D4AHS Virtual Health + Care Design School - Week 1: Introduction to Design
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Welcome Guest Speaker - Zayna Khayat Design Thinking Process Intro to upcoming speakers HMW (How Might We) Activity for the week Key takeaways
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D4AHS Virtual Health + Care Design School - Week 1: Introduction to Design
- 1. Welcome to Virtual Design School
- 2. Marlies Fearless Leader Ali Chat box Monitor Erin Host Josh Host Shalyn Chat box Monitor Kathryn Visual Design
- 3. Live tweet with us @Design4AHS #Designschool
- 4. What are you curious about?
- 5. Zayna is a Future Strategist with SE Health, a health and social impact enterprise with a major focus on keeping older adults healthy in their homes. Zayna is faculty of Singularity University’s Exponential Medicine stream, and is adjunct faculty in the Health Sector Strategy stream at the Rotman School of Management at the University of Toronto. Want to talk about the future? #DesignSchool@ZaynaKhayat
- 6. The Future of Health(care) = Innovation Zayna Khayat, PhD Future Strategist October 16 2019 @ZaynaKhayat @SEFutures
- 8. WHY we exist To spread hope and happiness WHAT we do VALUES We are collaborators We see possibility everywhere We believe in the power of people, families and communities Hospital Care at Home & Transitions Seniors’ Living Specialized Home Health Care Education Elizz Caregiver Solutions 110Years of forward thinking 9,000 Leaders of Impact 20,000 Home visits a day
- 9. Innovating for 110 Years
- 10. Co-creating a Future where Canadians Age with Agency, Dignity, Health and Vitality
- 11. Central paradigm: The system New paradigm: The Person Future of Health $ @ZaynaKhayat
- 12. CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION 500 BC- 500 AD Hippocrates 500- 1500 Black Plague 1670 Microscopy of cells 1796 Smallpox vaccination 1799 Anaesthesia 1870s Microbes & disease 1628 Human Anatomy & Physiology 1895 X rays Source: PwC 1928 Antibiotics 1948 WHO established by UN 1953 DNA structure Watson & Crick 1971 Medical Imaging - MRI, CAT 1978 1st "test tube baby“ 1983 HIV virus causes AIDS 2008- now Digitization 2003 Human Genome @ZaynaKhayat
- 13. CELLULAR THERAPY 3D Printing SENSORS / IOT NEURO-TECHf Emerging technologies in health & care https://gnhic.com/ AI - Predictalytics Voice Recognition Virtual Reality Blockchain Sensors – IoT ‘Omics Robotics ‘bots Autonomous Transport Neuro Tech Nano biology Cellular Therapy
- 14. 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
- 15. Digitized Deceptive Dematerialize Democratize Adapted from Peter Diamandis’ 6 D’s of Exponential Development Healthcare (in Canada) is largely here Disruptive Demonetize 6 D’s of Exponential Development @ZaynaKhayat
- 16. @ZaynaKhayat
- 17. Source: Kaiser Permanente CEO Interview in the press (2017); OECD and OTN study (2017) >61% <0.3% % virtual medical visits (2019) @ZaynaKhayat
- 18. Source: Mobihealth News (2019) Started 2015: “AI-assisted medical system” Subscription: $40-$100 Cdn / year Dec 2018 the network: • 265M registered, 25M active monthly • 1,200 in-house docs; 5,200 outside docs • 3K hospitals • 15K pharmacies • 47K virtual clinics • 1.3K GP clinics • 1.2K dental offices • 1.9K other institutions • 1 hr drug delivery service in >70 cities @ZaynaKhayat
- 19. Threshold changes in miniaturization, affordability @ZaynaKhayat 500K – 50 years (analog) 500K – 2 years (mobile)
- 20. 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
- 21. @ZaynaKhayat
- 22. 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
- 23. Business Model Lifecycle Organization’s Lifecycle @ZaynaKhayat +++ + Source: adapted from BCG and Business Innovation Factory
- 24. 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
- 27. “Uberization of [insert health service] “Facebook for Patients” “Airbnb for [insert care setting]” “Instagram for Doctors” “Slack for Healthcare” New business models emerging “YouTube for Healthcare” “Amazon Alexa [or Siri] for health” “Yelp reviews for healthcare” @ZaynaKhayat
- 28. … 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
- 30. ?? The largest health company owns no clinics or doctors @ZaynaKhayat
- 31. In one week in October 2019 … @ZaynaKhayat “A Walmart within 12 miles of every American” $1/day college ed. to skill up staff to be health workers Healthcare bundles: $50- $240 for up to 6 members
- 33. 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
- 34. Innovation is new ideas The current state Improvement is on current ideas Innovation ≠ improvement
- 35. @ZaynaKhayat
- 36. 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 Innovation ≠ improvement
- 37. 4 Q’s I always ask new innovation teams 1. Define innovation for your org / system 2. Why innovation? What is the goal? 3. Time horizon (s)? 1-5 years? 5-10 years? 10- 20 years? Mix? 4. Scope (specific units, product, service, process, business model, policy, system; Geography?) @ZaynaKhayat
- 38. Practices/ Capabilities Developed Source: Adapted from McKinsey & Co, 3 Horizons & Ralph Christian Orr Dual Innovation management System NewtoSE Newto theworld Business Model New Horizon 3: Create New Markets Existing Horizon 2: Reshape the Core Horizon 1: Optimize Core Evolved Requires different: - methods - timelines - metrics - ways of working Innovation @ SE = A future offering, practice or business model that significantly* impacts hope&happiness, revenues & the health system
- 39. 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
- 41. 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
- 42. 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
- 43. CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSION Complexity 43
- 44. CONFIDENTIAL – DO NOT DISTRIBUTE WITHOUT FACULTY PERMISSIONSource: Professor David Dunne @ZaynaKhayat
- 45. In Summary: Future of Health – 6 shifts Massive opportunity to lead in creating the future 6 D’s of exponential development • Start experimenting now Your mission: create the conditions for exponential thinking and change Zayna Khayat, Ph.D. ZaynaKhayat@SEHC.com @ZaynaKhayat | @SEFutures | @SEHealth_SEHC
- 46. KEEP CALM & KEEP INNOVATING Zayna Khayat, Ph.D. Futures at SE Health ZaynaKhayat@SEHC.com @ZaynaKhayat | @SEFutures | @SEHealth_SEHC
- 48. Breakout! Make a connection and introduce yourself How ready is your organization to innovate? 1 2
- 49. Design Thinking Process Mindset + Culture #DesignSchool@Design4AHS
- 50. Week Two: Empathy Re-framing a problem Identifying your end users Building your design team
- 51. Week Three: Define Leading the journey map Note and vote Goal setting
- 52. Week Four: Ideate Creativity + design thinking Ideation process Analogies for inspiration
- 53. Week Five: Prototype + Test Building your realistic façade Testing with your users early and often
- 54. Foundation: Mindsets and Culture The role culture plays in co-design Addressing elephants in the room
- 55. Foundation: Mindsets and Culture Bringing it all together Co-design every damn day
- 58. How might we… Reframe problems as opportunities. #DesignSchool@Design4AHS
- 60. • Design thinking is a non-linear process for innovation. • From empathy all the way through testing, curiosity is key. • You are all designers now! Let’s hit the ground with a beginner’s mindset! Key takeaways #DesignSchool@Design4AHS