I N S I G H T S

a n n u a lm a s h u po f a l lt h i n g s

®

© I N N OVAT I O N L E A R N I N G N E T W O R K , 2 0 1 2 W W W. I N N OVAT I O N L E A R N I N G N E T W O R K .O R G I L N I N s I G h T s 2 0 1 1

No

I L N I N s I g h t s 2 0 1 1 A M e s s a g e f r o m t h e D i r e c t o r

This is Chris.A M e s s a g e f r o m t h e D i r e c t o r

It has been a crazy, fast year! For starters, the ILN continued to expand with ever increasing talent. We are 21 organizations strong with over 1,150 members. To our most popular “destinations”, we added Guru Sessions and two new Collaboratives. ILNers are taking more, giving more, and learning more than ever… and most exciting is that our members are starting to do this without the aid of the ILN core team (in terms of SmartNetworking, this is a major achievement).

In 2011, frog design (Member Since 2011) hosted us at the Space Needle for a deep exploration of gaming in healthcare. We learned that games which offer a bit of competition, puzzle solving, and social inclusion, can spur our patients and employees on to healthier, more active lives. They can help patients dealing with complex conditions like pain or cancer to achieve their prescribed treatments. And they can help scientists crack the code of HIV through crowdsourcing of a folding protein puzzle game. Amazing.

Kaiser Permanente (Member Since 2006) and the California Healthcare Foundation (Member Since 2010) co- hosted the largest InPerson gathering to date this past October. We sent 150 leaders and innovators on an innovation safari on Day 1 to fifteen extraordinary SFBay organizations. We exposed them to 10 super cool technologies and concepts in a progressive lunch (we paired finger foods with technology…and wow was that a cool way to learn!). And then we gave six hours to brainstorm and prototype healthcare in 2031. From SmartBathrooms and SmartSupermarkets, to a Healthcare Political Party and friendly cloud computing the future concepts were as brilliant as they were diverse. All gave us a glimpse of what we know is to come.

And finally the ILN Core grew by one. We are official 2.5 full-time employees. (Yes, the decimal is in the right place). Stephen Szermer joins our team to expand and continue the amazing exchange of innovation.

So there you have it. A year of innovation… we’ve already started our 2012 programs. I’m itching to talk about them, but you’ll have to wait 365 days to read it here. Or you could participate now to get in an the action,…. ;)

No

I L N I N s I g h t s 2 0 1 1 Ta b l e o f C o n t e n t s

M e e t O u r M e m b e r s

T h e P o w e r o f Tr a n s f e r

J u s t i f i c a t i o n f o r G a m i f i c a t i o n

Fr o m s a f a r i t o s p a c e s h i pGet to know this group of nurses, doctors, hospital administrators, techologists, designers, misbehavors and so much more.

Beyond the wonder and mystery of innovation, you’ll find diffusion and sustainability, the real nuts & bolts that help good ideas become real transformation.

how “Changing the Game” turned one healthcare “gamification” skeptic into a beliver.

One ILNer recalls his first experience at an ILN InPerson Meeting as “a festival of geeks” that allowed him to collaborate and get his hands dirty with healthcare design.

A b o u t t h e I L Nsharing the joys and pains of innovation and diffusion since 2006. Learn more about the ILN member organizations and milestones.06

10

22

18

26

Table of Contents

60

34 56

36M y W e e k a s a n I L N e r A c k n o w l e d g e m e n t s

P r o t o t y p e s & C o n c e p t s : 2 0 3 1

To o l s o f t h e Tr a d e

After spending some time with members of the ILN, one entrepreneur-author shares some ‘aha’ moments and how those ‘ahas’ are paying off in her own work.

They contributed time, energy, words or photos to make sure 2011 for ILN and Insights was fantastic.

Just becuase they are half-baked, doesn’t mean there isn’t any substance; some promising ideas from an InPerson Meeting.

We hand-picked a few of our favorite techniques we used or learned this year; and here you’ll get the complete “how-to”.

P o s t c a r d s f r o m t h e s a f a r iOne safety Net pro talks about some not-so-analagous observations and how we can learn to innovate with less.

A recap and resources from our year of virtual meetings, all from the comfort of your office.

40( N .T. R . ) N o Tr a v e lR e q u i r e d

30T h e P o w e r o f Tr a n s f e r

No

I L N I N s I g h t s 2 0 1 1 A b o u t t h e I L N

About the ILN

No

I L N I N s I g h t s 2 0 1 1

T h E I N N OVAT I O N L E A R N I N G N E T WO R K ( I L N )

B R I N Gs TO G E T h E R T h E M OsT I N N OVAT I V E

h E A LT h CA R E O RGA N I zAT I O N s A N D D E s I G N

F I R M s I N T h E CO u N T Ry TO s h A R E T h E

J Oys A N D PA I N s O F I N N OVAT I O N . I Ts

P u R P Os E I s TO FOsT E R D I s Cu ss I O N

O N T h E M E T h O Ds A N D A P P L I CAT I O N

O F D Es I G N T h I N K I N G FO R I N N OVAT I O N /

D I F F u s I O N , I G N I T E T h E T RA N s F E R O F

I D E As , A N D P ROV I D E O P P O RT u N I T I E s FO R

I N T E R - O RGA N I zAT I O N A L CO L L A B O RAT I O N .

