university of minnesota code freeze 2016
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©2015 MFMER | 3478205
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Fighting the Gravitational PullDesign in Health Care
Meredith DeZutter, Service DesignerRose Anderson, Service DesignerUniversity of Minnesota | Code FreezeJan 14, 2016
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OUR MISSIONTransforming the Experienceand Delivery of Health and Health Care
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We are missing the point.
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Instead of trying to refine and tweak the current system we need to reconsider how we care for people.
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270 projects600+ experiments10,000+ contact hours with patients
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Fight the gravitational pull
of the system.
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Understanding people and allowing that to drive the change.
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microCONSULT – prototype fidelity
Care Plan – digital sandbox
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1900Drs. Will& Charlie
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36 37 38 39 40 4142 Neurology
Dental Specialties
Dermatology
Emergency Med
Family Med
Medical Genetics
Internal Medicine
Oncology
Physical Med
Psychiatry & Psychology
Radiation Oncology
Radiology
Anesthesiology
NeurosurgeryObstetrics & Gynecology
Ophthalmology – Head & Neck Surgery
Orthopedics
ENT
SurgeryUrology
Anatomy
Biochemistry & Molecular Biology
Comparative MedHealth Sciences Research
Immunology
Lab Med & Pathology
Molecular Med
Molecular Pharm
Physical & Biomedical Engineering
Nursing
Development
Education Admin
Finance
Environmental Services
Planning ServicesPublic Affairs
Legal
Research AdminMayo Health System Admin
Human ResourcesFinance
Facilities & Support Services
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1900Drs. Will& Charlie
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36 37 38 39 40 4142 Neurology
Dental Specialties
Dermatology
Emergency Med
Family Med
Medical Genetics
Internal Medicine
Oncology
Physical Med
Psychiatry & Psychology
Radiation Oncology
Radiology
Anesthesiology
NeurosurgeryObstetrics & Gynecology
Ophthalmology – Head & Neck Surgery
Orthopedics
ENT
SurgeryUrology
Anatomy
Biochemistry & Molecular Biology
Comparative MedHealth Sciences Research
Immunology
Lab Med & Pathology
Molecular Med
Molecular Pharm
Physical & Biomedical Engineering
Nursing
Development
Education Admin
Finance
Environmental Services
Planning ServicesPublic Affairs
Legal
Research AdminMayo Health System Admin
Human ResourcesFinance
Facilities & Support Services1
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CardiovascularSubspecialties
Cardiomyopathy
+ 13 Specialty Labs
Coronary Physiology & Imaging
Cardiovascular HealthChest Pain & Coronary Physiology
Congenital Heart Clinic
Electrophysiology
CounterpulsationHeart Failure
Heart Rhythm Center
Implantable Device Clinic
Pericardial Disease Clinic
Pediatric Cardiology
Pulmonary HypertensionThrombophilia Center
Transplant
Cardiovascular RadiologyUlcer & Wound Care Clinic
Valvular Heart ClinicVascular Medicine
Women’s Heart Clinic
Cardiovascular Molecular Biology
Cardiovascular Epidemiology
Marfan Clinic
Nuclear Cardiology
Cardiovascular Surgery
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CV89
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Internal MedicineDivisions
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We conceptualized an idea to allow two providers, one with a patient, to connect via video for a focused question; we called this a microCONSULT
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We completed a total of 27 microCONSULTSAverage length was 9 minutes Saved 17.25 total appointment hours 146 min. for 3 CV; 193 min for 6 Endo; 136 min for 4 GI
Saved patients a total of 118 days; average 4 days The average satisfaction ranking for patients was 6.2 out of 7
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Gaps – More FlexibilityThe need arose real-time during an appointment based on new information or situation; real-time availabilityAppointments and providers may not run on time
Next StepsA prototype with combined existing functionality, video, chat, patient information with a new to Mayo offering, a presence algorithm
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The gravitational pull of the system re-emerged
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ReconciledPortableJust-in-timeInteractiveShared
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A unified tool for people inside and outside of Mayo Clinic to see, make, and act on care decisions together.
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THE DESIGN OF THE THING
THE NEEDS OF THE PEOPLE WHO USE
THE THING
THE PRIORITIES & GOALS OF PEOPLE WHO MAKE IT POSSIBLE
FOR THE THING TO EXIST AND MAYBE EVEN SURVIVE
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Admin
ClinicPatient
CARE PLAN PROTOTYPE
SERVICE EXPERIMENT STAKEHOLDERS
Patients Caregivers
Providers Nurses Schedulers
Secure Messaging Triage
ORGANIZATION STAKEHOLDERSIdentity
Management
Clinic Data Sources
Clinical Notes
Experiment Database
Legal
Secure Messaging
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GOALS
QUESTIONS
LIFESTYLE / BEHAVIORAL MEDICAL
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PerpetuateorReframe?
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Thank you.