YOU ARE A
HEALTH CARE
DESIGNER
Fast Forward Medical Innovation
Design Bootcamp
JAMA Pediatrics
Unitio
Lenovo
DISCLOSURES
JOYCE LEE, MD, MPH
www.doctorasdesigner.com
Twitter: @joyclee
NANCY BENOVICH GILBY
Professor of Entrepreneurship,
UM School of Information
JOYCE LEE, MD, MPH
NANCY BENOVICH GILBY
MARK NEWMAN
CO+LAB OBJECTIVES
1 To develop digital health prototypes using participatory
design, including mobile context-aware applications, and
artificial and virtual reality technologies
To offer interdisciplinary learning experiences for
students, including interaction with patients and
caregivers and technology skills development
To conduct design research to gain insights related to
working with technology within the context of health.
2
3
AGENDA
Introduction to Design
Understand the 5 basic steps of Design
Thinking
Apply design thinking to create a prototype for
health
Reflect on the creations of the entire group and
the process
WHAT IS DESIGN?
“Purpose, planning, or intention that
exists or is thought to exist behind an
action, fact, or material object.”
“Can I park here?”
“For how long?”
Nikki Sylianteng @toparkornottopark
Nikki Sylianteng @toparkornottopark
WHO IS A DESIGNER?
“Folk in black turtlenecks and
designer glasses working on small
things like the Apple Watch”
-Tim Brown
Clinician, QI Director, Researcher
YOU ARE A DESIGNER
DESIGN IS A MINDSET
“Learning to design is learning to see”
-Oliver Reichenstein
The needle is
opposite to the
cap
Design Flaw #1
>15,000
Unintentional injections
from Epi-Pens in the US
between 1994-2007
0
500
1000
1500
2000
2500
3000
< 6
6-1218-64
Total
13-17
>64
Unintentional Injections with
Epinephrine auto-injectors
Simons, 2010
Greenberg, 2010
“Despite instructions rendered on the
package insert, a large number of health
care professionals including nurses,
paramedics, and physicians
inadvertently self-inject while attempting
to administer the EpiPen to patients. One
recent report chronicles a 6-year
experience at a single US poison center
that fielded 365 epinephrine injections to
the hand.”
Design Flaw #2
Life or death is
stressful! Don’t
make me think!
Design Flaw #3
It’s an awkward
size, & doesn’t fit
in your pockets
Blackberry iPhone
The cap &
needle are at the
same end
Redesign #1
It’s like Siri
and talks to you!
Redesign #2
It’s thinner and
shorter!
Redesign #3
It reminds me
when to refill
The Paternalism of Medicine
“patients frequently do not understand
how and when to use [the epi-pen].”
Sicherer, 2011
Blaming the Patient
“patients frequently do not understand
how and when to use [the epi-pen].”
Sicherer, 2011
The needle is
opposite to the
cap
Patient Problem or Design Problem?
“Children had only used their EpiPen device in
29% of recurrent anaphylaxis reactions. This
is perhaps unsurprising because a fear of
needles/injections is common”
Sicherer, 2011
Blaming the Patient
“Children had only used their EpiPen device in
29% of recurrent anaphylaxis reactions. This
is perhaps unsurprising because a fear of
needles/injections is common”
Sicherer, 2011
Life or death is
stressful! Don’t
make me think!
Patient Problem or Design Problem?
“patients often forget [the device],
allow it to expire”
Sicherer, 2011
Blaming the Patient
“patients often forget [the device],
allow it to expire”
Sicherer, 2011
It’s an awkward
size, & doesn’t fit
in your pockets
Patient Problem or Design Problem?
Patient problems are really
healthcare system design
problems
Fix the Design and It’s No Longer
the Patient’s Problem
Let Patients Design and they will
Fix the Problem!
75%
of children fail achieve recommended
blood sugar goals in Type 1 Diabetes
75%
of health care providers/systems fail to
help children achieve recommended
blood sugar goals in Type 1 Diabetes
Healthcare: “Fax us your numbers!”
Kid: “Mom, what’s a fax? Is it
compatible with Snapchat?”
Some people wonder why almost
no one uploads their pump data…
I think I know why: because
getting it to work can be like
CRAWLING. THROUGH.
BROKEN. GLASS.
@HowardLook
DESIGN IS A PROCESS
It’s a form of Problem Solving
HUMAN-CENTERED DESIGN
“An approach that puts human (end-
user) needs, capabilities, and behavior
first, then designs to accommodate those
needs, capabilities, and ways of
behaving”
THE END-USER IN
HEALTHCARE
It’s patients and caregivers, NOT doctors
or nurses, clinic managers, insurers,
administrators, or even specialty
organizations.
EMPATHY
Understand a problem
before solving it
DEFINE
A patient-defined problem
IDEATE
Collaborative, creative brainstorming
PROTOTYPE
Sketch, draw, glue, code
www.diabetesemoticons.com
WHYAPPLYDESIGN TO
HEALTHCARE?
Billion dollar valuations
42 design firms have been acquired since 2004
50% have been acquired within the last year
with Accenture, Deloitte, IBM, Google, Facebook
as the most acquisitive
72
Empathy
Define the Problem
Ideate
Share & Capture Feedback
Prototype
Test
How might we design the ideal clinic visit
experience?
How might we design a tool or experience to
support for health, wellness, and disease ?
How might we design tailored healthcare to
our patients individual/specific needs?
Understand the problem before trying to
solve it.
EMPATHY
Interview your client about their experiences
with healthcare, wellness, and disease
management.
Ask open-ended questions:
Who? What? When? Where? Why? How?
5 min per person
Address the client’s specific problems and
needs.
DEFINE
Define the problem.
Capture your findings and take a stand on how
to address your client’s needs.
I was surprised to learn…
The client needs a way to…
4 min individually
Sketch solutions for your client’s needs.
IDEATE
Generate ideas to test.
Sketch out solutions to your partner’s needs.
Be messy, be creative, get to a good idea.
8 min individually
What does your client think of your
solutions?
SHARE
Share your solutions and gather feedback.
This feedback will shape your next iteration.
Understand your clients’ concerns and keep
their feedback in mind.
5 min per person
Sketch your best idea. Remember your
client’s feedback!
PROTOTYPE
Prototype your solution.
Reflect on your partner’s feedback and sketch
your best ideas.
How can you best serve the client’s needs?
8 min individually
What could be improved?
TEST
Test your new prototype.
Share your prototype with your partner and get
feedback on the outcome of your design
process.
What worked? What could be improved?
5 min per person
What did you come up with?
REPORT OUT
Health Care Designers!
THANK YOU
www.healthdesignby.us
www.doctorasdesigner.com
Dr. Joyce Lee
@joyclee
joyclee@med.umich.edu
Nancy Benovich Gilby
nabgilby@umich.edu

You are a Healthcare Designer