A b o u t t h e I L N

No

I L N I N s I g h t s 2 0 1 1 A b o u t t h e I L N : T h e N e t w o r k

T h e N e t w o r kh E A LT h C A R E

I N N OVAT I O N / D E s I G N

FO u N D AT I O N s

About the ILN

A b o u t t h e I L NNo

I L N I N s I g h t s 2 0 1 1

B y t h e N u m b e r sAbout the ILN

V I s I T O R s I N 2 0 1 1

I N 2 0 1 0I N 2 0 0 9

4,275

3,0581,117

3 NEWF u L L T I M E E M P L Oy E E s

2.5

C O R E I L N T E A M

M E E T I N G M I X

C O L L A B O R A T I V E S

2W E h A D 2 s h y O F A 1 0 0 0 PA R T I C I PAT E I N V I R T u A L E V E N T s I N 2 0 1 1

1000P A R T I C I P A T I O N

I L N W E B S I T E V I S I T O R S

C O L L A B O R AT I V E s F O R M E D h E A LT h Ly s h O P P I N G , E X T R E M E D I A B E T I C s & I N N OVAT I O N C O M P E T E N C I E s

S O C I A L P R E S E N C E 1 0 0=

515 P E O P L E FO L L O W u s O N T W I T T E R

No

I L N I N s I g h t s 2 0 1 1 Meet our Members

Meet our Members

TO G E T h E R , W E C h A L L E N G E T h E M y T h O F T h E

“ LO N L E y I N N OVATO R ” A N D T h E “ LO N E G E N I u s” .

W E s E E T h E E N O R M I T y O F C h A L L E N G Es FAC E D By

h E A LT h CA R E A N D K N OW T h AT s u C h CO M P L E X I T y

CA N N OT B E TAC K L E D By O N E O RGA N I z AT I O N .

W E A R E A s E L F- O RGA N I z E D, I N T E R N AT I O N A L

N E T WO R K O F N u R s E s , D O CTO R s , h Os P I TA L

A D M I N I sT RATO R s , T EC h O LO G I sTs , D E s I G N E R s

A N D M I s B E h AVO R s . W E R E Ly O N T h E G u sTO,

L E A D E R s h I P A N D PAss I O N O F O u R M E M B E R s TO

h E L P D R I V E T h E N E T WO R K TOWA R D s I Ts P u R P Os E

O F s h A R I N G A N D s P R E A D I N G I N N OVAT I O N . h E R E

A R E A h A N D F u L O F T h E P EO P L E W h O h E L P G u I D E

& O RGA N I z E T h E I L N I N A N “ O F F I C I A L” CA PAC I T y.

No

I L N I N s I g h t s 2 0 1 1 M e e t o u r M e m b e r s : G o v e r n a n c e B o a r d

G o v e r n a n c e B o a r d

Marilyn Chow, RN, DNSc, FAAN V P, N a t i o n a l P a t i e n t C a r e s e r v i c e s

K a i s e r P e r m a n e n t e

Janell Moerer, MBAV P, B u s i n e s s D e v e l o p m e n t

V i a C h r i s t i h e a l t h

Lyle Berkowitz, MD, FACP, FHIMSSP r o g r a m D i r e c t o r

s z o l l o s i h e a l t h C a r e I n n o v a t i o n P r o g r a m

Margaret Laws, MPPD i r e c t o r, I n n o v a t i o n s f o r t h e u n d e r s e r v e d

C a l i f o r n i a h e a l t h C a r e Fo u n d a t i o n

Members of the Goverance Board are

not only ILN sponsors, but also take on the

added responsibility of guiding, nuturing and

developing its strategy and direction. They meet

throughout the year with the ILN Team to pick their brain, stretch their

thinking and offering valuable insight.

Penny Ford-Carleton, RN, MS, MPA, MScP r o g r a m L e a d e r, C l i n i c a l s y s t e m s I n n o v a t i o n

C I M I T

No

I L N I N s I g h t s 2 0 1 1

Margaret LawsDir. Innovation for underserved

California healthCare Foundation

Lynne Maherhead of Innovation Practice

National health service

Madhu PrasadDir. Innovation Institute

henry Ford health system

Penny Ford CarltonPrgm. Lead, system Innovation

CIMIT

Michael WinnickLead, dscout

gravitytank

Marilyn ChowVP Nat’l Patient Care services

Kaiser Permanente

Chris LamerClinical Informaticist

Indian health service

Deb Dahlsr. Dir. Clinical Innovation

Banner health

Cathy EddyPresident

health Plan Alliance

Bob Van WhysVP Primary Care & Practice Dev.

healthPartners

Alide ChasesVP Quality & safety

Kaiser Permanente

Doug BonacumVP safety Managment

Kaiser Permanente

Gary WaymirePresident & Co-founder

Point Forward

Lyle BerkowitzProgram Director

shIP

Jim DemetriadesDir. Emerging health Tech

u.s. Dept. of Veterans Affairs

Janell MoererVP Business Development

Via Christi health

JoAline OlsonVP Innovation

Adventist health

Jed WeissbergsVP hospital Quality & Care

Kaiser Permanente

Rich RothVP strategic Innovation

Dignity health

Richard VathVP Medical Affairs

FMOL health system

Steven HoustonOperations Leader - strategy

Alegent health

William IngProgram Manager, youth Opportunities

California Endowment

Teaque LenahanDir. Business Development

frog design

Scott LambertPartner, Engagment & Prototypes

Ascension health

M e e t o u r M e m b e r s : I L N s p o n s o r s

I L N s p o n s o r ssponsors are champions

of change, innovation and design in their

organizations. They tackle healthcare

transformation and utilize the ILN both as a platform and a sounding board to

support and augment their own organization’s

innovation initiatives.

