Design for community care

Copyright © 2012, Peter Jones
Designing for Community as
the Source of Care
Co-creating Care where it happens
Peter Jones
Redesign Research
OCAD University, Toronto

Practices
Redesign redesignresearch.com
Dialogic Design designwithdialogue.com
Publications
Papers / Blog designdialogues.com
Research sLab.ocad.ca
Healthcare designforcare.com
Products
Cdling.com
Clinical Key
Procedures Consult
ScienceDirect
designforcare.com
Peter Jones, Ph.D. @redesign
Senior Fellow, Strategic Innovation Lab
Faculty of Design, Strategic Foresight & Innovation

“What if Design was designed as
a care profession?” And if …
Healthcare as systems of services
Enabling those who serve people
seeking care: Health practice &
care organizations.
• People not patients.
• Systemic, touches every sector
• Cases, Methods, Experiences
Rethinking Care
1. Design as Caregiving
2. Co-Creating Care
3. Seeking Health
Rethinking Patients
4. Design for Patient Agency
5. Patient-Centered Care Service
Rethinking Care Systems
6. Innovating Points of Care
7. Designing Healthy Information Technology
8. Systemic Design in Healthcare Innovation
9. Futures in Service Innovation
designforcare.com
@designforcare
Design for Care:
Innovations in Healthcare Experience

Real care occurs in-place, a
community we share with others.
Caring requires knowing, trust, patience, humility,
honesty, & the primacy of life’s rhythms.
“… there must also be developmental change on
the other as a result of what I do; I must actually
help the other grow.” M Mayerhoff

Schools of Design Thinking in Healthcare
• User Experience / IxD / IA
• Service Design
• Evidence-Based Design
• Environmental Design
• Participatory Design
• Generative Design
• Radical Innovation
• We tend to forget – Sociotechnical systems

Copyright © 2012, Peter Jones8
SERVICE

A Healthcare Revolution?
Two trends are preparing ux for what’s next :
• Tech - Mobile & Health 2.0
• Social - ePatient & patient-centered
• Our investment matters
The way we design for care now defines our field

What’s your Possibility?
• Choose your Context
Consumer Health
Care Practice
Healthcare Organizations
Education, Policy & Institutions
• From designing services to co-creating care

People are health-seekers
A health-seeking journey occurs over a lifetime, a continuity
that proceeds through youth, adulthood, & older age.

Design more for value demand
Less for failure demand
• From systems perspective,
disease focus is intervention
• Patient context is temporary
• Prevention, adherence, & continuity

Where does Health Live?

Where does Health Live?
Dis-eases emerge from so many factors …
Can we design for:
• Home conditions
• Connectedness - Friends & family circles -
• Autonomy, mobility & communications
• Neighborhood, safety, food supply
• = community

How does identity change as a patient?

Can we distribute care resources
among different points of connection?

• Person-Family
• Person-Community
• Patient-Patient
• Patient-Providers
• Providers-Community

Design skillsets in healthcare
Community “All 4 at once”
D3.0 & 4.0 require power
tools of systems &
collaboration.
Transfer down:
- Sensemaking mindset
- Stakeholders
- Reframing power
- Adjacency
Adapted from Humantific with permission

D3.0 & 4.0 “Changemaking”
Power tools are necessary:
- Systemic design approaches.
- Multi-stakeholder collaboration.
- Participatory research.
- Strategic innovation.
- Design of practice & service.
Healthcare Design Contexts in …
Clinical practices for complex care
New organizational modes
Redesigning business models
Service systems
Clinical education
Community engagement
Healthcare networks
Public health - Prevention
Policy development
Transforming education

Atrial Fibrillation Care
Many health services treat chronic &
complex illness as exceptions. Patients fall
between the cracks & are shuttled around,
getting fragmented care. By not adapting to
the changing reality of the chronic
demographic, costs rise as hospitals increase
their exception cases.
Morra, et al (2010). Reconnecting the pieces to optimize care in Atrial Fibrillation in Ontario.
D3 & D4

Atrial Fibrillation Aftercare Pathway
(Service design is not inherently systemic.)

Atrial Fibrillation System Redesign
The improvement of individual experience is
an effect in healthcare. Nice but not
systemic. Redesign institutional practices &
business models.

If 90% of U.S. babies were breastfed
for 6 months, save $13 billion /year
The United States has one of the
lowest rates of breastfeeding of any
country in the developed world.
Only 13% of children are exclusively
breastfed for the first 6 months.
Correlated with fewer infections,
illnesses, & diseases, such as asthma,
diabetes and obesity.
1st place Rotman Design Challenge
Mayo Clinic

• P2P network & service
• Simple & decentralized
• Enduring connections
MDes Strategic Foresight & Innovation
Living communities are co-creative.

Understanding the design moment
The Experience of
Breastfeeding
Human-centered
Intervention
Understanding phase
Expert interviews
Lactation Consultant
Child Life Specialist
Anthropologist
Moms & Dads
In-depth interviews
Research Design Research Design
Expert interviews
Midwife
Sociologist
Moms
In-depth interviews with
mothers focused on the
moment of intervention.
“The Latch”
Moment of
Wellness

Copyright © 2012, Peter JonesMDes Strategic Foresight & Innovation
Prepare a mother for the emotional and
physical challenges ahead to ensure ingoing
assumption is not that “it comes naturally”
Offer safe, unbiased, emotional support and
positive reinforcement during the “latch
experience” when it is needed most

MAYO MOM
NEW MOM
Facilitate Connection
Connection

How do we design for healthy communities?
D4.0 design
research skills
Co-creative for
Social Systems
Complex – all 4
Trans-disciplinary
Not-radical Innovation

Accessibility of Family Physicians in Ontario
Josina Vink, Jessica Mills, Phouphet Sihavong
Social Systems project, Strategic Foresight & Innovation, OCAD U
The average age of family physicians in Ontario is 52 years old.
9.8% of family physicians in Ontario practice in rural communities, where as
13% of Ontarians live in rural communities.
One third of physicians in Canada practice family medicine, but to meet
the need, it should be closer to one half of all physicians.

OCAD University
Mills, Sivavong, & Vink, 2011
Positive Systems Change In
Rural Communities Without A
Family Physician: A Case Study

Service design for caregiver community

“How can the community of Thessalon First Nation meet and exceed
their primary health care needs?”

Thank you.
@redesign @designforcare
designforcare.com
designdialogues.com
redesignresearch.com
Strategic Innovation Lab
OCAD University Toronto
Strategic Foresight & Innovation

Design for community care

More Related Content

What's hot

Similar to Design for community care

Design for community care