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DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer

STRATA RX - SEPTEMBER 2013. DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer. Jen van der M eer. @ jenvandermeer. Jen van der M eer. @ jenvandermeer. Does the triple aim seem unattainable. &. Improve population health . Improve the patient experience.

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DESIGNING FOR DIGNITY IN HEALTH TECH Jen van der Meer

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

  2. Jen van der Meer @jenvandermeer

  3. Jen van der Meer @jenvandermeer

  4. Does the triple aim seem unattainable & Improve population health Improve the patient experience Reduce the per capita cost of health care @JENVANDERMEER

  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. HIGHER

  9. HIGHER

  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 kids. @JENVANDERMEER

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

  13. But we are not without fault. @JENVANDERMEER

  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 2006. Commounwealth Fund National Scorecard on US Health Performance 2006.

  17. Cost + Compliance Incumbents vs. New Entrants Lifestyle

  18. Let’s set a higher bar @JENVANDERMEER

  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? @JENVANDERMEER

  20. 8 DATA DESIGN PRINCIPLES THAT SET A HIGHER BAR FOR HEALTH AND HUMAN DIGNITY @JENVANDERMEER

  21. 8 PRINCIPLES: DESIGNING DATA FOR DIGNITY Ethical Sharing Sacred Habits Deeper Motivation Data Calming Eye Contact Double Loops The Herd Utility in Context Design for… @JENVANDERMEER @LUMINARYLABS

  22. 1 Design for utility, in context @JENVANDERMEER

  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. 2 DESIGN FOR DATA CALMING @JENVANDERMEER

  29. The problem of alarm desensitization

  30. The problem of data noise

  31. The problem of the quantified parent – how to become calmand engaged parent

  32. The payoff when visualization delivers wisdom, not just noise

  33. 3 Design for SACRED HABITS @JENVANDERMEER

  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. 4 DESIGN FOR DEEPER HUMAN MOTIVATIONS @JENVANDERMEER

  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. 5 DESIGN FOR ETHICAL SHARING @JENVANDERMEER

  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 JerThorp 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. 6 DESIGN FOR EYE CONTACT @JENVANDERMEER

  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

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