Tag Archives: design thinking

Healing Wicked Problems in Health

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Can rethinking challenges together break through our most compelling health design problems?

February’s DwD held an open session for health and design professionals from across sectors in the community. Paolo Korre, Design Consultant at Mount Sinai Hospital, and Peter Jones hosted about 30 people from a diverse range of roles and sectors attended (starting off with a visual mapping of name tags by place and health intention).  Most of us reported as being external to healthcare (bottom of the grid), but we were lucky enough to get 4 or so closer to the front lines of care and practice.

mapofhealth

The engagement was typical DwD :

1) Open circle share and introduction
2) Nominal group technique: Generating one well-framed question (or wicked problem) in health of personal interest
3) Selection for first round Open Space (5 groups)
4) Further selection for larger Cafe sessions (4 groups)
5) Post and share Cafe sketches

+ Hanging around to talk with those who wanted to stay longer

What is the possibility for creating better practices and healthier communities through health and care design? What experience and wisdom might emerge if we had the time and place to share it with a community of committed listeners?

The  following three intentions (at least 1 and 2) were upheld by the end of the evening:

  1. Bringing local participants together with opportunities for connection / collaboration
  2. Presenting authentic issues of concern to our work and communities
  3. Inventing possible avenues for action or engagement to follow

Of 30 or so initial wicked problems (or questions), one each proposed by each person, a first set of 5 were selected and engaged for a round:

HCgroup1

 

 

 

 

 

 

 

 

 

 

 

  1. How can healthcare tech innovation be reconciled with costs?
  2. Why is healthcare so full of “problems?”
  3. What is health and who cares?
  4. How can we take ownership of our own health records?

A second round of Cafe sessions selected the most compelling themes from the first round of ideas. The final set of problems were taken on by four groups, with these responses sketched, posted (see the picture), and discussed in plenary.

James Caldwell (shown here engaged in the “Participaction” group) reviewed the workshop and discovered deeper insights and connections than we had time to develop at the close to the evening.

“Ideally each group was trying to create better practices that improved communication which would allow for better health. We presented real issues that hamper individuals and communities and tried to devise credible actions for health care engagement.”

The three that I will focus on are:
1. How do we redefine how to be radically inclusive?
2. If physical inactivity is the root of all health evil, why not ban it?
3. How do we create and maintain and own our own comprehensive health records?

“The result of any of these would mean that individuals become the drivers or agents of their own health. Ironically, the impact to the government’s financial system would be positive.”

Final4Board

 

 

All three issues have a few things in common:
1. They empower the individual
2. They lesson costs for the government
3. They improve the future health of the individual
4. They make for a more engaged society

“Of course any sane person would be asking why are we undertaking these initiatives today? Common sense would dictate that we would all be happier, healthier and more informed if we did. But I guess that’s why we call them “wicked problems”. Unfortunately too many groups that make too much money from individuals with health problems would lose, and I don’t think they will give up their control anytime soon.”

“I guess this is where designers can speak up and more effectively communicate to everyone why initiatives such as the three mentioned could help better our society. Designers could simplify the problem, the parameters, the solution and the message to a wider audience than the health industry or government could which would be seen as self-serving anyway.”

I agree with James that the 3 (actually all four) final problem areas are interconnected in the solutions. James is considering the outcomes, which show a virtuous cycle of healthy behavior (active lifestyles), inclusive public communication, and monitoring through electronic media. The fourth problem-solution (bottom of the board) was “creating community healing spaces.” I”m not sure this one was as well understood by the other groups, but it seems to me that James’ individual solution space is complemented by a public (or co-citizen-led) system of:

  1. Reframing inclusive healthcare to focus on those that need it most (who are unlikely to take individual initiative)
  2. Creating community centres as temporary (but connected) healing spaces,
  3. Thereby providing many opportunities to get off one’s butt
  4. Supported by personal health tracking in ever-decreasing cost and management, providing incentives to maintain a common health record.

 

 

 

On Building Culture through Participatory Design

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Guest post by Leah Snyder of Mixed Bag Mag

When Gelareh Saadatpajouh, Programs Coordinator at Toronto Design Offsite set out to facilitate Design with Dialogue’s TO DO session she decided to have our group explore, as she puts it:

“Design processes, where plurality of indeterminate factors is approached together and in an ongoing manner, and where designers become adept in handling the growing complexity in both materials of their craft and their position in the world.”

