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How to set up an improvement platform in less than one hour - revised slides with results
1. How to set up an improvement
platform in less than one hour
Horizons Group, NHS
In partnership with Crowdicity
https://mobile.crowdicity.com/horizons.crowdicity.com/
2. The plan for the next 55 minutes
The next 55 minutes will be fast and furious as
we work together to develop a crowdsourcing
platform. We will be:-
• Taking the first steps in developing a platform
• Understanding and reframing the problem
• Running sprint 1 and sprint 2
• Building on what we know
• Taking next steps – your role
3. • systematic “change
management”
• too often, leaders
prescribe outcome
and method of change
in a top-down way
• change is experienced
by people at the front
line as “have to”
(imposed) rather than
“want to” (embraced)
Change
Programmes
• everyone (including
service users and families)
can help tackle the most
challenging issues
• value diversity of thought
• connect people, ideas and
learning
• Role of formal leaders is to
create the conditions and
get out of the way
Change
Platforms
“Tear down the walls”
4. The design sprint – setting the
scene
• The Horizons team has a lot of experience of
developing a variety of change platforms
• Our global healthcare platforms developed for
change - The Edge, Care Design 2016,
Challenge Top down change, NHS Change Day
• Working with partners Crowdicity – we want
to show you how to design, crowdsource,
build the questions and analyse the rich data
5. First step in developing a platform
• Understand the problem you want
to solve. Is crowdsourcing the right
approach?
• Find the issue that will engage your
crowd
• Share a compelling story – work with
patients, clinicians, frontline staff
• Be social on the platform and social
media channels
• Work out loud about the
improvement platform, learning and
challenges
David Selwyn,
Nottingham University
Hospitals NHS Trust
6. Second step in developing resources
• What platform?
– Accessibility e.g. open vs closed access
– Cost vs free platforms (Facebook, Google
community)
• Who will manage the platform?
– Community manager vs self managed
community
7. Third step in developing resources
• Agree the question
• Be clear
• Short
• Begin with the end in mind
• Aim to spark divergent and convergent
thinking
• Set challenges
• Add personas to make the issue come
alive
• Populate the platform with useful
research or guidelines if available
• Expect the unexpected
• How will you manage the difficult discussions?
• How will you bring the focus back to the
questions?
9. Final step in developing resources
• Agree the methodology for analysis
– Start with divergent and move to convergent
– Human centred design methodology
– Expert panel vs the crowd
• Always know the end point
• Do not waste the crowd’s time
12. Sprint 1
• Spend a few minutes reviewing the platform
so far
• On your table agree a question that will help
Dave find the answer to the problem.
(10mins)
• Vote: which question should be used as an
additional challenge to the crowd?
13. Sprint 2
You are all now community managers /
facilitators
• What steps will you now take to involve your
community? (10mins)
• Feedback to the room
14. Sprint 3
The analysis, what is the crowd telling us?
• On your table teams review the content so far
and agree what you think are the key themes
(10mins)
• Feedback to room
15. Launch the platform at a great event &
share the details with your community
#qfhorizons
16. The story so far
• Costs vs Benefits
• Consider reducing the number of investigations,
does the patient really need it?
• Utilisation of the day
– Question asked via twitter last night; ‘How do you
ensure full utilisation of radiology in the hours of 9-5?
Answer this before moving to overnight service.’
• Patient choice; how do we develop this within
our services?
20. ● Only 1% participate
fully so start with a big
crowd
● Inject thought
diversity to guard against
groupthink
● Mix high domain
knowledge with those
with high creativity
Choose the right
crowd
Choose the right
incentives
● Crowdsourcing cannot
happen without a
vibrant, committed
community
● Rewards must balance
intrinsic & extrinsic
motivators
Crowds do not
replace the team
● You’ll get volume &
diversity from the crowd
but be prepared to
match it with equal time
& effort to herd, sift &
identify contributions
Crowds need
love too!
● Crowds need
direction & guidance to
help them feel part of
their community & give
of their best
Keep it
simple
● Break complex tasks
down
● Tasks must be small,
simple & fun & fit into
your crowd’s spare time
Remember
Sturgeon’s Law
Communities are
always right!
Fulfilling self-
actualisation
● “90% of everything is
crap / 10% of everything
is not crap”
● Allow the crowd to
surface its best through
voting to the top
● Crowdsourcing
works because
creativity, spontaneity,
problem-solving &
affiliation achieve self-
actualisation (Maslow
/ Howe)
● Top-down
management style does
not work in crowds, nor
does grass-roots anarchy
● Lead with the moral
authority the crowd
allows
Adapted from: A Guide to Open Innovation and Crowdsourcing, Ed. Paul Sloane
The rules of crowdsourcing
21. The platform will remain open until
22nd April
• After this date, we will analyse the data
and hand it over to Dave and his
colleagues at Nottingham University
Hospitals so they can use it for action
• Please continue to contribute up to 22nd
April:
https://mobile.crowdicity.com/horizons.crowdicity.com/
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