design thinking as innovation tool for smart nation: cancer healthcare
TRANSCRIPT
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DESIGN THINKING
Healthcare for Cancer
Innovation tool for Smart Nation
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Objectives
1. Application of design thinking as an innovation tool
2. The design team healthcare project
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Introduction
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Palo
French origin est. 2009
Technology & Agile as DNA
Singapore est. 2012
Design & Strategy
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THE DESIGN & STRATEGY TEAM
Research
Agency
Consulting
Banking
Education
Branding
Industrial Design
Military
Game
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In 2016 (SG alone)
30+ innovation projects
Bot
Amazon Alexa
Smart Kiosk
Process Automation
Blockchain Auction
Platform Rebuild
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Background
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OUR TEAM’S PURPOSE
Harnessing & challenging the collective genius to create meaningful impact
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A TEAM CHALLENGE
Break away from doing things related to fintech, insurance, banking
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WE OWE & LOVE SINGAPORE
Our roots are here
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A HAPPY ACCIDENT
We didn't know that Singapore has a Smart Nation initiative - and never planned for this
A Smart Nation is one where people are empowered by technology to lead meaningful & fulfilled lives. [...] We seek to improve living, create economic opportunity and build a closer community
“”
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Why Cancer Healthcare
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#1
Singapore has an ageing population
Challenges are expected to increase especially in the area of healthcare
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#2
Cancer as the focus.
Widest range of patients: young to old, and still (unfortunately) top ailment affecting Singapore
Src: Principal Causes of Death - Singapore Ministry of Health
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Our Approach
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Palo’s Approach to Innovation D
o Th
ink
Finding Opportunity(s)
Executing Opportunity(s)
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Palo’s Approach to Innovation D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile
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Palo’s Approach to Innovation D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile
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Palo’s Approach to Innovation D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile Today’s focus
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Our Journey
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Our journey
Dec Jan Feb Mar - Apr May >
● Late Dec’16 Project initiated
● Engaged NUS Researcher
● Over 4 weeks Field Research: Planning, Executing and Analysis
● Research findings
● Ideation workshop
● Develop prototype and test
● Launch MVP
Team: 11 people (1 on maternity leave)
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Establishing project goal D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile
Why? What are we trying to frame. Broad area of
healthcare
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DEFINITION OF HEALTH
“Health is a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity” - World Health Organization
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Continuum of Health
Src: http://sha4re.com/care-continuum/
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Roles & Challenges Patients Caregivers Care providers
● Co-morbidities: Health knowledge: What causes chronic diseases, treatments etc
● Adherence: Importance of taking medications
● Social supports: Lack of transport to appointments, need for social support,
● how to navigate links to volunteer organizations etc
● Paperwork: Many forms to fill for subsidies, difficult for patients to keep track of what’s available and what they need
● Continuity of care: Doctor shopping, going for follow ups, going for physio/rehab, taking medications
● Mental well-being: Burnout, isolation, stress, worry, fear
● Social supports: Lack of transport to appointments, need for social support, how to navigate links to volunteer organizations etc
● Health education: steep learning curve, role as patient advocate
● Financial supports: Cost of caring for patient, may have to leave workforce, how to re-enter?
● Paperwork: Many forms to fill for subsidies, difficult to keep track of what’s available and what they need
● Education: Keeping updated and aware of advances, best practices etc
● Patient education: Ensuring correct use of antibiotics, teaching patients about their diagnoses, highlighting importance of adherence
● Technology support
Src: V. Haledane - Saw Swee Hock School of Public Health NUS
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Roles & Challenges Patients Caregivers Care providers
● Co-morbidities: Health knowledge: What causes chronic diseases, treatments etc
● Adherence: Importance of taking medications
● Social supports: Lack of transport to appointments, need for social support,
● how to navigate links to volunteer organizations etc
● Paperwork: Many forms to fill for subsidies, difficult for patients to keep track of what’s available and what they need
● Continuity of care: Doctor shopping, going for follow ups, going for physio/rehab, taking medications
● Mental well-being: Burnout, isolation, stress, worry, fear
● Social supports: Lack of transport to appointments, need for social support, how to navigate links to volunteer organizations etc
● Health education: steep learning curve, role as patient advocate
● Financial supports: Cost of caring for patient, may have to leave workforce, how to re-enter?
