DigitalHealthcare_SatyanEvonne_April2022.pdf

Reimagining Digital Healthcare
through Design
Dr Satyan Chari & Prof Evonne Miller
Outcomes and insights from the HEAL Bridge Lab collaboration

OUTLINE
• Who we are (EM, SC)
• Bridge Labs Program – what and why? (SC)
• HEAL and design-led healthcare innovation (EM)
• HEAL’s digital footprint and future (EM)
• Human-centred design & systems disciplines as critical
partners in healthcare’s digital future (SC)
3

HF-NET - Human Factors Learning and Innovation Lab

SIBL - Safety Innovation Bridge Lab

HEAL - Healthcare Excellence Accelerator

How Design
“Thinking & Doing”
is Transforming
Healthcare
Healthcare Excellence
AcceLerator

the transformative power of design and designers,
in collaboration with clinicians and consumers

spatial disciplines
architecture, landscape
& interior architecture
integrated disciplines
fashion, visual communication,
interactive & industrial design
WHAT IS DESIGN?
Illustration: Simon Kneebone

The Design
Thinking
(& DOING)
Process
11

QCH: Playful Placemaking & Wayfinding
Level 6 Entertainment Precinct
QUT-LED: A/Prof Jen Seevinck, Kirsten Baade,
Prof Evonne Miller & Gillian Risdale
Intersection of
Spatial, Interior,
Interactive &
Visual Design
Images: Sarah Osbourne

Animating Cultural Safety
Short & provocative 3 minute probe animation
https://research.qut.edu.au/heal/projects/cultural-safety/

Redesigning Visual Communication
to Reduce Urine Contamination
QUT-Led: Prof Lisa Schaorun,
Prof Evonne Miller, Zoe Ryan

WM: Connecting Rehab Services Across
West Moreton – Appreciative Inquiry,
Videography, Photovoice
& Design Thinking Workshops
QUT-LED: Prof Evonne Miller

Design-thinking workshops reimagining virtual & at-home care in 2030
– Rockhampton, CQ HHS

Telehealth Hub Project
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This project aids QH staff to understand and use telehealth more easily:
(1) How might we make it easy for staff to access information about how to use telehealth?
(2) How might we create resources to help QH staff easily access telehealth tools?
Policy Review & Website Analysis
A brief desktop review of existing policy and
research and QH websites containing telehealth
information and resources and their usage
Insights Workshop with Telehealth Support Unit
A focus on findings from the coordinator interviews
and implications
PROJECT TEAM: QUT (Evonne Miller, Leonie Sanderson, Simon Lowe),
TSU (Alison Kelly, Daniel Best) & HIU (Satyan Chari, Anna Wesselman)
Telehealth Coordinator Interviews
Interviews with the majority of telehealth
coordinators across Queensland
Clinician Interviews
Short interviews with clinicians who currently
use telehealth in their daily work
Website Design Workshop
with Telehealth Coordinators
Design workshop to create top-level design

Discovery Phase:
Key Themes
1. Consolidate, Centralise, Streamline:
Fragmentation, local processes,
multiple sources of information.
2. Mythbusting: Assumptions and
attitudes / Models of Care
3. Drivers and Influencers: Patients as
drivers/ Consultants are influencers
/Nurses and admin are lynchpins
4. Culture vs Strategy: Training and
process /One positive or one negative
experience is all it takes / Decision-
making points/ Co-designing with users
5. Resourcing: Staff / Funding /
Incentives and disincentives
telehealth ‘rules’ differ from region to region,
creating potential for mix-ups in advise
19
“...like I got a phone call to say, where are the publicly accessible
information sheets for telehealth? And I'm like, well, the Queensland
health website has this and the TSU public website has this and
Townsville has this. And I'm just like, wow, there's so many different
bits of information in different places. There's no consolidated area
where we can go, ah, yeah, you can go there for everything.”

