SlideShare a Scribd company logo
@HXDCONF #HXD2019
community.centerhxd.com
LEADERSHIP
ROUNDTABLE
Moderated by
Michael Hawley, Chief Design Officer
Mad*Pow
ROUNDTABLE GOALS
1. Deepen Our Understanding
2. Challenge Our Perspectives
3. Inspire Creative Solutions
4. Build Connections
PRESENT
Challenges
Concepts
Examples
DISCUSS
Experiences
Ideas
Moving Forward
REACT CONSIDER ENVISION
What is your first
instinct?
Have any prior
experience?
Multiple perspectives: How might we overcome
obstacles?
Examples we can build on?
• Patient
• Provider
• Payer
• Pharma
DISCUSSION STRUCTURE
9:15 – 10:00
Rotate | Break
10:15 – 11:00
Rotate | Break
11:15 – 12:00
Topic 1: Changing Behaviors
Topic 2: Design Influence
Topic 3: Strategic Planning
AGENDA
@HXDCONF #HXD2019
community.centerhxd.com
Designing For Health
Behavior Change
Moderated by
Amy Bucher, Ph.D.
Mad*Pow
Balancing a focus on near-term
success indicators with
long-term efficacy
CHALLENGE #1
PARTICIPATION
+
ENGAGEMENT
BEHAVIOR CHANGE
HEALTH CARE
COST REDUCTION
BIOMETRIC
CHANGES
RETURN ON
INVESTMENT
RISK BASELINE
Leading Lagging
Recognizing the impact of
behavior change approaches on
potential solutions
CHALLENGE #2
APPROACH GUIDES INTERVENTION DESIGN
ENVIRONMENTAL FACTORS PERSONAL FACTORS
Behavioral
Economics
COM-B Model
Self-
Determination
Theory
Approach 1: Behavioral Economics (Nudging)
Imagine a person riding an elephant. Elephants are
hard to steer, and the rider only has so much power.
The rider = The rational brain (System 2)
It’s thoughtful, and deliberate.
The elephant = The instinctive brain (System 1)
It’s intuitive and impulsive.
Behavioral economics uses tactics that:
• Appeal to the elephant
• Take advantage of the shortcuts the rider takes
• Shape the path of travel
BEHAVIORAL ECONOMICS: SOLUTIONS
Approach 2: COM-B Model of Behavior Change
Behavior
Motivation
Intrinsic & Extrinsic
Capability
Cognitive & Physical
Opportunity
Social & Environmental
Intervention Functions Education Training Persuasion Incentives Coercion Restriction Enablement
Environment
Restructuring
Modeling
COM-B Components
Physical Capability
Psychological Capability
Reflexive Motivation
Automatic Motivation
Social Opportunity
Physical Opportunity
COM-B Model of Behavior Change: Solutions
Education + Enablement
+ Social Support
Incentives + Social Support
+
Action Planning
Approach 3: Self-Determination Theory of Motivation
“I can make my own
meaningful choices”
“I am learning, growing,
and succeeding.”
“I am part of something bigger
than myself. I belong.”
Autonomy
Competence
Relatedness
Motivation
Self-Determination Theory of Motivation: Solutions
List the top 4 opportunities
for incorporating behavior
change in health or in your
organization
List the top 4 things that
would need to be true in order
for behavior change to have a
positive impact in your
organization
DISCUSSION
@HXDCONF #HXD2019
community.centerhxd.com
How Do We Best Grow Customer-
Centered Design and Innovation in
Health Organizations?
Moderated by
Adam Connor, VP Design Transformation
Mad*Pow
Innovation Lab at UVM
DesignOps at athenahealth
Principles & Journey Maps at Cape Cod Hospital
The Spotify Model
Scaling Design
How “Design” is Leveraged in Organizations
Business Strategy
Experience /
Design Strategy
Product & Service
Design
“How should our products and services look?”Interface Design
“How should our products and services work?”
“What products and services should we offer
(to identified problems)? ”
“Which problems should we work to solve?”
WHY?
(DIRECTION)
HOW?
(CRAFT)
Scaling Design
Scaling Deepening+
Scaling Deepening Strengthening+ +
Six Functions for Design & Innovation Practices
Incubation: Finding opportunities, and nurturing new solutions before brining to market.
Operationalization: Delivering tools & systems to integrate design w/ product* dev & delivery.
Direction: Determining vision, aligning efforts, and connecting tactical decisions to strategy.
