Week 1: Introduction
#VirtualSprintSchool
#SprintSchool@Design4AHS
What are you curious
about?
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Where are you from?
#SprintSchool
We are here! #SprintSchool
Who are we?
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What do we do?
SERVICE DESIGN CO-CREATION MOBILIZINGEDUCATION
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Who do we work with?
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Session Objectives
o Overview of Virtual Sprint School
o Guest Speaker: Zayna Khayat
o Healthcare Sprint Overview
o Healthcare Sprint History
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Virtual Sprint School Plan
Guest Speaker:
Innovation in
Healthcare
#SprintSchool@Design4AHS
Zayna Khayat
Future Strategist
SE Health, Toronto
Zayna is a Future Strategist with SE Health
(formerly Saint Elizabeth Health Care), a
and social impact enterprise with a major
focus on keeping older adults healthy in their
homes.
#SprintSchool
@Design4AHS
Design + Innovation in
Health(care)
Zayna Khayat, Ph.D.
Future Strategist, SE Health
zaynakhayat@sehc.com
1 may 2019
@ZaynaKhayat @SEFutures
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
@ZaynaKhayat
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
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 healthcare 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
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 ≠ improvement
Innovation is new ideas
The current state
Improvement is on
current ideas
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
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
32
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
Source: Professor David Dunne
@ZaynaKhayat
Understand Define PrototypeEnvisionUnderstand Define
@ZaynaKhayat
Human Centered Design
perspective
@ZaynaKhayat
“What people say and what people do and what
they say they do are entirely different things.”
- Margaret Mead, Anthropologist
…and what we think
people do.
Source: VA Innovator’s
Network
CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION
Design methods
OBSERVE
ENGAGE
EXPERIENCE
Source: Rotman Design Works @ZaynaKhayat
If a picture is worth a
1,000 words, then a
prototype is worth a
1,000 meetings.
@ZaynaKhayat
Understand Define PrototypeEnvision
The Model
Human Centered Design
Understand Define
In Practice
@ZaynaKhayat
Speaker Q+A
#SprintSchool@Design4AHS
Overview:
Healthcare Sprint
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Howpeopletypicallysolveproblems
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Human
Solutions
System
Solutions
Typicalresults
Reality Check!
Health is becoming more patient-centered
Problems are getting more complex
 Pace of work is getting faster
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Healthcare Sprint
A healthcare sprint is a two-day creative
problem solving process of developing
that maximize your chances of making
something
people want.
Definition #SprintSchool
The Design Sprint
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The Design Sprint
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Benefits of Healthcare Sprint
Reduce the risk of failure
Speed, Efficiency and Focus
Align a Diverse team
Simple Recipe
Momentum
Benefits #SprintSchool
History Lesson:
Healthcare Sprint
#SprintSchool@Design4AHS
www.ideo.com
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When to use a
Healthcare Sprint?
#SprintSchool
@Design4AHS
#SprintSchool@Design4AHS Source: angi.studios
#SprintSchool@Design4AHS Source: angi.studios
#SprintSchool@Design4AHS Source: angi.studios
Real world
applications of
Healthcare Sprints
#SprintSchool
@Design4AHS
Elder Loneliness
Key takeaways
•Healthcare Sprints help you solve and test problems
with users in 2-days
•Healthcare sprints help you reduce the risk of failure
•Work well for both big and small problems
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Q + A
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Activity for the week
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1) Physicians are not ordering appropriate test on our unit.
2) My commute to work is far too long!
3) Patients are waiting too long to get an appointment at our clinic
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Next week…
•Guest Speaker: Ariel Sim
•Setting the Stage and Problem Framing
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Call me maybe…
•Design Lab: design.lab@ahs.ca
•Twitter: @Design4AHS
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Week 1 - Virtual Sprint School PPT