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Designing Servicescapes for
Optimal Healthcare Experiences

JUHA KRONQVIST
27.11.2013

1

Copyright Diagonal Mental Structure Oy. All rights reserved.
Contents
1) On designing services for healthcare
2) Presenting the laboratory case
3) The results of the design
4) On taking the long view

2

Copyright Diagonal Mental Structure Oy. All rights reserved.
Research + Design

Copyright Diagonal Mental Structure Oy. All rights reserved.
Diagonal in short
Diagonal is a Helsinki based service design agency focusing on
innovative service and customer experiences. Our process
combines research skills with creative competence.

We design and execute

Focus on health and wellbeing

• Services
• Customer Experiences
• Servicescapes

4

Copyright Diagonal Mental Structure Oy. All rights reserved.
Service Design Achievement
of the Year Competition
“The main judging criteria will be how much the project advances
the practice of service design in Finland; pushing the service design
envelope is a key criteria.
The novel application of service design can be related to methods
and processes, new business and co-operation models for service
design agencies and their customers, new areas of application, etc.”

5

Copyright Diagonal Mental Structure Oy. All rights reserved.
Service Design Achievement
of the Year Competition

OUR ENTRY:
1. Highlights the design constraints in the healthcare context
2. Presents a method for involving people in the servicescape design process
3. Gives a concrete example on how to start building a strategic partnership

6

Copyright Diagonal Mental Structure Oy. All rights reserved.
On service design
We are meaning-creating beings.

7

Copyright Diagonal Mental Structure Oy. All rights reserved.
On service design
Service design is about understanding and
managing meaningful constellations of materials
and people.

8

Copyright Diagonal Mental Structure Oy. All rights reserved.
On service design
They all need to be aligned in order for them to
make sense to people and to create positive
experiences.

prescription

waiting area
letter

nurse

doctor

website
staff

9

Copyright Diagonal Mental Structure Oy. All rights reserved.
Designing for customer experience

SERVICESCAPE

SERVICE
STRATEGY

CUSTOMER
EXPERIENCE

PEOPLE

10

COMMUNICATION

ARTIFACTS

Copyright Diagonal Mental Structure Oy. All rights reserved.
What is a servicescape?

"The immediate physical and social environment surrounding a service
experience, transaction or event… It plays a critical role in shaping
customer expectations, differentiating service firms, facilitating
customer and employee goals, and influencing the nature of customer
experiences."
– Bitner 1999

11

Copyright Diagonal Mental Structure Oy. All rights reserved.
A servicescape for ideal
healthcare experiences?

12

Copyright Diagonal Mental Structure Oy. All rights reserved.
We are all health seekers

HEALTHY

amount of agency

PATIENT

time
13

Copyright Diagonal Mental Structure Oy. All rights reserved.
Components of healthcare design

PERFORMANCE
How well it does the job or is
fit for purpose.

PROCESS

EXPERIENCE

How safe, well engineered
and reliable it is.

How the whole interaction
with the product or
service "feels" or is
experienced.
Based on Bate & Robert 2006

14

Copyright Diagonal Mental Structure Oy. All rights reserved.
15

Copyright Diagonal Mental Structure Oy. All rights reserved.
16

Copyright Diagonal Mental Structure Oy. All rights reserved.
The design process
CUSTOMER UNDERSTANDING
ASIAKASYMMÄRRYS

TOTEUTUS
IMPLEMENTATION
DESIGN
DESIGN
STRATEGIA
STRATEGY

OPPORTUNITIES
MAHDOLLISUUDET

>>>

YRITYKSEN
COMBINING
LIIKETOIMINTAA
ORGANIZATIONAL
AND CUSTOMER
TUKEVAT RATKAISUT
VALUE
JA MALLIT

17

Copyright Diagonal Mental Structure Oy. All rights reserved.
lead

The design process

SERVICE DESIGN

t
men
lve

uous
n
onti

invo
er
tom
cus

c

INTERIOR ARCHITECTURE

time

18

Copyright Diagonal Mental Structure Oy. All rights reserved.
The design process

CUSTOMER JOURNEY

19

ETHNOGRAPHIC
OBSERVATION

CARDBOARD
PROTOTYPING

IMPLEMENTATION

SCALING UP

Copyright Diagonal Mental Structure Oy. All rights reserved.
Crafting a customer journey
ORIENTATION