1
2
3
4
Education & Facilitation: Growing the practice and providing training & guidance.
5
6
Investigation: Developing and evolving understanding of audiences, needs, and contexts.
Production: Applying craft skills to create (and evolve) the solution
COM-B Model for Undestanding Behavior
Behavior
Capability
Psychological & Physical
Opportunity
Social & Physical
Motivation
Automatic & Reflective
Vision & Direction
How well has a shared, clear vision for the product, service, or organization been established and communicated?
Empowerment
How well are teams and individuals able to autonomously make and execute decisions in alignment with the vision/strategy?
Learning & Measurement
How able is the organization to continuously learn about users to make decisions and assess the success of products/services?
Experience Management
How well does the organization manage, coordinate, and measure experiences across touchpoints, channels, products, and services?
Collaboration
How well do individuals and teams collaborate on efforts across roles, departments, products, etc.?
Execution
How capable is your organization of creating and implementing the products/services that you envision?
Design Practice
How well does your organization leverage design methods and lenses (IA, IXD, Content, Viz/UI)?
Design Fitness Model
Levers for (Design) Transformation
Skills & Knowledge
Tools & Materials
Communication & Language
Incentives & Metrics
Structure & Roles
Policies & Processes
Environment Behavior
Capability
Cognitive & Physical
Opportunity
Social & Environmental
Motivation
Intrinsic & Extrinsic
List efforts have you been
involved in to grow design and
innovation capabilities. What
did you learn about your
organization from them?
List the top things you are
curious to try at your
organization to drive customer-
centric innovation
DISCUSSION
@HXDCONF #HXD2019
community.centerhxd.com
Managing Multiple Customer
Touchpoints
Moderated by
Jon Podolsky, VP Experience Strategy & Service Design
Mad*Pow
Lets add more ways we can
engage, interact, and service
patients to meet an unmet
demand.
“Make an appointment”
List the top engagement methods
you’ve seen work within health
What is the next big trend for
interacting with people in
health?
DISCUSSION
52
Mad*Pow’s Center for
Health Experience Design
We are a community of change
makers who take a collaborative
approach to improving health and
humanizing the health system.
Learn more at CenterHXD.com
Build Connection through Community
Connect and build relationships with 600+ like-
minded individuals via our online community and in
person and online events to help accelerate your
innovation efforts.
Strengthen Capabilities through Membership
Gain access to professional development, custom-
designed events, subject matter experts, and design
and innovation services.
Explore Partnership and New Opportunities
through Projects
Support your innovation efforts by participating in a
multi-stakeholder project with other organizations
across the health ecosystem.

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HXD 2019 Leadership Round Table

  • 2. ROUNDTABLE GOALS 1. Deepen Our Understanding 2. Challenge Our Perspectives 3. Inspire Creative Solutions 4. Build Connections
  • 4. REACT CONSIDER ENVISION What is your first instinct? Have any prior experience? Multiple perspectives: How might we overcome obstacles? Examples we can build on? • Patient • Provider • Payer • Pharma DISCUSSION STRUCTURE
  • 5. 9:15 – 10:00 Rotate | Break 10:15 – 11:00 Rotate | Break 11:15 – 12:00 Topic 1: Changing Behaviors Topic 2: Design Influence Topic 3: Strategic Planning AGENDA
  • 6. @HXDCONF #HXD2019 community.centerhxd.com Designing For Health Behavior Change Moderated by Amy Bucher, Ph.D. Mad*Pow
  • 7. Balancing a focus on near-term success indicators with long-term efficacy CHALLENGE #1
  • 8. PARTICIPATION + ENGAGEMENT BEHAVIOR CHANGE HEALTH CARE COST REDUCTION BIOMETRIC CHANGES RETURN ON INVESTMENT RISK BASELINE Leading Lagging
  • 9. Recognizing the impact of behavior change approaches on potential solutions CHALLENGE #2
  • 10. APPROACH GUIDES INTERVENTION DESIGN ENVIRONMENTAL FACTORS PERSONAL FACTORS Behavioral Economics COM-B Model Self- Determination Theory
  • 11. Approach 1: Behavioral Economics (Nudging) Imagine a person riding an elephant. Elephants are hard to steer, and the rider only has so much power. The rider = The rational brain (System 2) It’s thoughtful, and deliberate. The elephant = The instinctive brain (System 1) It’s intuitive and impulsive. Behavioral economics uses tactics that: • Appeal to the elephant • Take advantage of the shortcuts the rider takes • Shape the path of travel
  • 13. Approach 2: COM-B Model of Behavior Change Behavior Motivation Intrinsic & Extrinsic Capability Cognitive & Physical Opportunity Social & Environmental