No

I L N I N s I g h t s 2 0 1 1 M e e t o u r M e m b e r s : N e t w o r k We a v e r s

Kevin MeekDignity health

kevin.meek@dignityhealth.org

Josh BrinkleyAscension health

jbrinkley@ascensionhealth.org

Kayt Havensu.s. Dept. of Veterans Affairs

kathryn.havens@va.gov

Mark Balchu.s. Dept. of Veterans Affairs

mark.balch@va.gov

Maninder Khalsa Dignity health

maninder.khalsa@dignityhealth.org

Kevin PalattaohealthPartners

kevin.j.palattao@healthpartners.com

Chris LamerIndian health service

chris.lamer@ihs.gov

Claudi PerezAscnesion health

cqperez@seton.org

Christi PierceFMOL health system

christi.pierce@ololrmc.com

Barbara BlakeneyPartners healthCare

bblakeney@partners.org

Adrienne SmithILN

adrienne@colemansmithllc.com

Deborah BennettNational health service, uK

deborah.bennett2@nhs.net

Dennis Bolinhealth Plan Alliance

dbolin@vha.com

Jane Carmodyhenry Ford health system

jane.carmody@alegent.org

Erin Huizengagravitytank

erin.huizenga@gravitytank.com

Emma DugasCalifornia healthCare Foundation

edugas@chcf.org

Jan GroundKaiser Permanente

janis.t.ground@kp.org

Gary WaymirePoint Forward

gwaymire@pointforward.com

Marty KhatibDignity health

marty.khatib@dignityhealth.org

Michele Aarons-Jacksonhenry Ford health system

maarons1@hfhs.org

Scott HeislerKaiser Permanente

scott.heisler@kp.org

Ted EytanKaiser Permanente

ted.a.eytan@kp.org

Teaque Lenahanfrog design

teaque.lenahan@frogdesign.com

Morley HealyVia Christi health

morley.healy@viachristi.org

N e t w o r k We a v e r sNetwork Weavers

are the hubs of our network. By pairing up their vast connections

and techniques like smartnetworking,

Weavers help to facilitate the flow of

information between their organization and the ILN. They

scan the horizon for transformational designs

and create connections that optimize knowledge transfer across systems.

No

I L N I N s I g h t s 2 0 1 1

Justification for Gamification

J u s t i f i c a t i o n f o r G a m i f i c a t i o n

M a y 3 - 5

E V E N T L O C AT I O N h O s T T h E M E

“Changing the Game” was about using gaming mechanics and theory to change health and healthcare.

ILN Spring InPerson Meeting

Seattle, Washington

No

I L N I N s I g h t s 2 0 1 1

The ILN’s Spring InPerson Meeting “Changing the Game” changed my mind about the possibilities of using insight from the gaming industry in my daily work. I went to Seattle skeptical about using gaming theory and game mechanics – though I had on occasion experienced the benefit of playing Angry Birds during occasional, particularly boring flights. And left 3 days later with a notebook full with ideas of how the gaming industry can help me create innovative ways of engaging and serving patients, health plan members and employees. And, even more surprising to me, how gaming can be used in decision-making.

By looking at successful games we can learn a lot about what our customers and patients want from us:

• They aspire to big things: few things in life are more important to folks than their health so we should be able to tap into a patient’s aspirations to accomplish big goals.

• They respond to immediate feedback: they like to know how they are doing whether it is weight loss or lab test results.

• They like to know the rules: transparency is being demanded by savvy customers – particularly when it comes to price and outcomes and other elements of value.

By D E N N I s B O L I N

J u s t i f i c a t i o n f o r G a m i f i c a t i o n

No

I L N I N s I g h t s 2 0 1 1 J u s t i f i c a t i o n f o r G a m i f i c a t i o n

“I went to Seattle skeptical about using gaming theory and game mechanics...”

Crowd Sourced gaming and virtual folding of proteins

on display at the InPerson Meeting.

Teams included “game mechanics”

in their protoype designs for a

diabetes lifestyle program.

Playing a game designed to break down and improve

communication barriers between

managers and employees.

• They expect superior customer service: their experience online raises their expectations of what constitutes acceptable customer service.

• They are engaged when part of a community: as health care providers we need to be aware of social as well as individual needs of our patients and customers.

Managers can also use ideas from gaming to involve employees and improve decision-making. I told our HR team about a game we experienced at the InPerson Meeting - Jason Morningstar’s game to teach nursing students about the complexity of their pediatric oncology department’s dynamic environment and roles [watch the video here: vimeo.com/iln/nursegame]. They loved the idea so much we brainstormed on how it could be used to orient new employees in our non-clinical organization.

So, by experiencing the world of gaming at Frog Design and the Spring ILN InPerson Meeting I learned to apply gaming theory and practice in multiple settings and to solve multiple problems. Now, if I can just shut down my Ninetendo Wii long enough to still enjoy the great outdoors.

Dennis Bolin is the Chief Marketing Officer and head of member engagement for health Plan Alliance.Want to reach out? DBolin@vha.com

No

I L N I N s I g h t s 2 0 1 1

The Power

ofTransfer

T h e P o w e r o f Tr a n s f e r

No

I L N I N s I g h t s 2 0 1 1

So often we are told about an innovation and all its wonderful benefits. Missing are the lessons on how it was implemented, how it was spread, and how it was sustained.

