Designing realistic medicine

@RODNEYMOUNTAIN @MIKEPRESS @OPENCHANGEUK

DESIGNING REALISTIC MEDICINE

ROD MOUNTAIN MIKE PRESS


A SURGEON AND A DESIGNER

WALK INTO A BAR….






HEALTHCARESERVICE DESIGN

WHAT IS REALISTIC MEDICINE? HOW CAN SERVICE DESIGN ADVANCE IT?

WHAT HAVE WE DONE SO FAR? WHAT CAN WE DO NEXT?

@openchangeuk www.openchange.co.uk@RODNEYMOUNTAIN @MIKEPRESS @OPENCHANGEUK

HEALTHCARESERVICE DESIGN


THE SCOTTISH APPROACH TO SERVICE DESIGN

Scottish Approach to Service Design: Principles

Using our public services should be as simple and straight forward as it can be.

As Simple As They Can Be

Users should be in the room when design decisions that affect them are made.

Users In the Team

All of Scotland’s people should be able to participate in the design of our public services.

No One Left Behind

Learn, understand, envision, make, test and deliver together

Always Connect

User Not Organisation NeedsEnsure services are delivered in the best way possible to solve user’s problems and meet user’s needs. Users should not need to understand how the public sector works.

Collaborate, Share, ReuseWork with other organisations to make the user’s journey coherent and minimise duplication, and to improve the efficiency of design.

Inclusive and Accessible Our tools and methods must be accessible and inclusive – anyone who wants to should be able to participate in any public service design activity.

With, Not Just ForPublic services are how governments deliver their policies – designing with and not just for enables both policy and implementation to continuously improve.



WHAT IS REALISTIC MEDICINE?

EMPOWERING

PERSONALISED

SUBJECTIVE HUMAN EXPERIENCE

=OBJECTIVE BEAN COUNTING

GLOBAL HEALTHCARE CHANGES

1

2

3

4

5

VALUE

DIGITAL

WELLNESS

SUSTAINABLE

COMMUNITY BASED

VALUE

DIGITAL

WELLNESS

SUSTAINABLE

COMMUNITY BASEDSTEPHEN HAWKING Illustration: Ellie Foreman-Peck


HOW CAN SERVICE DESIGN ADVANCE REALISTIC MEDICINE?

+

WHY COMBINE QUALITY IMPROVEMENT & SERVICE DESIGN?

Chief Medical Offi cer’s Annual Report 2014-15REALISTIC MEDICINE

7

REALISTIC MEDICINE CAN WE:

CHANGE OUR STYLE TO SHARED DECISION-MAKING?

BUILD A PERSONALISED APPROACH TO CARE?

REDUCE HARM AND WASTE?

REDUCE UNNECESSARYVARIATION IN PRACTICE AND OUTCOMES?

MANAGE RISK BETTER?

BECOME IMPROVERS AND INNOVATORS?

SCOTTISH APPROACH TO SERVICE DESIGN

WHAT’S THE DIFFERENCE?

IMPROVEMENT DESIGN

BASED ON SYSTEM ANALYSIS SETTING STANDARDS

QUANTATIVE LEFT BRAIN

SERVICE DESIGN

BASED ON USER EXPERIENCE CREATING EXPERIENCES QUALITATIVE RIGHT BRAIN

AIMS

QI AIMS

SERVICE EFFICIENCIES INCREMENTAL CHANGE

PROBLEM SOLVING FACT FINDING

SD AIMS

USER EXPERIENCES RADICAL CHANGE PROBLEM FINDING INTUITION

PROCESS

QUANTITATIVE PROCESS

RISK AVERSE MORE HIERACHICAL

MEASURABLE LESS EMOTIONAL

QUALITATIVE PROCESS

RISK TAKING LESS HIERACHICAL OBSERVATIONAL MORE EMOTIONAL

METHODS

QI METHODS

FEEDBACK SURVEYS

OPINIONS MEETINGS

TEST OF CHANGE

SD METHODS

USER ENGAGEMENT CREATIVE THINKING EMPATHY MAPPING JOURNEYS / TOUCHPOINTS PROTOTYPING

OUTCOMES

QI OUTCOMES

WRITTEN STANDARDS PROTOCOLS/GUIDELINES

LESS RADICAL PROPOSALS MEDIUM TERM SOLUTIONS

SD OUTCOMES

VISUAL NARRATIVE INFOGRAPHICS/MEDIA MORE RADICAL PROPOSALS LONGTERM SOLUTIONS

Now is the time to link left brain with right and create an enlightened alliance of Quality Improvement and Service Design in Scotland

QI & SD ALLIANCE

Learn from each other vocabulary, tools, confidence

Work with each other subtle, cultural, value, trust

Train and Teach together Adapt tools and techniques

WHY PARTNER QI and SD mindsets?


WHAT HAVE WE DONE SO FAR?



1. COMMUNITY 2. CAPACITY 3. LEADERSHIP


CONDITIONS FOR DESIGN TO ACHIEVE IMPACT IN PUBLIC AND THIRD SECTOR PROJECTS

Condition 1: Community Building Build and Maintain Trust



Condition 2: Capacity Build Capacity and Skills



Condition 3: Leadership Align Change with Organisational Values



COMMUNITY BUILDING







CAPACITY


NINEWELLS HOSPITAL

5,000 STAFF SERVING POPULATION OF 500,000 25 MILES OF CORRIDORS 2ND LARGEST HOSPITAL IN SCOTLAND PIONEERED KEYHOLE SURGERY UK’S ONLY FRANK GEHRY BUILDING


NINEWELLS SAFARI



















SERVICE DESIGN FOR GPs


DASMAN KUWAIT


DASMAN KUWAIT



LEADERSHIP















WHAT CAN WE DO NEXT?



HOW DO WE DO IT?

Link our organisations Scale, embed and spread

Joint training and activity Establish, build relationships

Create the future we want A Society philosophy Cathedral thinking / V&A effect


IT’S NOT ROCKET SCIENCE



THREE LOCAL LEVEL PRIORITIES

1. SPACES TO INNOVATE & CO-CREATE 2. INSTITUTIONAL PERMISSION TO

COLLABORATE 3. BUILD DESIGN CAPACITY 4. FUNDING


THE SCOTTISH APPROACH TO SERVICE DESIGN

IS ABOUT GIVING POWER TO PEOPLE



ROD MOUNTAIN MIKE PRESS