Virtual Health + Care Design School - Week 7: Bring it all Together
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Review of Activity of the Week 6 Guest Speaker: Dr. Alika Lafontaine Where is a world out there we don't see: Scotoma Short video: You are listening to real patients Momentum vs. Moments What happens after? Tools for Inspiration Pro-tips Key Takeaways
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Virtual Health + Care Design School - Week 7: Bring it all Together
- 1. Design (Design every DAMN day)
- 2. Live tweet with us @Design4AHS #DesignSchool
- 3. Some prototypes plans that we loved
- 4. WEEK 6 - Prototype Planning Activity: Give details about the prototype you plan on testing with your users. 1 What will your prototype look like? 2 Plan how you will test it: I plan the prototype to appear as a simple, clear, easy-to-access, easy-to-use document. How will you share this prototype? I plan to incorporate colours, screen shots where ever This can be e-mailed out and discussed these help clarify instead of complicate while keeping the on a teleconference with the ETMS Champions group. amount of reading needed down. How you would build it: Materials you need: Who will you show it to? I would probably review existing Review of existing documents that may This can be shown to the immediate design team documents and the software to look include: as well as with key internal and external users. what can be adapted for this prototype. Word documents, PDF files, slide decks, the software. What do you want to learn from testing it? Whether the prototype would be: easy to use. easy to access. reduce the proportion of reports with errors.
- 7. Dr. Alika Lafontaine is an award-winning physician, speaker, alignment consultant, and the first Indigenous physician listed by the Medical Post as one of Canada’s 50 Most Powerful Doctors. He is recognized internationally as an expert on Indigenous health systems, institutional bias, racism and reflective practice. #DesignSchool Let’s tell better stories Next week @Design4AHS
- 8. Implemen'ng System Change: The power of curated moments and momentum Dr. Alika Lafontaine Chair, Governance Council Canadian Medical Associa:on Journal Past-President, Indigenous Physicians Associa:on of Canada Managing Fellow, Alignment by Design Labs
- 9. About Me Oji-Cree, Me:s, Pacific-Islander Have been co-designing and leading health transforma:on ini:a:ves for two decades Have led or been part of decision-making within administrator, pa:ent, provider and policy-making bodies at provincial and na:onal levels HealthCareCAN, CPSI, RCPSC, AMA, CMA, IPAC, others Apply a mix of systems thinking, design thinking and alignment thinking approaches to solve complex, intractable, mul:-stakeholder problems
- 10. Type Question it asks Systems Thinking How can we eliminate redundancy, mistakes and inefficiency? Design Thinking Are we focused on a human-centred outcome and do does our service focus on the persons using it? Alignment Thinking What are the stratified priorities of multiple, disparate stakeholders and do our actions take us to the same outcome? ALIGN Model © Lafontaine and Lafontaine
- 14. There is a world out there we don’t see • skəˈtōmə/Scotoma • a par:al loss of vision or a blind spot in an otherwise normal visual field • can be due to neuromuscular diseases including strokes, neurodegenera:ve diseases and trauma ALIGN Model © Lafontaine and Lafontaine
- 15. There is a world out there we don’t see • skəˈtōmə/Scotoma, intellectual • an inability to perceive distor:ons in percep:on that are obvious to others • in philosophy or poli:cs, a person's thoughts or beliefs might be shaped by an inability to appreciate aspects of social interac:on or ins:tu:onal structure • when we profile pa:ents/clients, we apply “blindspots” ALIGN Model © Lafontaine and Lafontaine
- 16. Video can be viewed at https://www.youtube.com/watch?v=TQaqoSDsUro
- 17. “Our stories are so out of norm and removed from others experience that those others have a hard :me believing that these things could happen. They believe these experiences are extremes. This is our status quo. For those of us that live this reality, the status quo is no longer an op:on for us, our children or our communi:es.” Cree Elder ALIGN Model © Lafontaine and Lafontaine