Enter Diffusion Days. The concept is to provide a forum where innovations could be spread from organization to organization in the most direct way possible; by hearing from the people who designed and spread the solution. To test this idea, the ILN worked with Kaiser Permanente’s Innovation Consultancy (IC) to spread its award-winning solution called Nurse KnowledgeExchange Plus (NKEplus)

In 2004, the IC and frontline staff designed a better way for nurses to exchange information at shift change. Adopted nationally and internationally, the program consisted of shift preparation, the use of a Patient Care Board, and bedside rounds with standardized reports. Four years later, while the IC found that the main elements of NKE were strong and true, nurses using NKE were suffering from a multitude of distractions. This kicked off the evolution from NKE to NKEplus.

NKEplus was designed as a group of processes that supported the original elements of NKE -- ensuring the nurses ability to give a warm hand-off at shift change, the inclusion of the patient in

By C h R I s T I N E R I C h T E R & C h R I s M C C A R T h y

T h e P o w e r o f Tr a n s f e r

No

I L N I N s I g h t s 2 0 1 1 J u s t i f i c a t i o n f o r G a m i f i c a t i o n

NKEplusDi�usion Days

PARTICIPANTS

participants from all over the country

increase of change package downloads since ILN Di�usion Days was announced on March 9, 2011 (between 3/9/11 and 4/1/11).

82 people attended

DOWNLOADS

DISCUSSIONS AROUND

161%

67 tweets

50 regular tweets 5 retweets12 @replies

reached 6,636 people200 people

www.innovationlearningnetwork.org

their plan of care and ensuring the patient’s safety. The added components to NKEplus focused on: the last hourly round to prepare the patient and the unit for shift change, an in-room safety check, and an expanded role for the unit staff to support shift change. All elements were designed with customizable components so that units could “make it their own”.

Another innovation was the use of human-centered design methods for implementation. Based off the belief that lasting change happens when people trust in the “why” behind the change; the solutions take mutual accountability for action and pride in shared successes. NKEplus is designed to optimally support an implementation that will engage hospital staff in making key decisions to tailor the final product to their unique needs and practices.

Diffusion Days for NKEplus were constructed so that participating organizations would be educated about both the NKEplus and human-centered implementation. Over the course of three 2-hour sessions, teams collaborate to bring the solution and its implementation knowledge into their organizations. 82 people across 12 states attended the sessions. The power of innovation is not only in the solution but the ability to spread and sustain the solution. Diffusion Days is one of many prototypes to do just that.

In addition to being director of the ILN, Chris is also an Innovation specialist with Kaiser Permanente’s Innovation Consultancy. Chris.McCarthy@kp.org

Christine is an Innovation Advisor at Kaiser Permanente. you should probably pick her brain; Christine.X.Richter@kp.org

No

I L N I N s I g h t s 2 0 1 1 I n n o v a t i o n s a f a r i i n t h e B a y

E V E N T L O C AT I O N h O s T T h E M E

“Co-designing the future of connected healing” was about ideating some wild future solutions to today’s big healthcare problems.

ILN Autumn InPerson Meeting

Oakland,California

From Safarito Spaceship

A n I L N h o s t ’s P e r s p e c t i v e

O c t o b e r 1 1 - 1 3

No

I L N I N s I g h t s 2 0 1 1

Prior to the Autumn 2011 InPerson, my experience with the ILN was limited to its virtual offerings: Virtual Thursdays, BrownBags, Learning Series and an occasional conversation with ILN team members. Reports of prior InPerson Meetings included animal print clothing, crowns, and copious use of Post-It notes so I had high expectations. Happily, and not surprisingly, this event exceeded my expectations.

The InPerson Meeting was a three-day exploration of ideas that brought ILNers together to collaborate and design solutions for healthcare in the future. And it all started with an Innovation Safari. Rather than trekking through the savannah in search of the much-vaunted Big Five game, the targets for the ILN Innovation Safari were the Big Five components of health care innovation: new ideas, practices and protocols (ideally from outside of health care), empathetic relationship between patients and care teams, and knowledge of the technologies that might enable the digital patient and connected health care system of the future. Fourteen groups traveled to fourteen diverse innovation sites across the Bay Area to gain a glimpse into different, non-healthcare approaches to innovation, design and our future.

The event was designed with clear purpose and presented compelling and entertaining views of possible solutions to the health care challenges. At every important moment of the event I could imagine the ILN staff asking, “How might we make this a challenging and

By A A R O N h A R D I s T y

I n n o v a t i o n s a f a r i i n t h e B a y

No

I L N I N s I g h t s 2 0 1 1 J u s t i f i c a t i o n f o r G a m i f i c a t i o n

“What the members do take seriously is the opportunity to collaborate in order to improve the quality of health care.”

After brainstorming prototyping and refining, a team

shoots a take for their 2031 enactment.

The design challenges were

chosen and paired with insights

from the previous days analagous

observations and a couple of celebrity

personas.

A packed house of healthcare innovators

and designers filled every corner of the Kaiser Permanente Garfield Innovation

Center.

enjoyable learning experience?” If you want to know how improving the experience of filing taxes, responding to a roadside assistance call, or sending a man to the moon might apply to improving health care, ask an InPerson Attendee about their Innovation Safari.

