höglandssjukhuset Eksjö • Hallands sjukhus Halmstad • Danderyds sjukhus • Gävle sjukhus • Blekingesjukhuset Karlskrona • Södersjukhuset • Hudiksvalls sjukhus Best” hospitals 2019
  • 11.
    This has beenthe best year ever; for humanity overall, life just keeps getting better, The New York Times, Nicholas Kristof Improve the possibility for resilience
  • 12.
    Agneta Best to becomebetter, work smarter and to find better answers If you want to go fast, go alone, if you want to go far, go together African proverb I always lived to seize the moment and to squeeze every drop of expectation out of myself for whatever that moment gives you Greg Norman
  • 13.
  • 14.
    A global learningplace 2020-02-26 (ange enhet via Infoga sidfot) • Everybody can be their best self • A place that strengthens the capacity of resilience • We support how to learn to learn and learn to relearn Earth Fire Water
  • 15.
    20th year ofCo Me Passion and ImprovemenT 2020-02-26 (ange enhet via Infoga sidfot) https://pictorgallery.blog/2018/07/25/hip- hip-hurra-for-danmarks-alla-konstmuseer/ Erik Bröndum Michael Ancher Anna Ancher
  • 16.
    Premier speaker– Professorin rehabilitation engineering Ten thoughts about time We learn as we live Every day counts As the horizon moves With time on your side
  • 17.
  • 18.
    Kindness is doingsmall acts for others without expecting anything in return.
  • 19.
  • 20.
    Maureen Bisognano’s threekey points for building a culture of ”What matters to you?’’ 2020-02-26 (ange enhet via Infoga sidfot) I am treated with respect and dignity by everyone I encounter, every day. I am given the tools and knowledge to do my work so that it adds meaning to my life. Someone notices. “ “ “
  • 21.
    Compassion When we havepeoples life in focus and work with humanity in our services
  • 22.
    From providing care– tosupporting people to take care of themselves based on each person’s abilities
  • 23.
    Compassion can helpus to build trust if we: • Recreate the health that is lost based on the design of care • Support motivation, promote patient self-efficacy and make chronic diseasses a manageable experience for each individual patient • Shorten the time from worry about illness to improved quality of life • Make it possible to improve the inclusion of patients in healthcare • Get different actors to work together in the care processes https://patientmakt.wordpress.com/category/filosofi/ Inspired by Ulrika Sandén
  • 24.
    Trust is • similarto how design thinking can reshape the conditions for improved quality of care • about leaving the fragmented New Public Management behind in favor of New Public Governance • about an innovative public ethos, humanistic leadership, new forms of service logic where public services are collaborated with users. https://patientmakt.w ordpress.com/categor y/filosofi/ Ulrika Sandén
  • 25.
    To be CoMePassionate to be compassionate and how can the digitalisation(IT) beCoMe an opportunity?
  • 26.
    We are ina battle of future mindset – to be relevant! 2020-02-26 (ange enhet via Infoga sidfot) Only dead fish swim with the stream Why certain experiences have extraordinary impact Erik Johansson: The reality I am portraying exists but on a different scale
  • 27.
    New world -third revolution 2020-02-26 (ange enhet via Infoga sidfot) • Where the delivery of service happens • Aging and the increasing burden of chronic disease • Rapid expansion of technology • Research output at unprecedented levels and speed • Increasing patient expectations for engagement • Challenges to dramatically improve safety and flow • Designing a learning system to decrease variation
  • 28.
    Axial shift inhealth and care Transforming our actions to magnify societal impact weme eGo eCo Curative Preventive Health Acknowledgement: Otto Scharmer Non-infectious diseases Social innovations
  • 29.
    We will getbetter results by optimising three things at the same time: Connecting through networksGreat care processes without variation Interprofessional collaboration and interdependency
  • 30.
    ”The fear isthat people still do not know what is going on!” …Greta in Madrid 2020-02-26 Barn- och ungdomsmedicinska kliniken A person or leader who finds gaps and reminds us of gaps changes the game
  • 31.