TURN NUMBER

WAITING

INVITATION

03

SAMPLING

20

EKG & OTHERS

EXIT

Copyright Diagonal Mental Structure Oy. All rights reserved.
Observations and interviews

ENVIRONMENTS

21

ARTEFACTS

INTERACTIONS

Copyright Diagonal Mental Structure Oy. All rights reserved.
Physical prototyping
EMPATHIC WALKTHROUGHS
BODYSTORMING IDEAS
PROTOTYPING EXPERIENCES
CONFIGURING SERVICESCAPES

http://vimeo.com/juhak/cardboardhospital
22

Copyright Diagonal Mental Structure Oy. All rights reserved.
Prototyping at a cardboard laboratory

ENVIRONMENTS
23

ARTEFACTS

INTERACTIONS

Copyright Diagonal Mental Structure Oy. All rights reserved.
Results

24

Copyright Diagonal Mental Structure Oy. All rights reserved.
Design Drivers
FUNCTIONALITY
The solutions are
based on an
understanding of
laboratory workers
and what makes their
work as fluent as
possible. The spatial
layout guides staff and
visitors through it.

CLARITY
Each step has been
assigned a simple and
understandable role. The
visitor understands what
they are supposed to do
and how to prepare for
the next one.

25

AMBIENCE
The space is a pleasant
environment that calms
the visitors down.
During the sample
taking visitors can avoid
seeing laboratory
equipment and watch
from the window or at
a picture. Art from
schools etc. can be
placed at a gallery wall.

Copyright Diagonal Mental Structure Oy. All rights reserved.
Detailed customer journey

03
ORIENTATION
Patient enters
the health centre
and seeks the
laboratory.

26

TURN NUMBER
Identifying the
correct service and
taking a turn
number.

WAITING

INVITATION

Waiting for their
turn and calming
down.
Understanding
what is expected
next.

Patient is sees their
number or is called
in. Seeks the
correct door.

Copyright Diagonal Mental Structure Oy. All rights reserved.
Touchpoints

03

27

Copyright Diagonal Mental Structure Oy. All rights reserved.
Examples

28

Copyright Diagonal Mental Structure Oy. All rights reserved.
Examples

29

Copyright Diagonal Mental Structure Oy. All rights reserved.
Examples

30

Copyright Diagonal Mental Structure Oy. All rights reserved.
Pilot implementation

EXPERIENCE

“We’re happy about the well
functioning first version of the new
laboratory, in which the customers
point-of-view has been thoroughly
integrated.
…
According to the laboratory nurses
service is being constantly improved
with the help of the new concept and
a consistently working environment.”
Alueperiskooppi 23.10.2013

PROCESS

31

FUNCTION

Copyright Diagonal Mental Structure Oy. All rights reserved.
Patients say
In comparison to the old one these are much
calmer and more private with clean nice walls
around.
It's a nice feeling. Small, but I
wouldn't need any bigger.
The are much more comfortable and
you don't get as anxious.
Nice that it's private.

Best was the woman who took the
sample like a pro.

32

Copyright Diagonal Mental Structure Oy. All rights reserved.
Staff say
These are positively different. Very calm.

You have space for your tools. At times I
need to get something from the storage.
That's good on the other hand that you have
to move a bit at times.

It's efficient, fresh and clean. Positive, you
have all you need and you can be private.

The rooms are a bit small, but they work well.
They look nice and bring a warm feeling.

33

Copyright Diagonal Mental Structure Oy. All rights reserved.
Scaling up

S

M

L

S - SMALL

L - LARGE

implementing the concept
for existing services with a
need for updating the
servicescape.

34

M - MEDIUM
implementing the concept
for services that are
larger or need significant
update in their
servicescapes.

implementing and
updating the concept for
services that take place in
new sites or that need a
significant change in the
operations model.

Copyright Diagonal Mental Structure Oy. All rights reserved.
SERVICESCAPE

SERVICE
STRATEGY

CUSTOMER
EXPERIENCE

PEOPLE

35

COMMUNICATION

ARTIFACTS

Copyright Diagonal Mental Structure Oy. All rights reserved.
Next steps
We see service design as organizational transformation that is enabled
through involving the client through several design processes.
Patients are an underutilized resource in healthcare.
What are they expecting from laboratory services?
How do they want to be involved in the management of their health?

36

Copyright Diagonal Mental Structure Oy. All rights reserved.
Key Takeaways

1. HEALTHCARE PROVIDES SPECIFIC DESIGN CONSTRAINTS THAT
HAVE TO BE TAKEN IN ACCOUNT IN THE DESIGN PROCESS
2. THROUGH PHYSICAL PROTOTYPING YOU CAN CREATE EMPATHIC
UNDERSTANDING AND PROTOTYPE NEW SERVICE EXPERIENCES
3. BY TAKING A LONG VIEW IN SERVICE DESIGN YOU ADDRESS
DIFFERENT ASPECTS OF THE CUSTOMER EXPERIENCE

37

Copyright Diagonal Mental Structure Oy. All rights reserved.
Thank you!
JUHA KRONQVIST
juha@diagonal.fi

38

Copyright Diagonal Mental Structure Oy. All rights reserved.

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Diagonal - Designing Servicescapes for Optimal Healthcare Experiences