  • 14. Intervention Functions Education Training Persuasion Incentives Coercion Restriction Enablement Environment Restructuring Modeling COM-B Components Physical Capability Psychological Capability Reflexive Motivation Automatic Motivation Social Opportunity Physical Opportunity
  • 15. COM-B Model of Behavior Change: Solutions Education + Enablement + Social Support Incentives + Social Support + Action Planning
  • 16. Approach 3: Self-Determination Theory of Motivation “I can make my own meaningful choices” “I am learning, growing, and succeeding.” “I am part of something bigger than myself. I belong.” Autonomy Competence Relatedness Motivation
  • 17. Self-Determination Theory of Motivation: Solutions
  • 18. List the top 4 opportunities for incorporating behavior change in health or in your organization List the top 4 things that would need to be true in order for behavior change to have a positive impact in your organization DISCUSSION
  • 19. @HXDCONF #HXD2019 community.centerhxd.com How Do We Best Grow Customer- Centered Design and Innovation in Health Organizations? Moderated by Adam Connor, VP Design Transformation Mad*Pow
  • 22. Principles & Journey Maps at Cape Cod Hospital
  • 25. How “Design” is Leveraged in Organizations Business Strategy Experience / Design Strategy Product & Service Design “How should our products and services look?”Interface Design “How should our products and services work?” “What products and services should we offer (to identified problems)? ” “Which problems should we work to solve?” WHY? (DIRECTION) HOW? (CRAFT)
  • 29. Six Functions for Design & Innovation Practices Incubation: Finding opportunities, and nurturing new solutions before brining to market. Operationalization: Delivering tools & systems to integrate design w/ product* dev & delivery. Direction: Determining vision, aligning efforts, and connecting tactical decisions to strategy. 1 2 3 4 Education & Facilitation: Growing the practice and providing training & guidance. 5 6 Investigation: Developing and evolving understanding of audiences, needs, and contexts. Production: Applying craft skills to create (and evolve) the solution
  • 30. COM-B Model for Undestanding Behavior Behavior Capability Psychological & Physical Opportunity Social & Physical Motivation Automatic & Reflective
  • 31. Vision & Direction How well has a shared, clear vision for the product, service, or organization been established and communicated? Empowerment How well are teams and individuals able to autonomously make and execute decisions in alignment with the vision/strategy? Learning & Measurement How able is the organization to continuously learn about users to make decisions and assess the success of products/services? Experience Management How well does the organization manage, coordinate, and measure experiences across touchpoints, channels, products, and services? Collaboration How well do individuals and teams collaborate on efforts across roles, departments, products, etc.? Execution How capable is your organization of creating and implementing the products/services that you envision? Design Practice How well does your organization leverage design methods and lenses (IA, IXD, Content, Viz/UI)? Design Fitness Model
  • 32. Levers for (Design) Transformation Skills & Knowledge Tools & Materials Communication & Language Incentives & Metrics Structure & Roles Policies & Processes Environment Behavior Capability Cognitive & Physical Opportunity Social & Environmental Motivation Intrinsic & Extrinsic
  • 33. List efforts have you been involved in to grow design and innovation capabilities. What did you learn about your organization from them? List the top things you are curious to try at your organization to drive customer- centric innovation DISCUSSION
  • 34. @HXDCONF #HXD2019 community.centerhxd.com Managing Multiple Customer Touchpoints Moderated by Jon Podolsky, VP Experience Strategy & Service Design Mad*Pow
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  • 36. Lets add more ways we can engage, interact, and service patients to meet an unmet demand. “Make an appointment”
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  • 48. List the top engagement methods you’ve seen work within health What is the next big trend for interacting with people in health? DISCUSSION
  • 49. 52 Mad*Pow’s Center for Health Experience Design We are a community of change makers who take a collaborative approach to improving health and humanizing the health system. Learn more at CenterHXD.com Build Connection through Community Connect and build relationships with 600+ like- minded individuals via our online community and in person and online events to help accelerate your innovation efforts. Strengthen Capabilities through Membership Gain access to professional development, custom- designed events, subject matter experts, and design and innovation services. Explore Partnership and New Opportunities through Projects Support your innovation efforts by participating in a multi-stakeholder project with other organizations across the health ecosystem.