And rather than creating a discussion forum, the ILN used personas and technology thought starters to fuel the Deep Dive. ILNers, some of the people driving change in health care, used the Deep Dive to imagine and design models of connected care that will delivery better health outcomes in the face of future environmental, regulatory and behavioral challenges.

And what were the trophies of this Innovation Safari? In this case hand-held cameras and rough prototyping skills supplanted formaldehyde and taxidermy. On the third day, each team presented a one-take video that shared a vision of the digital patient and connected care team. If I didn’t know some of the members of the ILN, I would have had no idea that the people in costumes including a personal data cloud, Mrs. Skywalker, and a Hollywood star, respectively, were among the most powerful driving forces in health care innovation. The Innovation Learning Network is a professional networking organization with members who do not take themselves too seriously. What the members do take seriously is the opportunity to collaborate in order to innovate the quality of health care. The 2011 InPerson Design Session was truly a “festival of geeks” and I am honored to have been part of it.

Aaron hardisty is a Business Consultant with Kaiser Permanente’s Innovation and Advanced Technology group.Want to get to know him more? Aaron.hardisty@kp.org

No

I L N I N s I g h t s 2 0 1 1 C o n c e p t s & P r o t o t y p e s : 2 0 3 1

Concepts & Prototypes:

2031

W h AT W I L L T h E CA R E T E A M O F 203 1 LO O K L I K E ?

W E ’ R E N OT s u R E , B u T W E h AV E s O M E G u Ess E s .

T h E I L N LO O Ks TO I Ts M E M B E R s TO D R I V E

D I R ECT I O N A N D CO N T E N T D I s COV E Ry. s O W h E N

W E GAT h E R E D FO R O u R I L N Au T u M N I N P E R s O N

M E E T I N G, W E K N E W A D Es I G N s E ss I O N WO u L D

s P u R T h E I M AG I N AT I O N A N D C u R I Os I T y O F

O u R I N N OVATO R s . T h E I D E A WAs s I M P L E ;

P ROTOT y P E W h AT T h E CO N N ECT E D CA R E T E A M

A N D PAT I E N T O F 203 1 W I L L LO O K L I K E . h E R E

A R E A h A N D F u L O F T h E F u T u R I sT I C CO N C E PTs

T h AT CA M E O u T O F T h I s C R E AT I V E P RO C E ss .

No

I L N I N s I g h t s 2 0 1 1

Hospitals no longer exist -- all care is delivered in the home. Communities form Neighborhood Health Watch Groups to visit patients and perform basic clinical tasks and socialize. See the video -- http://vimeo.com/iln/neighborhood

1. Knowledge + Communication + Empower = Happy2. Customized & Personalized3. Easy to use4. Instant and Accessible5. Human vs. Device Centered6. Empower Ownership of your Health7. Can be “Gesture” Interface8. Multi-cultural & configuredSee the video -- http://vimeo.com/iln/empowerment

Analogous to WiFi Hotspots, “Health Care Hot Spots” would be accessible, conveniently located spots where you could get a variety of virtual services

including tele-video, bio-montoring, diagnosis and treatment using your cell phone or other device.

See the video -- http://vimeo.com/iln/whatdyaknowjoe

Neighborhood health Watch

Interactive health Wall

Care Kiosk hot spots

C o n c e p t s & P r o t o t y p e s : 2 0 3 1

No

I L N I N s I g h t s 2 0 1 1

Inspired by concepts and conversations at the ILN Autumn InPerson Meeting, a group formed around motivating behavior change for grocery store consumers to make smarter, healthier food purchases. Seven people from four organizations are now meeting regularly to research and apply core ideas from those futuristic concepts to today’s grocery environment. Stay tuned to see what this group “cooks up” in the coming months.

The Fantasy Room is a room that can be changed to different environments (Forrest, waterfall, Beach, etc). It is intended to be a fun exercise and connectivity (virtual) with friends & family. You can also connect with your care team. The walls can mimic any environment.See the video -- http://vimeo.com/iln/adventure

Patient has an augmented reality device that displays health/nutrtion data &

guide towards healthy food choices. This is reinforced by “Smart Supermarkets” that reward

you for making healthy purchase decisions.See the video -- http://vimeo.com/iln/smartshop

Adventure Room

supermarket Nutrion health AssessmentPhoto from http://www.cs.ucl.ac.uk

Momentum to the Market...

No

I L N I N s I g h t s 2 0 1 1 I n n o v a t i o n & t h e s a f e t y N e t

Poscards from the Safari

Although analogous observations have an important role to inspire innovations, there is actually a lot we can learn from health care organizations not currently engaged in the ILN, namely those organizations caring for the most vulnerable and typically underserved populations. The largest safety-net providers are public hospitals and community health centers who care for the majority of uninsured and low-income populations. These organizations have been forced to innovate out of necessity because they care for some of the most diverse and complex patients while operating in challenging resource-constrained environments. During the Innovation Safari we had a chance to visit San Francisco General Hospital, the main public hospital (and Level I Trauma Center) in San Francisco. A small group of ILNers had the opportunity to learn about some really cool innovations with direct applicability to our own care settings. First, we were able to talk with an interpreter (over a portable video cart) about their video health care interpreter system that has improved how they communicate with patients, improved the experience of care for patients, and reduced costs for the health system. We also learned how SFGH is engaging English and Spanish speaking patients and family members in new ways to redesign their health systems and inform everything they are doing. While safety net organizations may have some unique challenges, there are more similarities than we might think, and a lot that we could learn from each other.