Increasingly designers are being called upon to search their souls in order to create with meaning. In a world exhausted by consumer culture and in desperate need of cultural revision we as designers can play a key role. As Gelareh got us up and activated with an exercise where we mimed our way of working it was clear why design thinking is so adaptable across platforms, disciplines and cultures. For as many people as were in the room there was a different design process. As we later shared our revelations from watching each other I realized that my own design process is also adaptable to where I am in my life’s journey and can shift when I have a renewed way of interacting with my world.

design-with-dialogue_005_leah-snyder

For over a decade my creation happened in isolation. Working with clients to design promotional tools and branding strategy there would be a two-way dialogue with the client after which I would go inside to then create something that would ultimately reach out. After another exercise where we were directed to find a design process action then go out into the group with that action to mingle I realized that my process has radically shifted. Now my first step is to reach out. I start by engaging in multi-directional dialogue, sometimes with other designers, but more often than not those dialogues are with people from many different walks of life. Sometimes those dialogues occur at street corners, even with strangers. I design as I walk, I process as I talk.

More and more I see others who design programs or products, ad campaigns or architecture instinctively, like me, reach out first as the point from which to start. As Design Week in Toronto demonstrated there is a community expanding around the questions “What is design?” and “Can we as designers contribute to modeling a new type of world?”. The idea of the collective is now being understood as the base from which we need to grow ideas. At a time when we require it the most the spirit of collaboration has motivated designers into taking more radical positions. The result -  fertile ground in which we see new materials and new models rapidly sprout.

For the last part of the workshop Gelareh had us break out into small groups “guided by a designer who shared something of their design, resulting in new “artifacts” that were then constructed through brainstorming, creative discussions, and active participation throughout the design process.”

design-with-dialogue_011_leah-snyder

 

 

 

 

 

 

 

 

 

 

 

On the street, a few days later, I randomly bumped into someone whose group I was in. I was able to ask her if the exercise we did on her project was helpful to her. Did it result in a new “artifact” for her work? The answer -  an enthusiastic yes! And as we walked up to the street corner together, before going our separate ways, we continued to design as we walked and process as we talked.

 

Dating by Design

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Dating by Design

Navigating the complexities of modern relationships

We spend a lot of time perfecting our craft at work – striving for that 10,000 hours. But when was the last time you spent dedicated time on getting better at relationships? Perhaps because designers are often tasked with solving “wicked”, complex problems, the language of design provides many useful metaphors for exploring the complexities of modern relationships. By using design as a language to talk about dating and relationships, the conversation becomes more objective, and less subjective (aka less awkward).

DwD hosted Ayla Newhouse to present a design charette (a short, intensive and collaborative design exercise) for relationships, to apply the creativity and processes of design to dating and relationships. Participants were matched up into small groups to design their way out of (or into) fictional relational and dating situations.

dating sketchThanks to Aimee @ISEEAIMEE for the live sketching.

Hosting the session:

Ayla Newhouse is a Communication, Interaction and “Attraction” Designer with 16 years of relationship experience ranging from misalignment to creative brilliance. She is the creator of Dating by Design, and the author of “the ABC’s of Dating by Design” (datingbydesign.ca). Ayla also offers one-on-one and couples Dating by Design consulting.  Follow her at @aisforayla

Previously, Ayla co-founded 1thingapp.com: a social gratitude journal that helps people recognize the good things in their lives. A graduate of the Communication Design program at the Emily Carr Institute and the Interdisciplinary Design program at the Institute without Boundaries, Ayla worked with Normative Design and Bruce Mau Design before starting her own design/coaching practice in 2011.

Business Model Innovation for Social Entrepreneurship

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How can social organizations thrive in a post-funding society?

A special innovation circle session was held with Maya Roy and the Newcomer Women’s Services Toronto.  Through turbulent economic times, Maya and staff leadership grew a team of committed members and made the organization a successful NGO for helping new families settle into Toronto. With impending budget cuts, they are faced with an immediate need to change their business model from a publicly supported service to a social entrepreneurial model.