20
CHALLENGE CLICHED CLINICAN VIEW OF PATIENTS -
“They say oh I don't do telehealth. I won't do it. My patients
won't understand it or my patients won't do it, but then
everyone's using their digital devices to do their banking and
their, you know, their social media and stuff. So I think it's,
yeah, I think it's a generalization there that a certain cohort of
people who won't, they won't take to telehealth, but in fact,
they're already doing a lot of virtual.”
ENSURE CLINICAN USER EXPERIENCE IS SEAMLESS -
“because we start with an overview and then a live demonstration.
This is how it works because it’s like the myth-busting, to show
them that the dashboard, you don't need a pilot's license to
navigate your way through the dashboard.”
LEAD BY EXAMPLE –
“You generally have to find maybe one clinician or two
clinicians that you can work with and who are really
interested and go from there and sort of build out. And
that way they can sort of infiltrate their colleagues and
get them to do things. So that's having that manager
support sometimes is really important.”
JUMP-STARTING T/HEATH

21
CHANGE THE CULTURE &
THE CONVERSATION
“And yeah, culture is a major thing. If
you, if you get a clinician who's not
willing to even try, it's very difficult.”
CHANGE THE EXPERIENCE
The Digital Hub – and the on-site tech / experience
TRADIE
IN THEIR SHOES –
DIGITAL / VIRTUAL
INSTALLATION &
INTERATION
Older Person in
Wheelchair
Student/ Waitress
Single Parent

From ~10k to ~30k / month during COVID –
how maintain and grow ?
22
Source: Monthly Activity Collection and Queensland Health Non-Admitted Patient Data Collection,
Queensland Health. TELEHEALTH STRATEGY 2021-2026

1. To reduce confusion around multiple telehealth
sites and multiple telehealth application sites,
consider creating a well-publicised telehealth hub
that brings together information from the different
existing websites that includes;
a. ability to link hub to regional HHS
intranets e.g. single icon on a desktop
b. a log-in that customises information
according to the user, or at a minimum
allows access for QH staff
c. a separate section for each HHS with
information specific to that area
d. basic how-to type information to get
people started using telehealth .e.g
fact sheets and videos
2. Consider the development of a decision-
making tool to support clinicians in choosing how
to do telehealth that is suited to their needs.
3. Develop content that counters myths and
misconceptions, and assists clinicians to
navigate the tools and training.
Actions In Progress

24
VOICeD allows a person with chronic disease to see multiple
healthcare providers at one appointment, via telehealth.
VOICeD –
Virtual Outpatient
Integration for
Care Delivery

Agency and Access:
Re-Designing the Prison Health
Request Process
1. Visual Form
2. “Internal” telehealth –
preparing for in-cell
technology
Partners: Queensland Health’s Office for Prisoner Health and Wellbeing (Graham Kraak), Capricornia Correctional Centre
(Darren Holzberger), Health Consumers Queensland (Anne Curtis) and Clinical Excellence Queensland (Linda McCormack)

Design-led advanced manufacturing
of smart orthotics for remote Australia
As part of HEAL, design HDR intern,
footwear / textile designer and Master’s
student Isabel Byram visited Podiatrist
Sarah Bohan - Mt Isa Hospital & North
West HHS - to investigate the challenge
of diabetes and orthotic footwear
solutions in remote communities.
Disruptive Innovation
at Mount Isa Hospital
redesigning the entire
consumer experience -
not redesigning orthotics
and footwear
There is limited technology available in remote hospitals for podiatrists to modify and
provide temporary footwear solutions to their patients. Unsuitable orthotics and footwear
solutions for the diabetic foot patients in remote towns leads to non-compliance
and risk of amputation

The re-conceptualisation of the entire supply chain resulted in
a successful $2M Cooperative Research Centres (CRC-
Projects) application for “Designed-led advanced
manufacturing of smart orthotics for remote Australia”, with the
design component led by industrial designer A/Prof Marianella
Chamorro-Koc. In partnership with iOrthotics, QUT, UQ, Mt
Isa Base Hospital and My FootDr, the project aims to design
intelligent orthotics to reduce diabetes-related
amputations for remote Australia.
Design-led advanced manufacturing of smart orthotics for remote Australia

UNDER REVIEW (~Aug22): $7.5M ARC Training Centre for Co-Designing Medical Technologies (CoDeM)
adoption lags innovation:
the diffusion of innovations into routine use in
healthcare is an estimated 17 years [5],
meaning many “innovations that could
potentially deliver benefits to patients remain
slow to achieve uptake” [6, p.i47].

