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DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer STRATA RX - SEPTEMBER 2013.

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Presentation on theme: "DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer STRATA RX - SEPTEMBER 2013."— Presentation transcript:

1 DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer STRATA RX - SEPTEMBER 2013

2 2 Jen van der

3 3 Jen van der

4 & DOES THE TRIPLE AIM SEEM UNATTAINABLE Improve population health Improve the patient Reduce the per capita cost of health care

5 Leslie Patricelli

6 Meaningful use. Accountable care. Can we set the bar higher? The names of the following incumbent EMR/EHR providers and the names of patents and doctors are redacted to protect privacy and mediocrity.

7 HIGHER

8

9

10 THE COST OF TECHNOLOGY Thomas Murphy, MD 2001

11 So here come the startups. The internet kids. To the rescue. Full disclosure: I am one of those

12 To change the world. And we actually think this way –as if we could hold the world in our hands. More ego-maniacal than surgeons, we are. We come, inspired. And improve human lives.

13 But we are not without

14 We tend to design for the motivated, and the healthy.

15 We get too excited about startup traction, not excited enough about evidence-based outcome Paul Graham’s Startup Curve

16 We have a huge learning curve to figure out how to disrupt the cost curve Data: OECD Health Data 2005 and Commounwealth Fund National Scorecard on US Health Performance 2006.

17 Cost + Compliance Incumbents vs. New Entrants Lifestyle

18 LET’S SET A HIGHER

19 For each solution born onto the health tech scene, we ask: Are patient’s lives enhanced by the addition of data? Do doctors become more wise? Do nurses feel more empowered? Do spouses know how to effectively intervene? Do adult children of aging parents get more time in their overly stretched days? And do these collective interactions actually result in improved population health?

20 DATA DESIGN PRINCIPLES THAT SET A HIGHER BAR FOR HEALTH AND HUMAN 8

21 8 PRINCIPLES: DESIGNING DATA FOR DIGNITY Ethical Sharing Sacred HabitsDeeper MotivationData Calming Eye ContactDouble LoopsThe Herd Utility in Context

22 DESIGN FOR UTILITY, IN 1

23 mHealth apps are only beginning to show the benefits of contextual awareness

24 Ambient intelligence will become more anticipatory, adaptive, and transparent

25 Technology that knows to behave differently in context to where you are

26 Simulating a better future mental state

27 Ambient Commons, Malcolm McCullough “Preontological awareness is faster”

28 DESIGN FOR DATA 2

29 The problem of alarm desensitization

30 The problem of data noise

31 The problem of the quantified parent – how to become calm and engaged parent

32 The payoff when visualization delivers wisdom, not just noise

33 DESIGN FOR SACRED 3

34 The smart phone… The perfect BF Skinner box?

35 “You want minty refreshing taste now, you benefit from tooth health later.” – Dan Ariely

36 Right thing, wrong reason: quantified dog could lead to self-understanding

37 DESIGN FOR DEEPER HUMAN 4

38 Insert gratuitous Fogg Behavioral Model chart here A Behavior Model for Persuasive Design. BJ Fogg. Stanford University 2009.

39 mHealth apps often fail the motivation test, never reaching the unhealthy

40 Deeper motivators: “It feels good to volunteer simple answer to real questions people have”

41 Will altruistic motivators be the most powerful? “Contribute to Science”

42 DESIGN FOR ETHICAL 5

43 You have the right to not be sensed From: Seven Principles for Big Data and Resilience Projects. 9/23/2013 By Kate Crawford, Patrick Meier, Claudia Perlich, Amy Luers, Gustavo Faleiros and Jer Thorp 2013 PopTech & Rockefeller Foundation Bellagio Fellows.

44 Even if the value of that data delivers a larger public good

45 Startups will not necessarily learn the difference between Informed consent and permission marketing

46 The true north: be transparent about data sharing

47 DESIGN FOR EYE 6

48 Facilitate human contact: does this chart review increase or decrease their understanding?

49 Does this device increase engagement, understanding, and trust? Or distract?

50 Aim higher. Diminish the use of screens: wear and forget sensors

51 DESIGN FOR DOUBLE LOOP 7

52 Single loop learning Consequences Feedback Decision Actions

53

54 Single loop results, where is the “why”

55 Double loop learning Consequences Feedback Decision Actions Mental Models Of Real World Decision Rules, Strategies

56 Time until NYU ITP

57 Standing at work today

58 DESIGN FOR THE 8

59 Social proof = Positive peer pressure

60 60

61 Caregivers are not just a target segment, They are an interaction paradigm

62 VA Caregiver pilot distributing 1000 iPads to caregivers of veterans

63 My herd watches out for me

64 To save everything, click here:

65 My herd come join us:


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