By V E E N u A u L A K h

Veenu Aulakh is Associate Director of the Community Clinics Initiate and a networking powerhouse. see for yourself; VAulakh@tides.org

No

I L N I N s I g h t s 2 0 1 1

My Week as an “ILNer”

M y We e k a s a n “ I L N e r ”

No

I L N I N s I g h t s 2 0 1 1

As a professional speaker, educator, researcher and consultant, I have the opportunity to attend many conferences and events throughout the year. The ILN Autumn InPerson Meeting was, by far, the most beneficial and well organized conference that I attended in 2011. It is an event that I hope to have the opportunity to attend again and again.

The insights that I gained and the friendships that I made by attending the InPerson Meeting have been helpful to me in every aspect of my business and personal life. I am the mother of eight children, Facebook’s external consultant regarding families and education, and I am the founder of Family Health 360, which is a company that researches and recommends tools and techniques to improve all aspects of health in the context of the household. These tools and techniques include implementing methods of behavior change as well as using traditional tools and innovative technologies.

The insights that I gained and lessons that I learned at the InPerson Meeting are numerous. They have been applicable not only in my quest to help families improve their health, but have also been applicable in my every day life. Here are the top five insights that I gained and lessons learned:

By L I N D A FO G G - P h I L L I P s

M y W e e k a s a n “ I L N e r ”

No

I L N I N s I g h t s 2 0 1 1 M y We e k a s a n “ I L N e r ”

“There is more value in putting something beneficial in a million hands than making a million dollars.”

1. Take your mind out of your mental valley – think innovatively.2. Build on the ideas of others – collaborate.3. The best way to predict the future is to innovate it.4. Success is often based on the element of surprise.5. There is more value in putting something beneficial

in a million hands than making a million dollars.

One of the most exciting business connections that I made at the conference was with Dr. Jeffery Benabio, who is a Kaiser Permanente Dermatologist. Since the conference, we have had ongoing discussions regarding co-authoring a Facebook Guide for Medical Care Practitioners similar to the Facebook guides that I have written for parents and educators. This is a very innovative idea that will ultimately benefit patients through the use of social media to help facilitate their health care.

I went to the InPerson Meeting not knowing what to expect. Two days later, I left with a very unexpected and invaluable gift. I left with the gift of ongoing support and genuine friendship of those that are a part of ILN, Kaiser Permanente and the other attendees of the conference. I also left with the feeling of hope and encouragement that together, we will be able to develop technologies and innovative techniques to improve the health of our fellow man for generations to come. ILN has a very unique network of “like minded” people whose goal is to make the world a better place by selflessly serving others. It is an honor to be included as a “friend of the ILN”.

Linda Fogg-Phillips is the author of “Facebook for Parents & Educators. she’s also the founder of Family health 360 Interested in her work? LindaFoggPhillips@mac.com

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e

Tools of the Trade

A s M A L L CO L L ECT I O N O F T h E D Es I G N A N D s O C I A L

I N N OVAT I O N T EC h N I Q u E s W E u s E D T h RO u G h O u T

T h E y E A R . A LO O K T h RO u G h O u R O N L I N E TO O L

C h EsT W I L L y I E L D A B E Vy O F T EC h N I Q u Es ,

M E T h O D O LO G I Es A N D G E N E RA L I N s P I RAT I O N

FO R P ROJ ECTs A N D M E E T I N G s A L I K E .

ILN Members visit the Tool Chest here for more creative techniques: http://www.innovationlearningnetwork.org/forum

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : A n a l a g o u s O b s e r v a t i o n s

Analagous Observations

No

I L N I N s I g h t s 2 0 1 1

You’ve been asking to figure out a “transformative patient experience in the hospital”. You know, just one of those small requests to make your organization faster, leaner…and more cost effective. But where do you start? Where do you find inspiration? Most often we see teams dive right into their challenges and benchmark themselves against others only in healthcare. Less often, but often more powerful is tapping into the richness of what other industries are doing to solve their complex challenges. We call this the Analogous Observation.

Analogous Observations (AO) are powerful for several reasons. First, the industry is not yours, so most likely you are not an expert in what they do…and this gives you an incredibly perceptive mind; to take in all the wonders of “new”. This is often refreshing and clears the cobwebs in your thinking. Second, it lets you leap into inspiration. With so many new non-linear connections being made, your brain can’t help rearranging all the pieces into

C o c k p i t s ,C r a i g s l i s t , & C h e v r o n ,O h , m y !

To o l s o f t h e Tr a d e : A n a l a g o u s O b s e r v a t i o n s

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : A n a l a g o u s O b s e r v a t i o n s

“... often more powerful is tapping into the richness of what others industries are doing to solve their complex challenges. We call this the Analogous Observation.”

No

I L N I N s I g h t s 2 0 1 1

novel, unique combinations. And finally, it offers solutions; the direct lifting of an idea from one industry to another.

In 2005, the ILN sat down folks from Craiglist and Yahoo to learn how crowdsourcing and social platforms were the way of the future. In 2007, KP sent its frontline design team to pilot school. They translated the “sterile cockpit” for pilots into a medication safety program in the hospital. And in our last InPerson Meeting (October 2011), the ILN sent 140 innovators to over fifteen diverse San Francisco Bay Area industries; from technology, automotive, education, energy and space. They were inspired and challenged to imagine a new future in healthcare. The results were 18 interwoven, recombinant visions; some were linear, some not…but all were telling new stories with borrowed elements.