York University’s Antony Upward presented the “Strongly Sustainable” Business Model Canvas (an innovation of the BMG canvas) the framework for group ideation and collaborative design. In large and small group sessions, the group explored innovation of business and revenue models, service provision, new relationships and communications channels.  As the first public unveiling of the research and design of the  “strongly sustainable” business model, we gained valuable and practical feedback on the applications of the new approach.

Generating one group’s model based on its “What If” starting point (orange label).

Sharing the group’s model with the whole and Antony collecting and aggregating the unique values of each in a common map.

This was the first public application of the Strongly Sustainable Business Model Canvas – and most of the participants were unfamiliar even with Alex Osterwalder’s original Business Model Canvas. Therefore, even with all having watched Alex’s videos and our handout materials, we found the session required a significant degree of education in the methods. The SSBM Canvas is not a tool that can be applied “out of the box” but requires context setting and some training in the concepts.

May Roy shared her experience with the process in terms of outcomes for Newcomers:

The use of the expanded canvas allowed NEW staff, volunteers and members plan though how the organization will continue to innovate in the next 3 years. We used the DWD session and day long strategy sessions to discuss, argue, debate and sometimes cry over the challenges and opportunities inherent in a time of economic restructuring.

Designing a Future for our Future: Personal Foresight

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Get ready for The Multiplicity.

This workshop engaged participants to co-create multiple personal futures in large and small group collaboration. This social design experiment in personal foresight generated the creation of possible personal scenarios for the challenging next-future term possibilities. We started by creating a personal profile for the Low Tech Social Network. Communities listed on the profiles were shared in the closing circle to co-create a living network among the participants.

An amazing array of participants were involved, suggesting that DwD is reaching beyond its business + creatives + designerly roots. More and more people from dedicated social change communities are engaged and returning. While businesses can benefit from and afford these creative group processes, social change agents need to learn from each other. A community across communities is forming.

The event was framed by the question of considering the multiple futures we have choice to create. When we think of the future, we tend to push a vague collection of dreams, possibilities and wishes out to a speculative point in the years following the nearest term. We can guess about the world in two years, we can plan for 5 years, but 10 and 20 years challenge personal vision. Our concept was to confront the future opportunities for humanity, by learning to position our own inherent multiplicities as creative narratives to counter a technologically-determined future, whether a career ideal or the “singularity.”

The venue supported the creation of a circle and pairs for the exercises:

  • Values conflicts at the Crossroads
  • 3 Whys of 3 Values: Core values, Calling values, Contra values
  • Mapping Values to Actions
  • Mapping Value-Actions to future possibilities in the Pathway template

The workshop was convened by Peter Jones and Patricia Kambitsch (visual reflection) at The Design Exchange  Feb 24th in the DX boardroom as part of the Toronto Design Week Design Offsite Festival.

 

Play with Impact

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Play with Impact

May 2011 DwD was hosted by Zahra Ebrahim of the architecture and design think tank, archiTEXT.

THE WORKSHOP
“Play”….it’s the four-letter word that petrifies the establishment.  It’s messy, the process is different every time – as is the outcome – and yet, it remains the tool that best produces honest, creative, innovative, and unique results. This workshop will explore the process of using play to uncover possible solutions to issues challenging corporations, governments, and not-for-profits.Participants will be encouraged to explore the following principles in order to fully engage with the possibilities that using play to create impact can uncover

1. Play is not easy.2. Play is difficult.3. Play is necessary.4. Play is not frivolous.

Zahra is the Principal, Partner, and Founder of the architecture and design think tank, archiTEXT.  Zahra has spent the last two years as Innovator in Residence at Canada’s National Design Museum, the Design Exchange. Ebrahim brings together diverse groups to tackle the intersections of architecture and design with social change, the environment, politics, economics, equality, health, and pop culture. Using various methods ranging from curation to public engagement to conceptual art, she engages a broad spectrum of the public across the country in design discourse.

Globe and Mail article or video

Design Thinking…What is it really?

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Even my mom is reading about “Design Thinking” in the newspaper, which means it’s gone mainstream. But aside from being a term that empowers designers to act in the business realm and vice versa….what does it REALLY mean? Who is doing an incredible job of defining it? Who is really doing it? Who can explain it in layman’s terms without using the term “design”?

Roger Martin‘s recent presentation on the subject:

Here’s Humantific‘s perspective: