Welcome to Virtual Design School
Marlies
Fearless Leader
Ali
Chat box Monitor
Erin
Host
Josh
Host
Shalyn
Chat box Monitor
Kathryn
Visual Design
Live tweet with us
@Design4AHS
#Designschool
What are you
curious about?
Zayna is a Future Strategist with SE Health,
a health and social impact enterprise with
a major focus on keeping older adults
healthy in their homes. Zayna is faculty of
Singularity University’s Exponential
Medicine stream, and is adjunct faculty in
the Health Sector Strategy stream at the
Rotman School of Management at the
University of Toronto.
Want to
talk about
the future?
#DesignSchool@ZaynaKhayat
The Future of Health(care)
= Innovation
Zayna Khayat, PhD
Future Strategist
October 16 2019
@ZaynaKhayat @SEFutures
WHY we exist To spread hope and happiness
WHAT we do
VALUES We are collaborators
We see possibility everywhere
We believe in the power of people, families and communities
Hospital Care at Home
&
Transitions
Seniors’ Living
Specialized Home
Health Care Education
Elizz Caregiver
Solutions
110Years of forward thinking
9,000
Leaders of Impact
20,000
Home visits a day
Innovating for 110 Years
Co-creating a Future where Canadians Age
with Agency, Dignity, Health and Vitality
Central paradigm:
The system
New paradigm:
The Person
Future of Health
$
@ZaynaKhayat
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
500 BC-
500 AD
Hippocrates
500-
1500
Black
Plague
1670
Microscopy
of cells
1796
Smallpox
vaccination
1799
Anaesthesia
1870s
Microbes
& disease
1628
Human
Anatomy &
Physiology
1895
X rays
Source: PwC
1928
Antibiotics
1948
WHO
established
by UN
1953
DNA structure
Watson & Crick
1971
Medical
Imaging -
MRI, CAT
1978
1st "test tube
baby“
1983
HIV virus
causes
AIDS
2008-
now
Digitization
2003
Human
Genome
@ZaynaKhayat
CELLULAR
THERAPY
3D
Printing
SENSORS / IOT
NEURO-TECHf
Emerging technologies in health & care
https://gnhic.com/
AI -
Predictalytics
Voice
Recognition
Virtual
Reality
Blockchain
Sensors –
IoT
‘Omics
Robotics
‘bots
Autonomous
Transport
Neuro
Tech
Nano
biology
Cellular
Therapy
Future: Person
Proactive, preventative, predictive
Personalized, intelligent
Decentralized, omnichannel, digi-cal
Continuous | team
People-powered
Value, outcomes, fee-for-health
Reactive, sick care
1 size fits all, crude, analog
Institution-centred
Episodic, intermittent, silo’d
Healthcare provider
Volume, inputs, costs, fee-for-service
Today: System
The Future of Health
TIMING
PRECISION
MODALITY
DURATION
POWER
CURRENCY
@ZaynaKhayat
Digitized Deceptive
Dematerialize
Democratize
Adapted from Peter Diamandis’ 6 D’s of Exponential Development
Healthcare
(in Canada)
is largely here
Disruptive
Demonetize
6 D’s of Exponential
Development
@ZaynaKhayat
@ZaynaKhayat
Source: Kaiser Permanente CEO Interview in the press (2017); OECD and OTN study (2017)
>61% <0.3%
% virtual medical visits (2019)
@ZaynaKhayat
Source: Mobihealth News (2019)
Started 2015: “AI-assisted medical system”
Subscription: $40-$100 Cdn / year
Dec 2018 the network:
• 265M registered, 25M active monthly
• 1,200 in-house docs; 5,200 outside docs
• 3K hospitals
• 15K pharmacies
• 47K virtual clinics
• 1.3K GP clinics
• 1.2K dental offices
• 1.9K other institutions
• 1 hr drug delivery service in >70 cities
@ZaynaKhayat
Threshold changes in miniaturization, affordability
@ZaynaKhayat
500K – 50 years (analog)
500K – 2 years (mobile)
Vala Afshar; Citi Digital Strategy Team; Michael Felton, The New York Times (in HBR.org)
Time to reach 50 M users
17 yrs
Average time
from
evidence to
practice in
medicine: 17
years
@ZaynaKhayat
@ZaynaKhayat
Source: Accenture Research Disruptability Index– in HBR.org, How Likely Is Your Industry to Be Disrupted? (Jan 2018)
Susceptibility to future disruption
Current
disruption
Healthcare delivery
@ZaynaKhayat
Business Model
Lifecycle
Organization’s
Lifecycle
@ZaynaKhayat
+++ +
Source: adapted from BCG and Business Innovation Factory
Why the future of health care may depend on
tearing down the hospital
The Globe and Mail
Published Friday, Feb. 21 2014, 4:58 PM EST
Last updated Friday, Feb. 21 2014, 5:05 PM EST
@ZaynaKhayat
phone
@ZaynaKhayat
“no new
inpatient
beds”
@ZaynaKhayat
“Uberization of
[insert health
service]
“Facebook for
Patients”
“Airbnb for [insert
care setting]”
“Instagram
for Doctors”
“Slack for
Healthcare”
New business models emerging
“YouTube for
Healthcare”
“Amazon Alexa [or
Siri] for health”
“Yelp reviews for
healthcare”
@ZaynaKhayat
… for clinical trials recruitment
New healthcare business models (2)
… for your health.
