Medlove 2012 Berlin: Design for Community Care

Designing for Community as
the Source of Care
Co-creating Care where it happens

Peter Jones
Redesign Research
OCAD University, Toronto
Copyright © 2012, Peter Jones

Design for Care: designforcare.com
Innovations in Healthcare Experience @designforcare

“What if Design was designed as Rethinking Care
a care profession?” And if … 1. Design as Caregiving
2. Co-Creating Care
Healthcare as systems of services 3. Seeking Health

Enabling those who serve people Rethinking Patients
seeking care: Health practice & 4. Design for Patient Agency
care organizations. 5. Patient-Centered Care Service

• People not patients. Rethinking Care Systems
• Systemic, touches every sector 6. Innovating Points of Care
• Cases, Methods, Experiences 7. Designing Healthy Information Technology
8. Systemic Design in Healthcare Innovation
9. Futures in Service Innovation


Real care occurs in-place, a
community we share with others.

Caring requires knowing, trust, patience, humility,
honesty, & the primacy of life’s rhythms.

“… there must also be developmental change on
the other as a result of what I do; I must actually
help the other grow.” M Mayerhoff


Schools of Design Thinking in Healthcare

• User Experience / IxD / IA
• Service Design
• Evidence-Based Design
• Environmental Design
• Participatory Design
• Generative Design
• Radical Innovation

• We tend to forget – Sociotechnical systems


SERVICE

7

A Healthcare Revolution?

Two trends are preparing ux for what’s next :
• Tech - Mobile & Health 2.0
• Social - ePatient & patient-centered

• Our investment matters
The way we design for care now defines our field


What’s your Possibility?

• Choose your Context
Consumer Health
Care Practice
Healthcare Organizations
Education, Policy & Institutions

• From designing services to co-creating care


People are health-seekers
A health-seeking journey occurs over a lifetime, a continuity
that proceeds through youth, adulthood, & older age.


Design more for value demand
Less for failure demand

• From systems perspective,
disease focus is intervention
• Patient context is temporary
• Prevention, adherence, & continuity


Where does Health Live?


Where does Health Live?

Dis-eases emerge from so many factors …

Can we design for:
• Home conditions
• Connectedness - Friends & family circles -
• Autonomy, mobility & communications
• Neighborhood, safety, food supply
• = community


How does identity change as a patient?


Can we distribute care resources
among different points of connection?


• Person-Family
• Person-Community
• Patient-Patient
• Patient-Providers
• Providers-Community


Design skillsets in healthcare

Community “All 4 at once”

D3.0 & 4.0 require power
tools of systems &
collaboration.

Transfer down:
- Sensemaking mindset
- Stakeholders
- Reframing power
- Adjacency

Adapted from Humantific with permission

Healthcare Design Contexts in …

Community engagement
Healthcare networks
Public health - Prevention
D3.0 & 4.0 “Changemaking”
Policy development
Transforming education
Power tools are necessary:

- Systemic design approaches.
Clinical practices for complex care
- Multi-stakeholder collaboration.
New organizational modes
- Participatory research.
- StrategicRedesigning business models
innovation.
Service systems
- Design of practice & service.
Clinical education


D3 & D4

Atrial Fibrillation Care

Many health services treat chronic &
complex illness as exceptions. Patients fall
between the cracks & are shuttled around,
getting fragmented care. By not adapting to
the changing reality of the chronic
demographic, costs rise as hospitals increase
their exception cases.
Morra, et al (2010). Reconnecting the pieces to optimize care in Atrial Fibrillation in Ontario.

Atrial Fibrillation System Redesign

The improvement of individual experience is
an effect in healthcare. Nice but not
systemic. Redesign institutional practices &
business models.

28

Community Design
Research Concept
OCAD University Toronto
Strategic Foresight & Innovation

Winning team, 2011 Rotman Design Challenge
Mayo Mom Service Design Concept
Martin Ryan, Jen Chow, Jessica Mills, Josina Vink, Phouphet Sihavong


1st place Rotman Design Challenge
Mayo Clinic

The United States has one of the
lowest rates of breastfeeding of any
country in the developed world.

Only 13% of children are exclusively
breastfed for the first 6 months.

Correlated with fewer infections,
illnesses, & diseases, such as asthma,
diabetes and obesity.

If 90% of U.S. babies were breastfed
for 6 months, save $13 billion /year


Understanding the design moment

The Experience of Human-centered
Breastfeeding Intervention

Research Design Research Design
Understanding phase Expert interviews
Expert interviews Midwife
Lactation Consultant
“The Latch” Sociologist
Child Life Specialist Moment of
Anthropologist Wellness Moms
In-depth interviews with
Moms & Dads mothers focused on the
In-depth interviews moment of intervention.

© 2011 Ryan, et al.Peter Jones
Copyright © 2012,

Prepare a mother for the emotional and Offer safe, unbiased, emotional support and
physical challenges ahead to ensure ingoing positive reinforcement during the “latch
assumption is not that “it comes naturally” experience” when it is needed most

Copyright © 2012,al.
© 2011 Ryan, et Peter Jones

How do we design for healthy communities?

D4.0 design
research skills

Co-creative for
Social Systems

Complex – all 4

Trans-disciplinary

Not-radical Innovation


Thank you.
@redesign @designforcare

designforcare.com
designdialogues.com
redesignresearch.com

Strategic Innovation Lab
OCAD University Toronto
Strategic Foresight & Innovation


Medlove 2012 Berlin: Design for Community Care

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