So get out there, open your eyes, and you will be amazed at what you can find outside the walls of your health system.

To o l s o f t h e Tr a d e : A n a l a g o u s O b s e r v a t i o n s

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : W i s e C r o w d C o n s u l t a t i o n s

WiseCrowdConsultations

To o l s o f t h e Tr a d e : W i s e C r o w d C o n s u l t a n t sNo

I L N I N s I g h t s 2 0 1 1

Wise Crowds is a fabulous alternative to one-way presentations. A PowerPoint show that ends with “any questions?” does not enable innovative exchange. Arrrggghhh. Try Wise Crowds to get and give advice in a way that ignites creative adaptations. Enjoy. What is made possible? Tapping the wisdom and inventiveness of everyone in the group to address complex challenges. Individuals ask for help and get help immediately from many others (from 5 to 150 others). New relationships form very quickly. Together, novices and strangers can outperform the experts! Here is the minimum specs structure.

Space & Materials: Around tables or a group of chairs (or WebEx breakout groups), paper to record

Participation: Mixed groups across functions and disciplines are idealConfigurations: One by one in groups of 5-6. The person asking for help (client) turns their back on the consultants after their consultation question has been clarified.

W i s eC r o w dC o n s u l t a t i o n s

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : W i s e C r o w d C o n s u l t a t i o n s

“A PowerPoint show that ends with ‘any questions?’ does not enable innovative exchange. Arrrggghhh!”

To o l s o f t h e Tr a d e : W i s e C r o w d C o n s u l t a n t sNo

I L N I N s I g h t s 2 0 1 1

Time Allocation: Each person requesting a consult (aka client) receives 15 minutes of help[2] For the client to present the challenge and their request for help[3] Table or pre-selected consultants clarify the challenge/question[8] Consultants generate advice and recommendations while the client turns their back. The consultants work as a team to help the client.[2] Feedback from client: what was useful about the experience

Conceptual Framework: Turning your back deepens curiosity, listening, empathy and risk-taking for all

WHY? PurposesRefine skills in giving, receiving & asking for helpTap intelligence of the whole groupGenerate wisdom that helps you work across disciplines and functional silosSubstitute for boring briefings and updatesActively build trust through mutual support and peer connectionPractice listening without defending

Tips and TrapsInvite a very diverse crowd to help (not only the experts and leaders)Critique yourself when you fall into traps (e.g., jumping to action before clarifying the purpose or the problem)Take risks while maintaining empathyIf the first round is weak, try againFocus on complex challenges without easy answers

Riffs & VariationsGenerate only questions in a second round: no advice giving (aka Q-Storming)Large format invites one person to ask the whole room for help. They select a few primary consultants. Everyone else forms satellite teams to observe and consult.

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : 3 x 5

3 x 5

To o l s o f t h e Tr a d e : 3 x 5No

I L N I N s I g h t s 2 0 1 1

One very quick, fun and quite frankly, unscientific way to measure the passion and direction of a meeting and to identify potential follow-up action items. 3x5 is named for the index cards used during this fun and enlightening activity. It’s easy and pretty fun to do.

Near the end of the meeting, give everybody a 3”x5” index card. On the front of the card, each person writes: 1) A powerful insight or learning from their time at the meeting. 2) An action relating to that insight or learning. No need for names, however legible penmenship is of the utmost importance. Everyone will need to quickly make sense of what they are reading on the cards; and chicken-scratch makes that hard to do.

Next, have the group stand up and start milling around. Pass the cards to someone new. Keep milling and passing. One fun way to augment this activity is to play some music during the milling/passing portion. For a buck on iTunes, we recommend “It Takes Two” by Rob Base & DJ E-Z Rock or “Another One Bites the Dust by Queen. The music really gets the energy level high and adds a nice “musical-chairs” game element to the activity; but isn’t a necessity.

3 x 5

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : 3 x 5

“Voila... you’ve quickly unconvered a shared sense of what ‘the crowd’ thinks are the most compelling insights and actions for the meeting.”

To o l s o f t h e Tr a d e : 3 x 5No

I L N I N s I g h t s 2 0 1 1

After about 15 seconds of milling, stop the group (and the music if you have it) and have everyone turn to the closest person and exchange cards one last time. Read the card you were given and rate the 3x5 on a scale from 1 - 5. A “5” is “fabulously inspiring” to you and a “1” is OK, but doesn’t really inspire you much. Talk over your ratings and adjust as needed. Write your final rating on the back of the 3x5.

Start milling (and the music if you’ve got it) and keep passing the 3x5 cards.

Stop the group. Rate the cards in the same way.

Rinse. Repeat.

Do this a total of five times. By the end of round five, each 3x5 card should have five ratings. At the end of round five, have the group add up the scores on “their” card.

What’s the score? Who has a card with a score of 25? 24 points? And voila... you’ve quickly unconvered a shared sense of what “the crowd” thinks are the most compelling insights and actions for the meeting.

Invite the 5-10 folks holding the highest rated cards to read them aloud to the whole group. If the group is big, a microphone is helpful here.

What you do with those top ideas/actions is up to you. But now you have a great rally point for potential further post-meeting discussion or work groups.