  • 1. ♥ Designing Servicescapes for Optimal Healthcare Experiences JUHA KRONQVIST 27.11.2013 1 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 2. Contents 1) On designing services for healthcare 2) Presenting the laboratory case 3) The results of the design 4) On taking the long view 2 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 3. Research + Design Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 4. Diagonal in short Diagonal is a Helsinki based service design agency focusing on innovative service and customer experiences. Our process combines research skills with creative competence. We design and execute Focus on health and wellbeing • Services • Customer Experiences • Servicescapes 4 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 5. Service Design Achievement of the Year Competition “The main judging criteria will be how much the project advances the practice of service design in Finland; pushing the service design envelope is a key criteria. The novel application of service design can be related to methods and processes, new business and co-operation models for service design agencies and their customers, new areas of application, etc.” 5 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 6. Service Design Achievement of the Year Competition OUR ENTRY: 1. Highlights the design constraints in the healthcare context 2. Presents a method for involving people in the servicescape design process 3. Gives a concrete example on how to start building a strategic partnership 6 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 7. On service design We are meaning-creating beings. 7 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 8. On service design Service design is about understanding and managing meaningful constellations of materials and people. 8 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 9. On service design They all need to be aligned in order for them to make sense to people and to create positive experiences. prescription waiting area letter nurse doctor website staff 9 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 10. Designing for customer experience SERVICESCAPE SERVICE STRATEGY CUSTOMER EXPERIENCE PEOPLE 10 COMMUNICATION ARTIFACTS Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 11. What is a servicescape? "The immediate physical and social environment surrounding a service experience, transaction or event… It plays a critical role in shaping customer expectations, differentiating service firms, facilitating customer and employee goals, and influencing the nature of customer experiences." – Bitner 1999 11 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 12. A servicescape for ideal healthcare experiences? 12 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 13. We are all health seekers HEALTHY amount of agency PATIENT time 13 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 14. Components of healthcare design PERFORMANCE How well it does the job or is fit for purpose. PROCESS EXPERIENCE How safe, well engineered and reliable it is. How the whole interaction with the product or service "feels" or is experienced. Based on Bate & Robert 2006 14 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 15. 15 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 16. 16 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 17. The design process CUSTOMER UNDERSTANDING ASIAKASYMMÄRRYS TOTEUTUS IMPLEMENTATION DESIGN DESIGN STRATEGIA STRATEGY OPPORTUNITIES MAHDOLLISUUDET >>> YRITYKSEN COMBINING LIIKETOIMINTAA ORGANIZATIONAL AND CUSTOMER TUKEVAT RATKAISUT VALUE JA MALLIT 17 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 18. lead The design process SERVICE DESIGN t men lve uous n onti invo er tom cus c INTERIOR ARCHITECTURE time 18 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 19. The design process CUSTOMER JOURNEY 19 ETHNOGRAPHIC OBSERVATION CARDBOARD PROTOTYPING IMPLEMENTATION SCALING UP Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 20. Crafting a customer journey ORIENTATION TURN NUMBER WAITING INVITATION 03 SAMPLING 20 EKG & OTHERS EXIT Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 21. Observations and interviews ENVIRONMENTS 21 ARTEFACTS INTERACTIONS Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 22. Physical prototyping EMPATHIC WALKTHROUGHS BODYSTORMING IDEAS PROTOTYPING EXPERIENCES CONFIGURING SERVICESCAPES http://vimeo.com/juhak/cardboardhospital 22 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 23. Prototyping at a cardboard laboratory ENVIRONMENTS 23 ARTEFACTS INTERACTIONS Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 24. Results 24 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 25. Design Drivers FUNCTIONALITY The solutions are based on an understanding of laboratory workers and what makes their work as fluent as possible. The spatial layout guides staff and visitors through it. CLARITY Each step has been assigned a simple and understandable role. The visitor understands what they are supposed to do and how to prepare for the next one. 25 AMBIENCE The space is a pleasant environment that calms the visitors down. During the sample taking visitors can avoid seeing laboratory equipment and watch from the window or at a picture. Art from schools etc. can be placed at a gallery wall. Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 26. Detailed customer journey 03 ORIENTATION Patient enters the health centre and seeks the laboratory. 26 TURN NUMBER Identifying the correct service and taking a turn number. WAITING INVITATION Waiting for their turn and calming down. Understanding what is expected next. Patient is sees their number or is called in. Seeks the correct door. Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 27. Touchpoints 03 27 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 28. Examples 28 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 29. Examples 29 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 30. Examples 30 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 31. Pilot implementation EXPERIENCE “We’re happy about the well functioning first version of the new laboratory, in which the customers point-of-view has been thoroughly integrated. … According to the laboratory nurses service is being constantly improved with the help of the new concept and a consistently working environment.” Alueperiskooppi 23.10.2013 PROCESS 31 FUNCTION Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 32. Patients say In comparison to the old one these are much calmer and more private with clean nice walls around. It's a nice feeling. Small, but I wouldn't need any bigger. The are much more comfortable and you don't get as anxious. Nice that it's private. Best was the woman who took the sample like a pro. 32 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 33. Staff say These are positively different. Very calm. You have space for your tools. At times I need to get something from the storage. That's good on the other hand that you have to move a bit at times. It's efficient, fresh and clean. Positive, you have all you need and you can be private. The rooms are a bit small, but they work well. They look nice and bring a warm feeling. 33 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 34. Scaling up S M L S - SMALL L - LARGE implementing the concept for existing services with a need for updating the servicescape. 34 M - MEDIUM implementing the concept for services that are larger or need significant update in their servicescapes. implementing and updating the concept for services that take place in new sites or that need a significant change in the operations model. Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 36. Next steps We see service design as organizational transformation that is enabled through involving the client through several design processes. Patients are an underutilized resource in healthcare. What are they expecting from laboratory services? How do they want to be involved in the management of their health? 36 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 37. Key Takeaways 1. HEALTHCARE PROVIDES SPECIFIC DESIGN CONSTRAINTS THAT HAVE TO BE TAKEN IN ACCOUNT IN THE DESIGN PROCESS 2. THROUGH PHYSICAL PROTOTYPING YOU CAN CREATE EMPATHIC UNDERSTANDING AND PROTOTYPE NEW SERVICE EXPERIENCES 3. BY TAKING A LONG VIEW IN SERVICE DESIGN YOU ADDRESS DIFFERENT ASPECTS OF THE CUSTOMER EXPERIENCE 37 Copyright Diagonal Mental Structure Oy. All rights reserved.
  • 38. Thank you! JUHA KRONQVIST juha@diagonal.fi 38 Copyright Diagonal Mental Structure Oy. All rights reserved.