- 18. Do you believe these stories? Do those around you- especially those within decision-making posi'ons- believe these stories? Do we share these stories openly? ALIGN Model © Lafontaine and Lafontaine
- 19. Momentum vs Moments • O`en get conflated • Momentum enables individuals to scale up and out desired behavior • Moments enables individuals to rethink beliefs • If problems are complex, mul:-stakeholder and historically intractable, system change requires moments first • Systems that get fixated on momentum have internal processes designed for momentum ALIGN Model © Lafontaine and Lafontaine
- 20. Momentum: How great ideas get trapped in corporate cultures not ready for change Organize Commicee Dra`Framework Consulta:on Dra`Framework Dra`Report Consulta:on Dra`Report FinalReport Publica:on& Promo:on ALIGN Model © Lafontaine and Lafontaine
- 21. Momentum is more effec4ve if Momentum is less effective if Organizations are top-down or hierarchal Organizations are consensus- based, multiple stakeholders without direct accountability to each other Decisions can be uniformly enforced Decisions cannot be uniformly enforced, or the resources required for compliance are cost- restrictive All participants share the same beliefs and behaviors related to the outcomes Participants have a variety beliefs and behaviors related to the outcome ALIGN Model © Lafontaine and Lafontaine
- 22. Moments: How to get corporate cultures ready for change Develop hope that change is possible Create empathy and inclusion What value can stakeholders provide to our mission? Establish value exchanges based on shared priori:es Have stakeholders commit Use resources and act TRUST ALIGN Model © Lafontaine and Lafontaine
- 23. Using Moments and Momentum together • Human-centred outcomes direct stakeholders to a hierarchal accountability, ie - ”we are all accountable to the pa:ent” • Empathy creates a safe emo:onal space to discuss harsh truths • Ar:cula:on of the problem help par:cipants to see the qualita:ve and quan:ta:ve aspects of the issue • We should never quit listening to stakeholders about our product or process ALIGN Model © Lafontaine and Lafontaine
- 25. Crea4ng Moments Creating Momentum Creating Alignment
- 26. Hope + Empathy + Inclusion = Trust Trust is the ability to take risks with another person Choosing new ways of doing things always has risk, the status quo is usually the lowest level of risk Sustained momentum is always a reflec'on of sustained trust ALIGN Model © Lafontaine and Lafontaine
- 29. An efficient failure: • Didn’t hit the mark • You learned something (many things) • Saved from implementing the wrong solution. A flawed success: • Met some, not all, of your users’ needs • You learned something (many things) • Iterate to test again An epic win: • Met your users’ needs • Users easily completed tasks and engaged with all features • Ready to implement! New dialysis social clinic Privacy card game Commissary kitchen redesigned prep
- 30. Tools for inspiration Free toolkits IDEO Designkit.org Google Ventures Designsprintkit.withgoogle.com Radboundumc Tinyurl.com/w85kkr6 Cool websites Upskill + how to design.tutsplus.com/ Design stories openideo.com/our-work Healthcare design healthcaredesignmagazine.com Good reads J. Knapp, Sprint: Solve big problems and test new ideas in five days S. Johnson, Where Good Ideas Come From T. Brown, Change by Design
- 31. Tired of boiling water every time you make pasta? Boil a few gallons at the beginning of the week and freeze for later! Pro-tip:
- 32. 1. Question your bias 2. Be humble 3. Romance the pain Pro-tips Why is this so hard?
- 33. Sneak design into your everyday
- 34. We built this using design, but we need your help.
- 35. The future April 9th 7 weeks every Thursday! Invite your friends family follow us on twitter, Instagram to keep up with the lab! Our next VDS launch happens April 9th, 2020 Anyone is welcome. Share with your friends and coworkers. Signup here for more info on all our events + offers
- 36. Key takeaways #DesignSchool@Design4AHS Design every damn day… Challenge yourself, your team, and organizational brules Talk to the humans who have the problem…
- 37. Get in touch Let's chat: Design.Lab@ahs.ca @Design4AHS @Design4AHS D4AHS.com