    The United Nations decidedfrom April 2019 to test to turn all maps upside down to compensate the discrimination……. https://online.seterra.com/sv/p/fn- vander-kartan
  • 32.
    Non-contagious disease • Patterns • Processes •Functions • Systems • Structures • Regulations • Laws • Values • Understanding of the world • Cancer • Cardiovascular • Mental illness • Dementia • Diabetes • Obesity • Excluded • Inactivity • Sedentary • Loneliness • Stress • Smoking • Alcohol • Emissions • Challenge • Welfare Consumption of health interventions • Security • Safety • Unemployment • Affiliation • Knowledge • Understanding • Fossil fuels • Economic • Convenience • Education • Food • Industry Focus on wholeness: health and care • Self responsibility What level should we intervene at?
  • 33.
    Genomics, Psychographics, BigData, and Algorithmocracy Inspiration Zayna Khayat Health innovator Saint Elisabeth Health Care Canada We need to create a different future: but how do we get there?
  • 34.
    Shifting our mindsetfrom technical to social innovation • We cannot start the innovation process by designing a solution • If we start from a place of compassion, we can increase inclusion and well-being in health and education and other welfare –related areas • If we bring in solutions too early, we will lose people: • They cannot relate to the concept, the journey and to each other • Other people’s contexts, other people’s solutions • The “IKEA effect”: people own what they help to create Ref: Social innovation - nya lösningar för inkludering, Malin Lindberg, Luleå University of Technology
  • 35.
  • 36.
    Qulturum builds onits history of social innovation Taste of water When every breath is life then life becomes long. Faith and hope is crucial http://runningahospital.blogspot.co m/2011/08/self-dialysis-in- sweden.html Esther family and relatives - a world movement! https://nhshorizons.passle.net/post/102f6ki/learnin g-from-the-jonkoping-health-system-in-sweden The self-dialysis unit
  • 37.
    The tradition ofsocial innovation continues 180906 The Health Cafe
  • 38.
    Social innovation requirespartnership http://www.mynewsdesk.c om/se/siq/images/miden- melle-hannah-multi4- 1875832 The Center for Coproduction : To conduct research, education, innovation and utilization of knowledge in partnerships and networks with together with the stakeholders of Jönköping Academy https://center.hj.se/jonkoping- academy/en.html
  • 39.
    A person orleader who finds gaps and reminds us of gaps changes the game
  • 40.
    Bladder cancer: socialinnovation and compassion
  • 41.
    A person orleader who finds gaps and reminds us of gaps changes the game
  • 42.
  • 43.
    What is movingupstream? Moving upstream means looking systematically beyond specific episodes of ill health, thinking about health and its root causes, as well as actions that might productively address such causes, much earlier in the process of service to the people. It is about refocussing on prevention and creating the conditions that make it easier for people to build agency in their lives and for their health.
  • 44.
    Using technical innovation,rather than social innovation, we have started this process
  • 45.
    1. Spread andscale up other people’s ideas and innovations 2. Combine disciplined improvement science and pragmatic improvement practice within the same improvement journey 3. Utilise complexity principles when we are changing complex systems 4. Underpin all our innovation and improvement work with an appreciation of social and behavioural methods for change BMJ 2019;365:l2068 doi: 10.1136/bmj.l2068 (Published 10 May 2019), Trisha Greenhalgh professor, Chrysanthi Papoutsi postdoctoral researcher Four things we must be able to do as improvers
  • 46.
    Patrik Blomqvist, Maria Johansson, MarcusLidin, Qulturum The four principles in action: Esther SimLab
  • 47.
    • Talk withus - we are in the same situation • Share your ideas • Be a coach or become a coach To be compassionate Never be alone Support with reflections and question around your disease Reference:kerstin.ramfelt@rjl.se The four principles in action: Young Pioneers Young Pioneers are phubbing!
  • 48.
    We are phubbingat the Microsystem festival! 2020-02-26 Festival Pioneers acts into COMEPASSIONIT!
  • 49.
    Social innovation hasno boundaries • Avslutande film

Editor's Notes

  • #47 Maria, Marcus, Patrik