No

I L N I N s I g h t s 2 0 1 1 To o l s o f t h e Tr a d e : C o n c e n t r i c C i r c l e s

Concentric Circles

No

I L N I N s I g h t s 2 0 1 1

This ice-breaker of sorts is a way to quickly help folks get to know one another and jumpstarts topic exploration. This energizer/ice-breaker also goes by the moniker, “Mad Tea Party”. The technique is simple.

Ahead of time, create a PowerPoint or flipchart with interesting questions (one question per slide). We recommend alternating fun questions and deep, meeting-related ones.

Direct the group to split in half.

Half the group forms a circle and faces outward.

The other half forms a circle around the inner circle and faces the nearest person.

The facing pairs introduce themselves and answer the question on the screen. Each person has roughly a minute to discuss their answers.

Ring a bell, and the outside circle moves one person clockwise.

Rinse. Repeat about five to ten times.

C o n c e n t r i c C i r c l e s

To o l s o f t h e Tr a d e : C o n c e n t r i c C i r c l e s

No

I L N I N s I g h t s 2 0 1 1 N.T.R. (No Travel Required)

N.T.R. (No Travel Required)

ILN Members can relive every virtual moment here in our archives: http://www.innovationlearningnetwork.org/forum

O u R V I RT uA L s Ess I O N s A R E A B O u T B R I N G I N G

TO G E T h E R I N N OVATO R s F RO M A RO u N D T h E

WO R L D TO s CA N A N D s h A R E T h E h O R I zO N

O F P Oss I B I L I T y. I L N V I RT uA L T h u R s DAys ,

B ROW N BAG s A N D L E A R N I N G s E R I E s A R E

T h E N E T WO R K’s A N sW E R TO L E A R N I N G

A B O u T I N N OVAT I O N , h E A LT h CA R E D E s I G N

A N D T EC h N I Q u E s F RO M T h E I N N OVATO R s

T h E M s E LV Es ; A L L W h I L E s I T T I N G I N T h E

CO M FO RT O F yO u R OW N O F F I C E .

No

I L N I N s I g h t s 2 0 1 1

Virtual Events

“Flight Simulators” for Hospitals02/24/11Parvati Dev, PhD | parvati@innovationinlearning.comclinispace.com

Via Christi Health ePharmacy01/13/11Mark Gagnon | mark.gagnon@viachristi.orgwww.via-christi.org/body2.cfm?id=2638

NKEplus: A Nurse Shift Change Innovation03/24/11Christine Richter | christine.x.richter@kp.orgxnet.kp.org/innovationconsultancy/nkeplus

NKEplus Diffusion Days (4 Sessions)03/24/11 - 08/02/11KP Innovation Consultancy, innovation.consultancy@kp.orgxnet.kp.org/innovationconsultancy/nkeplus

Designing Life-Changing Connected Health04/07/11Giorgio Baresi | giorgio.baresi@frogdesign.comdesignmind.frogdesign.com/blog/author/designwell

NetClinic: A Patient Portal for Physicians05/19/11Peter Moen | pmoen@netclinic.comnetclinic.com

UPMC’s Experience-based Design Tool04/21/11steve Pedaline, innovationcenter@upmc.edupfcc.org

Design Thinking & Maternal Health Services in Africa05/24/11Nick Pearson | npearson@jacarandahealth.orgjacarandahealth.org

dScout: Qualitative Mobile Research03/10/11Michael Winnick | michael@gravitytank.comdscout.com

N.T.R. (No Travel Required)

No

I L N I N s I g h t s 2 0 1 1

Virtual Events

Future of Healthcare in the Bag06/23/11David swann | d.m.swann@hud.ac.ukfastcodesign.com/node/1664460

ASU & Healthcare Innovation Leadership08/25/11Jack Gilbert | jack.gilbert@asu.eduhttps://webapp4.asu.edu/directory/person/1425410?pa=true

Public Health Planning 2.0: Mapping Mashups07/14/11Eileen Barsi | eileen.barsi@dignityhealth.orgcni.chw-interactive.org

Overcoming Obstacles via Collaboration08/11/11shannon stairhime | shannon.m.stairhime@kp.orghttp://goo.gl/FQj75

Designing a Positive Waiting Experience09/08/11Lekshmy Parameswaran | lekshmy.parameswaran@fuelfor.netfuelfor.net/fuelfor/wait.html

Tech-Enabled Independent Living06/09/11Kian saneii, ksaneii@independa.comindependa.com

Designing Change: Fighting Infection w/ Packaging09/22/11sue MacInnes | smacinnes@medline.comdeborahadlerdesign.com/projects/?id=medline

Designing for Family Violence Prevention10/20/11Brigid McCaw, brigid.mccaw@kp.orgxnet.kp.org/domesticviolence/about/index.html

KP Painscape: Designing for Pain Management11/17/11Mary Katica, mary.k.katica@kp.orgxnet.kp.org/innovationconsultancy/painscape.html

N.T.R. (No Travel Required)

No

I L N I N s I g h t s 2 0 1 1

Acknowledgments

We’d like to say a BIG ‘thanks’ to the following for their contributions to ILN 2011 Insights and another fantastic year.

Aaron hardistyChristi zuberChristine RichterDennis BolinEric santosFaye sahaiKeith McCandlessLinda Fogg-PhillipsMargaret LawsMarilyn ChowMary KaticaTeaque LenahanTed EytanVeenu Aulakh

Acknowledgments

www.innovationlearningnetwork.org

®