… for the body (wearables)
… for appointment scheduling
… for healthcare
… for private health benefits
… for healthcare
… for the body
… for healthcare
@ZaynaKhayat
Healthcare’s
New Entrants
@ZaynaKhayat
?? The largest health company owns no clinics or doctors
@ZaynaKhayat
In one week in October 2019 … @ZaynaKhayat
“A Walmart within 12 miles
of every American”
$1/day college ed. to skill up
staff to be health workers
Healthcare bundles: $50-
$240 for up to 6 members
http://radboudreshapecenter.com/btg/
New
business
model?
(5 min)
Future: Person
Proactive, preventative, predictive
Personalized, intelligent
Decentralized, omnichannel, digi-cal
Continuous | team
People-powered
Value, outcomes, fee-for-health
Reactive, sick care
1 size fits all, crude, analog
Institution-centred
Episodic, intermittent, silo’d
Healthcare provider
Volume, inputs, costs, fee-for-service
Today: System
The Future of Health
TIMING
PRECISION
MODALITY
DURATION
POWER
CURRENCY
= Innovation
@ZaynaKhayat
Innovation is new ideas
The current state
Improvement is on
current ideas
Innovation ≠ improvement
@ZaynaKhayat
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
1. Doing the right things
2. Doing things right
3. Doing things better
4. Doing away with things
5. Doing things other people are doing
– In health and care
– In other industries
6. Doing things no one else is doing
7. Doing things that cannot be done
Adapted from Plsek, 2014
Improvement
Innovation
@ZaynaKhayat
Innovation ≠ improvement
4 Q’s I always ask new innovation teams
1. Define innovation for your org / system
2. Why innovation? What is the goal?
3. Time horizon (s)? 1-5 years? 5-10 years? 10-
20 years? Mix?
4. Scope (specific units, product, service,
process, business model, policy, system;
Geography?)
@ZaynaKhayat
Practices/
Capabilities
Developed
Source: Adapted from McKinsey & Co, 3
Horizons & Ralph Christian Orr Dual
Innovation management System
NewtoSE
Newto
theworld
Business Model
New
Horizon 3:
Create New
Markets
Existing
Horizon 2:
Reshape the
Core
Horizon 1:
Optimize Core
Evolved
Requires different:
- methods
- timelines
- metrics
- ways of working
Innovation @ SE =
A future offering, practice or business model that significantly*
impacts hope&happiness, revenues & the health system
Can we CREATE value?
Problem-solution fit?
Address users pain points or
gain points?
Can they use it seamlessly?
D.Kelley, IDEO; Business Innovation Factory; SE Futures
Can we DELIVER value?
Operationally feasible (capabilities)?
Can technology be leveraged?
Legally feasible?
Can we CAPTURE value?
Solution-market fit?
Sustainable business model?
Finance-able?
@ZaynaKhayat
Human
Centered
Design
Technology
Strategy
- D.Kelley, IDEO
@ZaynaKhayat
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
Topology of problems in the health sector
L
LH Certainty / Predictability of Answer
H
StakeholderAgreement
“Wicked”
“Chaotic”
“Complex”
“Complicated”
“Simple”
“Tame”
“Political”
“Crisis”
Source: Adapted from the Stacey Matrix; MaRS Solutions Lab
Human
Centered
Design
@ZaynaKhayat
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
Topology of problems in the health sector
“Complex”
“Complicated”
“Wicked”
“Simple”
• Known knowns
• Cause-effect predictable, obvious
• Solve based on truth (binary logic)
• Best practices
Source: Adapted from the Stacey Matrix; MaRS Solutions Lab
• Known unknowns
• Cause-effect exists, but not obvious
so requires analysis and expert
knowledge
• Solve with facts + some context
• Good practices / benchmaring
• Unknown unknowns
• Cause-effect only obvious in hindsight
• Probe – sense – experiment – iterate
• Solve based on context (model logic)
• Emergent solution
Health sector often treats complex/wicked problems as if they are simple or complicated
• Unknowable unknowns
• No cause-effect relationship
• Solve in real-time
• Solve based on values/principles
• Novel practice emerges
@ZaynaKhayat
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
Complexity
43
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSIONSource: Professor David Dunne
@ZaynaKhayat
In Summary:
Future of Health – 6 shifts
Massive opportunity to lead in
creating the future
6 D’s of exponential development
• Start experimenting now
Your mission: create the conditions for
exponential thinking and change Zayna Khayat, Ph.D.
ZaynaKhayat@SEHC.com
@ZaynaKhayat | @SEFutures | @SEHealth_SEHC
KEEP CALM & KEEP INNOVATING
Zayna Khayat, Ph.D.
Futures at SE Health
ZaynaKhayat@SEHC.com
@ZaynaKhayat | @SEFutures | @SEHealth_SEHC
Q + A
#DesignSchool@Design4AHS
Breakout!
Make a connection and introduce yourself
How ready is your organization to innovate?
1
2
Design Thinking Process
Mindset + Culture
#DesignSchool@Design4AHS
Week Two:
Empathy
Re-framing a problem
Identifying your end users
Building your design team
Week Three:
Define
Leading the journey map
Note and vote
Goal setting
Week Four:
Ideate
Creativity + design thinking
Ideation process
Analogies for inspiration
Week Five:
Prototype + Test
Building your realistic façade
Testing with your users early
and often
Foundation:
Mindsets and Culture
The role culture plays
in co-design
Addressing elephants
in the room
Foundation:
Mindsets and Culture
Bringing it all together
Co-design every damn day
How might we…
Reframe problems as opportunities.
#DesignSchool@Design4AHS
#DesignSchool
@Design4AHS
Activity for the week
• Design thinking is a non-linear process for
innovation.
• From empathy all the way through testing,
curiosity is key.
• You are all designers now! Let’s hit the
ground with a beginner’s mindset!
Key takeaways
#DesignSchool@Design4AHS
Next week…
#DesignSchool@Design4AHS
design.lab@ahs.ca
@Design4AHS

D4AHS Virtual Health + Care Design School - Week 1: Introduction to Design

  • 1.
    Welcome to VirtualDesign School
  • 2.
    Marlies Fearless Leader Ali Chat boxMonitor Erin Host Josh Host Shalyn Chat box Monitor Kathryn Visual Design
  • 3.
    Live tweet withus @Design4AHS #Designschool
  • 4.
  • 5.
    Zayna is aFuture Strategist with SE Health, a health and social impact enterprise with a major focus on keeping older adults healthy in their homes. Zayna is faculty of Singularity University’s Exponential Medicine stream, and is adjunct faculty in the Health Sector Strategy stream at the Rotman School of Management at the University of Toronto. Want to talk about the future? #DesignSchool@ZaynaKhayat
  • 6.
    The Future ofHealth(care) = Innovation Zayna Khayat, PhD Future Strategist October 16 2019 @ZaynaKhayat @SEFutures
  • 8.
    WHY we existTo spread hope and happiness WHAT we do VALUES We are collaborators We see possibility everywhere We believe in the power of people, families and communities Hospital Care at Home & Transitions Seniors’ Living Specialized Home Health Care Education Elizz Caregiver Solutions 110Years of forward thinking 9,000 Leaders of Impact 20,000 Home visits a day
  • 9.
  • 10.
    Co-creating a Futurewhere Canadians Age with Agency, Dignity, Health and Vitality
  • 11.
    Central paradigm: The system Newparadigm: The Person Future of Health $ @ZaynaKhayat
  • 12.
    CONFIDENTIAL – DONOT DISTRIBUTE WITHOUT FACULTY PERMISSION 500 BC- 500 AD Hippocrates 500- 1500 Black Plague 1670 Microscopy of cells 1796 Smallpox vaccination 1799 Anaesthesia 1870s Microbes & disease 1628 Human Anatomy & Physiology 1895 X rays Source: PwC 1928 Antibiotics 1948 WHO established by UN 1953 DNA structure Watson & Crick 1971 Medical Imaging - MRI, CAT 1978 1st "test tube baby“ 1983 HIV virus causes AIDS 2008- now Digitization 2003 Human Genome @ZaynaKhayat
  • 13.
    CELLULAR THERAPY 3D Printing SENSORS / IOT NEURO-TECHf Emergingtechnologies in health & care https://gnhic.com/ AI - Predictalytics Voice Recognition Virtual Reality Blockchain Sensors – IoT ‘Omics Robotics ‘bots Autonomous Transport Neuro Tech Nano biology Cellular Therapy
  • 14.
    Future: Person Proactive, preventative,predictive Personalized, intelligent Decentralized, omnichannel, digi-cal Continuous | team People-powered Value, outcomes, fee-for-health Reactive, sick care 1 size fits all, crude, analog Institution-centred Episodic, intermittent, silo’d Healthcare provider Volume, inputs, costs, fee-for-service Today: System The Future of Health TIMING PRECISION MODALITY DURATION POWER CURRENCY @ZaynaKhayat
  • 15.
    Digitized Deceptive Dematerialize Democratize Adapted fromPeter Diamandis’ 6 D’s of Exponential Development Healthcare (in Canada) is largely here Disruptive Demonetize 6 D’s of Exponential Development @ZaynaKhayat
  • 16.
  • 17.
    Source: Kaiser PermanenteCEO Interview in the press (2017); OECD and OTN study (2017) >61% <0.3% % virtual medical visits (2019) @ZaynaKhayat
  • 18.
    Source: Mobihealth News(2019) Started 2015: “AI-assisted medical system” Subscription: $40-$100 Cdn / year Dec 2018 the network: • 265M registered, 25M active monthly • 1,200 in-house docs; 5,200 outside docs • 3K hospitals • 15K pharmacies • 47K virtual clinics • 1.3K GP clinics • 1.2K dental offices • 1.9K other institutions • 1 hr drug delivery service in >70 cities @ZaynaKhayat
  • 19.
    Threshold changes inminiaturization, affordability @ZaynaKhayat 500K – 50 years (analog) 500K – 2 years (mobile)
  • 20.
    Vala Afshar; CitiDigital Strategy Team; Michael Felton, The New York Times (in HBR.org) Time to reach 50 M users 17 yrs Average time from evidence to practice in medicine: 17 years @ZaynaKhayat
  • 21.
  • 22.
    Source: Accenture ResearchDisruptability Index– in HBR.org, How Likely Is Your Industry to Be Disrupted? (Jan 2018) Susceptibility to future disruption Current disruption Healthcare delivery @ZaynaKhayat
  • 23.
  • 24.
    Why the futureof health care may depend on tearing down the hospital The Globe and Mail Published Friday, Feb. 21 2014, 4:58 PM EST Last updated Friday, Feb. 21 2014, 5:05 PM EST @ZaynaKhayat
  • 25.
  • 26.
  • 27.
    “Uberization of [insert health service] “Facebookfor Patients” “Airbnb for [insert care setting]” “Instagram for Doctors” “Slack for Healthcare” New business models emerging “YouTube for Healthcare” “Amazon Alexa [or Siri] for health” “Yelp reviews for healthcare” @ZaynaKhayat
  • 28.
    … for clinicaltrials recruitment New healthcare business models (2) … for your health. … for the body (wearables) … for appointment scheduling … for healthcare … for private health benefits … for healthcare … for the body … for healthcare @ZaynaKhayat
  • 29.
  • 30.
    ?? The largesthealth company owns no clinics or doctors @ZaynaKhayat
  • 31.
    In one weekin October 2019 … @ZaynaKhayat “A Walmart within 12 miles of every American” $1/day college ed. to skill up staff to be health workers Healthcare bundles: $50- $240 for up to 6 members
  • 32.
  • 33.
    Future: Person Proactive, preventative,predictive Personalized, intelligent Decentralized, omnichannel, digi-cal Continuous | team People-powered Value, outcomes, fee-for-health Reactive, sick care 1 size fits all, crude, analog Institution-centred Episodic, intermittent, silo’d Healthcare provider Volume, inputs, costs, fee-for-service Today: System The Future of Health TIMING PRECISION MODALITY DURATION POWER CURRENCY = Innovation @ZaynaKhayat
  • 34.
    Innovation is newideas The current state Improvement is on current ideas Innovation ≠ improvement
  • 35.
  • 36.
    CONFIDENTIAL – DONOT DISTRIBUTE WITHOUT FACULTY PERMISSION 1. Doing the right things 2. Doing things right 3. Doing things better 4. Doing away with things 5. Doing things other people are doing – In health and care – In other industries 6. Doing things no one else is doing 7. Doing things that cannot be done Adapted from Plsek, 2014 Improvement Innovation @ZaynaKhayat Innovation ≠ improvement
  • 37.
    4 Q’s Ialways ask new innovation teams 1. Define innovation for your org / system 2. Why innovation? What is the goal? 3. Time horizon (s)? 1-5 years? 5-10 years? 10- 20 years? Mix? 4. Scope (specific units, product, service, process, business model, policy, system; Geography?) @ZaynaKhayat
  • 38.
    Practices/ Capabilities Developed Source: Adapted fromMcKinsey & Co, 3 Horizons & Ralph Christian Orr Dual Innovation management System NewtoSE Newto theworld Business Model New Horizon 3: Create New Markets Existing Horizon 2: Reshape the Core Horizon 1: Optimize Core Evolved Requires different: - methods - timelines - metrics - ways of working Innovation @ SE = A future offering, practice or business model that significantly* impacts hope&happiness, revenues & the health system
  • 39.
    Can we CREATEvalue? Problem-solution fit? Address users pain points or gain points? Can they use it seamlessly? D.Kelley, IDEO; Business Innovation Factory; SE Futures Can we DELIVER value? Operationally feasible (capabilities)? Can technology be leveraged? Legally feasible? Can we CAPTURE value? Solution-market fit? Sustainable business model? Finance-able? @ZaynaKhayat
  • 40.
  • 41.
    CONFIDENTIAL – DONOT DISTRIBUTE WITHOUT FACULTY PERMISSION Topology of problems in the health sector L LH Certainty / Predictability of Answer H StakeholderAgreement “Wicked” “Chaotic” “Complex” “Complicated” “Simple” “Tame” “Political” “Crisis” Source: Adapted from the Stacey Matrix; MaRS Solutions Lab Human Centered Design @ZaynaKhayat
  • 42.
    CONFIDENTIAL – DONOT DISTRIBUTE WITHOUT FACULTY PERMISSION Topology of problems in the health sector “Complex” “Complicated” “Wicked” “Simple” • Known knowns • Cause-effect predictable, obvious • Solve based on truth (binary logic) • Best practices Source: Adapted from the Stacey Matrix; MaRS Solutions Lab • Known unknowns • Cause-effect exists, but not obvious so requires analysis and expert knowledge • Solve with facts + some context • Good practices / benchmaring • Unknown unknowns • Cause-effect only obvious in hindsight • Probe – sense – experiment – iterate • Solve based on context (model logic) • Emergent solution Health sector often treats complex/wicked problems as if they are simple or complicated • Unknowable unknowns • No cause-effect relationship • Solve in real-time • Solve based on values/principles • Novel practice emerges @ZaynaKhayat
  • 43.
    CONFIDENTIAL – DONOT DISTRIBUTE WITHOUT FACULTY PERMISSION Complexity 43
  • 44.
    CONFIDENTIAL – DONOT DISTRIBUTE WITHOUT FACULTY PERMISSIONSource: Professor David Dunne @ZaynaKhayat
  • 45.
    In Summary: Future ofHealth – 6 shifts Massive opportunity to lead in creating the future 6 D’s of exponential development • Start experimenting now Your mission: create the conditions for exponential thinking and change Zayna Khayat, Ph.D. ZaynaKhayat@SEHC.com @ZaynaKhayat | @SEFutures | @SEHealth_SEHC
  • 46.
    KEEP CALM &KEEP INNOVATING Zayna Khayat, Ph.D. Futures at SE Health ZaynaKhayat@SEHC.com @ZaynaKhayat | @SEFutures | @SEHealth_SEHC
  • 47.
  • 48.
    Breakout! Make a connectionand introduce yourself How ready is your organization to innovate? 1 2
  • 49.
    Design Thinking Process Mindset+ Culture #DesignSchool@Design4AHS
  • 50.
    Week Two: Empathy Re-framing aproblem Identifying your end users Building your design team
  • 51.
    Week Three: Define Leading thejourney map Note and vote Goal setting
  • 52.
    Week Four: Ideate Creativity +design thinking Ideation process Analogies for inspiration
  • 53.
    Week Five: Prototype +Test Building your realistic façade Testing with your users early and often
  • 54.
    Foundation: Mindsets and Culture Therole culture plays in co-design Addressing elephants in the room
  • 55.
    Foundation: Mindsets and Culture Bringingit all together Co-design every damn day
  • 58.
    How might we… Reframeproblems as opportunities. #DesignSchool@Design4AHS
  • 59.
  • 60.
    • Design thinkingis a non-linear process for innovation. • From empathy all the way through testing, curiosity is key. • You are all designers now! Let’s hit the ground with a beginner’s mindset! Key takeaways #DesignSchool@Design4AHS
  • 61.
  • 62.