Redesigning How We Care for Seniors in the Future – Through Innovation

Who are the Partners?

Mission & Vision of Partnership Mission: To advance learning, improvement and innovation intended to cultivate effective, scalable, and transferable approaches to promote health and well-being, sustain meaningful lives, and develop care and living options for older adults and those who care for them. Vision: To enable older adults to age with vitality, grace, and dignity.

Innovation is Needed Because of: Limited resources for translational intervention research in the area of senior living Disjointed collaboration between employers and educators in preparing and retaining the health professions workforce skilled in geriatrics and gerontology Need to support and ease the burden and increase the capacity for family caregiving Desire of elders for healthy, meaningful, and joyful lives as a result of active community engagement in service and in learning

What are The Questions Guiding Innovation? How should health professions education be designed to grow, retain, and promote the eldercare workforce? How can we improve the quality of the aging experience for older adults and their families? How can we create innovative, new care delivery approaches to serve more older adults in cost effective ways? Workforce Quality Care Models

How will we Innovate? Human design thinking Pilot Business Model Empathize Define & Ideate Prototype & Test Human design thinking Pilot Business Model

use subjective language * NOT a solution Point of View: Empathy user + truth motivation use subjective language * NOT a solution tension underlying motivation: Because… So that… non-obvious or latent: But… However… User description + consumer truth: Needs… Wants… Desires…

use subjective language * NOT a solution Point of View: Empathy user + truth motivation use subjective language * NOT a solution tension underlying motivation: Because… So that… non-obvious or latent: But… However… User description + consumer truth: Needs… Wants… Desires… So that the most effective pain intervention is provided to avoid unnecessary complications. At the same time she needs speedy relief to avoid disrupting routine and activity engagement. Resident’s growing discomfort because of pain needs to be assessed.

Point of View: Empathy Form groups of three – four Identify a common resident issue Develop a point of view of the resident Take no more than 10 minutes

Problem Framing: Define What is the solution? We should use a better pain assessment tool. What is the problem? Pain is a difficult problem in the care of seniors. What is the opportunity? Develop pain interventions that target multiple determinants to reduce pain management disparities.

Problem Framing: Define Identify a set of problem or opportunities. State each issue in the form of a short phrase. Add a “starter” to the beginning of each phrase. Example 1: How might we _______? Example 2: In what ways might we_________? Finally, make sure that your How Might We’s aren’t too broad, a narrow enough frame with enough breadth to explore wild ideas.

Problem Framing: Define How might we _______? Solution focused: How might we assess pain better? Problem focused: How might we ensure we are adequately addressing each resident’s pain and comfort? Opportunity focused: How might we address the multiple determinants of pain?

Problem Framing: Define How might we _______? In your groups, frame your problem/opportunity from the point of view of the resident you developed. Take 5 minutes.

Ideate with Trigger Questions: For Example: How does the solution address autonomy & meaning? Address social/cultural, emotional, physical, and spiritual aspects. Address universal human needs Connection Well-Being Honesty Play Peace Autonomy Meaning Address feelings when needs are not satisfied: Fear Embarrassment Annoyance Pain Anger Sadness Aversion Tension Confusion Vulnerability Disconnection Yearning Disquiet Fatigue

Ideate with Trigger Questions: Ideate Round 1: 5 minutes By yourself, use trigger questions and write down your ideas separately from group members on your framed problem/opportunity.

Ideate: Take on New Perspectives Ideate Round 2: 5 minutes Write down your ideas separately from a different perspective: Middle school teacher Superhero Your primary competitor Other employees

Ideate: Force Connections CHILI Table (5 minutes) Categories Organize combined ideas into categories and name them. Assigned Responsibility Holistic Health Approaches Lifestyle Approaches Ideas Put your ideations into the categories. Select the best one from each category & combine. Delineate role for each type of staff in pain relief that is multifaceted to address all pain factors. Pain management has a clear focus on resident self-management. Every resident selects daily holistic health intervention offered on menu. CNAs offer holistic health intervention prior to medication administration. Every resident should have a daily movement plan. Conduct movement program in dining room before meal. CNAs offer 5 minute stretch breaks.

Prototype & Pilot How would you prototype? Pain management has a clear focus on resident self-management. Every resident selects daily holistic health intervention offered on menu. Conduct movement program in dining room before meal. Prototype: Mock up of resident education materials to check for resident understanding. Pilot: Do education materials facilitate more active self-pain management?

Summary Design Thinking begins with understanding points of view. These points of view are based on primarily qualitative interviewing and observation. Critical point for innovation is problem/opportunity definition to avoid being prematurely locked into solutions. Ideation depends on suspending judgement. The more ideas generated the better. The best ideas are clearly connected to human needs. The best ideas are tested with low fidelity prototypes first. Progressively improving prototypes. Well-designed pilots measure resident outcomes. Pilots are designed to test business models as well.

Questions or Comments