● Paperwork: Many forms to fill for subsidies, difficult to keep track of what’s available and what they need
● Education: Keeping updated and aware of advances, best practices etc
● Patient education: Ensuring correct use of antibiotics, teaching patients about their diagnoses, highlighting importance of adherence
● Technology support
Src: V. Haledane - Saw Swee Hock School of Public Health NUS
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Caregivers – the forgotten
• Scheduling for appointments, transportation
• Monitoring patient’s health
• Lose control of own life to care for patient
• Low-level depression
• Can’t fail
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Understand the customer - first hand D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile Who?
Who and what are the needs of the people
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Research Approach
Caregivers:
• Challenges during care giving • Tools to manage their role
Patients:
• Understand frustrations and their journey
Care providers:
• Understand the current process, challenges, tools and resources,...
At the end of this, I should be able to _____________
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Persona
Focuses on people above other factors
Deepens your empathy for others
Summarizes your research findings
Challenges your preconceptions
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Challenges mean Opportunities D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile Define the opportunity
space
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Map the journey
• Visual summary the current state of a cancer patient’s journey and interaction with caregivers and providers
• Deepens empathy for others
• Identify critical touch points
• Informs subsequent design activities
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Problem statements
Helps see different perspectives
Provides a direction for problem solving
Invites divergent thinking
How might we _____________ so that _____________
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Making it real D
o Th
ink
Finding Opportunity(s):
Design Thinking Executing Opportunity(s)
Lean Startup & Agile Imagine the solution
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The story of Elaine & Her Father
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Elaine’s father has been having persistent abdominal discomfort for a few months
The specialist informs them that her father is diagnosed with Stage 2 colorectal cancer
Her father puts on a strong front but in reality, feels desperate. The family does not know how to help him
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Elaine is confused with the many resources having different views on treatments and dietary requirements
Using her notepad, she updates the oncologist on her dad’s condition, dietary, moods and other things such as stool color
The nurse is often swamped by many questions from the patients and caregivers
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Her father’s condition is not improving and he feels like he is being treated like a guinea pig
The chemotherapy makes her father moody and the side effects cause him to stay away from society
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Meanwhile Elaine is juggling both her career and taking care of her father
Miscommunication often happens within the family, due to gaps in knowledge transfer of the treatment instructions
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HOW MIGHT WE –
provide the best in care cancer resources & tools to improve the functioning & well-being of the communities affected by cancer.
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Elaine opens the CanServe app
CAN
SERVE
She finds her father’s medical records, uploaded by the provider
She has access to relevant and reliable information
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Connect to a community of people with similar journeys
CAN
SERVE
Her family has access to her father’s drug prescription, taking burden off her as the sole caregiver
CanServe reminds all family members on the next treatment schedule
CAN SERVE
Next treatment: May 18th
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Elaine and her father are able to record and access their notes easily
CanServe has a Chat system which allows Elaine to clarify uncertainties easily
DAILY
LOGS
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Concept poster
• Promotes a vision of the future
• Helps you build a business case
• Provides a roadmap for moving forward
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Concept: We Care A take home service where patients and caregivers sync with providers off-site
Support Chat
Doctor’s Orders
Diary
Integrated record database
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Concept: CanServe Information sharing platform that focuses on alleviating anxiety and stress that plague caregivers
Appointment scheduling made accessible
Community
Prescription manager
Curated resources
Chat
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Principle
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Basic Guiding Principles
Meeting needs of the people
Executable through
technology
Makes business
sense
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Feature priority
Impact
Diff
icul
ty
Strategic
Hi value Just do it
Luxury (nice to have)
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Feature priority
Impact
Diff
icul
ty
Feature x
Feature x
Feature x Feature x
Feature x
Feature x
Feature x
Feature x
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Feature priority
Impact
Diff
icul
ty
Feature x
Feature x
Feature x Feature x
Feature x
Feature x
Feature x
Feature x
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Next Step
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So far
- SME engagement - Research: planning,
recruiting, executing, analysis
- Sharing result - Ideation workshop
days 165
11 pax
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So far
SGD 200,000
(approx)
days 165
11 pax
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What’s next
Connect us with wider audience: people and organizations who want to make an meaningful impact & create a positive change in Singapore
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In summary
• Application of design thinking
• Getting cancer healthcare initiative off the ground
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Thank you