Via three connected
Research Training
Programs –
(1) Hybrid Care;
(2) Lifelong Care;
(3) Ageing and
Chronic Care -
CoDeM aims to:
1. Train the next generation of MedTech researchers to be
collaborative human-centered co-designers, engaging
with ‘everyday end-users’ - people using MedTech - to
transform the MedTech industry, making it more agile to
respond to current and future market needs;
2. Create a highly productive commercialisation
environment, capitalising on the intersection of Industry 4.0
(advanced digital technologies) with COVID-19 to accelerate
the development and acceptance of MedTech devices,
diagnostics, monitoring, and data analytics;
3. Exemplify how advanced manufacturing can develop,
transfer, and accelerate the adoption of co-design
principles and processes, expanding capabilities and
enabling the creation of more innovative, high-quality, user-
centered products at proof-of-concept, early and late-stage
commercialisation;
4. Grow an ecosystem for design led human-centered
innovation within the MedTech sector that can be extended
beyond CoDeM, with our open innovation network sharing
processes, and impact of co-design.
PROPOSED
ARC Training Centre for
Co-Designing Medical
Technologies (CoDeM)

6 Manufacturing and Start-ups:
• PI Dr Brewer is Head of Research and Development at WearOptimo, who are developing and manufacturing micro-wearable devices that directly access biomarkers on the skin to instantly diagnose and
monitor hydration;
• PI Mantilla is Technology Developer and Founder of Movendo, a leading mHealth AI platform that provides predictive analytics to inform healthcare decisions at organisational and individual level;
• PI Launer is VP of Audiology and Health Innovation from Swiss-based company Sonova, which specializes in hearing care solutions;
• PI Forbes is Head of Commercial and Community at Aginic Venture, who are passionate about improving the healthcare experience through the integration of data analytics, visualizations, devices, and apps;
• PI Jesuadian is Chief Operations Officer for ARM (Advanced Robotics for Manufacturing) Hub which links the manufacturing sector with advanced robotics, and he has a background in healthcare
improvement;
• PI Galdari, co-founder and CEO of Conpago - creators of digital management system for aged care and smart objects for intergenerational connections - represents the MedTech start-up sector.
8 Healthcare & Allied Health (Aged Care):
• Clinical Excellence Queensland (Queensland Health) is represented by PI Chari, an experienced clinician, researcher, and policymaker is a direct conduit to healthcare innovation across the state - and as co-
Director of HEAL with CD Miller, he has an established collaborative working relationship with the QUT Design CIs;
• Children's Health Queensland Hospital and Health Service (HHS) is represented by PI Waak a paediatric specialist at and PI Karen Foelz, Senior Manager – Strategic Partnerships from funding arm, the
Foundation;
• St Vincent’s Hospital is represented by PI Hargraves, Executive Manager Clinical Development Research and Innovation a nurse dedicated to systems improvement, with a specific focus on pain and “prehab and
rehab;
• Sunshine Coast HHS is represented by PI Nugent, Obstetrician and Gynaecologist, with funding partners PI Yerkovich from The Prince Charles Hospital Foundation (Common Good);
• Caboolture HHS/Metro North is represented by PI Byrnes, Nursing Director - Medicine & Older Persons;
• Bolton Clarke, aged care provider, is represented by PI Lowthian - speech pathologist and Head of Research.
2 Consumer Groups:
• Ensuring consumer voices influence how health services are designed and delivered are: PI Fox, Chair of Health Consumers Queensland and PI Bennett, lead researcher at Ear Science Institute Australia.
Co-Designing Medical Technologies
- CoDeM Partners

Future frontiers
• Enhancing human performance (rather than controlling for fallibility)
• Humanising work flows
• Flexible design
• Ethical design / human-centred automation
• Cognitive engineering in decision-support
• Complex systems thinking alongside MVPs
• Activating innovation ecosystems
32

DigitalHealthcare_SatyanEvonne_April2022.pdf

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