Clinicians are humans too. Using a human centred approach to - - PowerPoint PPT Presentation

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Oct 28, 2023 279 likes •543 views

Clinicians are humans too. Using a human centred approach to design telehealth in a tertiary hospital Karrie Long RN,BN, Grad Dip Crit Care, MPH Telehealth Manager Royal Melbourne Hospital Human- centered design (HCD) is a philosophy,

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Using a human centred approach to design telehealth in a tertiary hospital

Karrie Long RN,BN, Grad Dip Crit Care, MPH Telehealth Manager Royal Melbourne Hospital

Clinicians are humans too.

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“Human- centered design (HCD) is a

philosophy, not a precise set of methods, but one that assumes that innovations should start by getting close to users and observing their activities” Don Norman

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“How might we use a human centred

approach to design a telehealth service using technology that is easy to use and readily accessible, for all in the process, so that we can deliver a telehealth service that contributes to improved health outcomes for those we serve?”

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State referral

center

45 specialties
1400 beds
9000 staff
1500 Clinicians
1200 consults/day
Legacy

infrastructure

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Specialty services

Geographical location

f RMH outpatients

2016-2017

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NO EMR

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RMH Hybrid

utpatient

rooms circa 2017

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Why design?

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Clinician Admin staff Family Primary care Nurses Telehealth Team

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Clinicians

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EMPATHIZE

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PROTOTYPE

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NASSS: a telehealth designers checklist ?

The NASSS framework for considering influences on the adoption abandonment, scale up, spread and sustainability of patient facing health and care technologies.

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Refers to an action which cuts through complexity and provides an immediate solution to a problem.

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MH Telehealth Team
Dr Kudzai Kanhutu,
Ilana Bayrak
Professor Beverley – Anne

Biggs

Dr Tom Schulz
Clinicians before us
Department of Health Victoria
Victorian Telehealth Community
f Practice
Human Centered Design

community

With thanks to

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References

1.Norman, D. A. (2013). Design of Everyday Things: Revised and Expanded. New York: Basic Books. London: MIT Press (UK edition) Australian Government ( 2017) –National Digital Health Strategy. Australian Digital Health Agency Australian Medical Association & Australian Salaried Medical Officers Federation ( 2018) Position paper Senate select committee enquiry ( future of Work and workers) joint submission found at https://ama.com.au/submission/ama-submission-senate-select-committee-future-work-and-workers Greenhalgh, T. Wherton, J. Papoutsi, C. Lynch, J. Hughes, G. A 'Court, C. Hindler, S. Fahy,N. Shaw, S. (2017) Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread and Sustainability of Health and Care Technologies. Journal of Internet Medical Research. Volume 19, Issue 11. Murray, E. Treweek , S. Pope, C. MacFarlane, A. Ballini , L. Dowrick , C. Finch ,T. Kennedy, A. Mair , F. O’Donnell, C. Ong, B.N. Raplet , T. Rogers, A. May. C (2010) Normalisation process theory; a framework for developing, evaluating and implementing complex interventions. BMC Medicine 8:63 https://doi.org/10.1186/1741-7015-8-63

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References

Plesk, P.E. Greenhalgh ,T .(2001) Complexity science: the challenge of complexity in healthcare BMJ Sep 15:232(7313) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1121189/ Rae, J. ( 2013) What is the Real value of Design? Design Management Review Volume 24, Issue 4 https://doi.org/10.1111/drev.10261 Rae, J. 2016. Design Value Index Exemplars Outperfom the S&P 500 Index again and a New Crop Of Designers Emerge. Design Management Review, Vol 27 Issue 4 Stewart , J Williams R. 2005 The Wrong Trousers? Beyond the design fallacy: social learning and the user. In: Rohracher H, editor. User Involvement in Innovation processes. Strategies and Limitations form a Socio-Technical Perspective. Munich, Germany: Profil-Verlag

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Images

Slide 1 doctor robot page title page take from https://www.lifehacker.com.au/2016/01/smart-machines- can-diagnose-medican-conditions-better-than-humans-doctors/ Slide 5 Telehealth funding press release : Minister of Health take from https://www.premier.vic.gov.au/telehealth-boost-brings-specialist-care-closer-to-home/ Web rtc https://www.neotel2000.com/linea-webrtc/webrtc-1/ Slide 6 RMH street view Herald Sun http://www.heraldsun.com.au/news/victoria/victorian-state-budget- 201617-plans-to-build-new-royal-melbourne-hospital/news- story/c67402f1953e4f374c30dfdd8276e6fc Slide 7 RMH Telehealth dashboard internal Slide 9 Internal Slide 10 Melis Senova – Huddle Instagram 9/4/18 Slide 11 Design Value Index take form http://www.dmi.org/?DesignValue

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Images

Slide 14 Medical Illustration : Royal Melbourne Hospital Slide 15 Stanford design thinking pic https://www.enterpriseirregulars.com/125085/what-is-design- thinking/ Slide 17 Greenhalgh, T. Wherton, J. Papoutsi, C. Lynch, J. Hughes, G. A 'Court, C. Hindler, S. Fahy,N. Shaw, S. (2017) Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread and Sustainability of Health and Care Technologies. Journal of Internet Medical Research. Volume 19, Issue 11. Slide 18 Silver bullet https://www.nurtur-health.eu/Silver-Bullet Field guide to HCD : Ideo http://www.designkit.org/resources/1

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Resources

http://www.designkit.org/resources/1
http://www.designkit.org/human-centered-design
https://www.ideo.com/
http://wearehuddle.com/

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Contacts

telehealth@mh.org.au
Karrie.long@mh.org.au