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From democracy to Beta
          How Public Design? • MindLab 2011




                                                                   31. august 2011
                                                                    John Holager
   flickr: megantosh


                       live|work nordic AS   John Holager
31 august 2011         www.livework.co.uk    john@livework.co.uk
Citizen involvement = democracy



(usually lots of people and a fair bit of talking…)



   live|work nordic AS   John Holager
   www.livework.co.uk    john@livework.co.uk
A key problem in the
        democratic model is the
        aversion towards failure

        •  failure is expensive
        •  failure is time-consuming
        •  and it’s not quite as much fun as success



live|work nordic AS   John Holager
www.livework.co.uk    john@livework.co.uk
Is Beta a possible solution?
        Trial and error with
        experience prototyping

        •  reduced risk
        •  increased speed
        •  people are engaging for real, not abstract



live|work nordic AS   John Holager
www.livework.co.uk    john@livework.co.uk
Two examples of
              experience prototyping




live|work nordic AS   John Holager
www.livework.co.uk    john@livework.co.uk
Prototyping patient information
          InnoMed and Oslo University Hospital




InnoMed   2010   live|work nordic AS   Anders Kjeseth Valdersnes
                 www.livework.no       anders@livework.no
Stakeholder insights
!  2 nurses and 4 patients from the Cancer Centre
!  2 nurses and 3 families from the Children’s Centre
!  1 cancer nurse in the municipality of Østensjø




InnoMed   2010                                          7
Large amounts of information
     is being created, but there
     is no system.
InnoMed   2010                      8
«This booklet was      There’s a need for a better
                            system that makes it simpler
     made by one person     to create information, and to
                            do quality assurance.
     who was given time,    Det blir produsert mye informasjon på
                            avdelingene. Ofte springer det ut fra
     and had the interest   engasjerte fagpersoner som setter av

     to create it.»         tid og forfatter et skriv, et hefte eller
                            en perm. Det meste er tekstbasert og
                            lite illustrert, og man begynner med
     — Kristin, nurse
                            blanke ark. Det er velkomment å
                            kunne bygge på andres arbeid og så
                            tilpasse det.

InnoMed   2010                                                          9
An example of sharing. Marie has brought a template from Radiumhospitalet
   and adapted it to the cancer department at Ullevål. It explains
   When, What, How, Where, Preparations and Considerations afterwards
InnoMed 2010
100 questions about
          life, the disease and the system.
                         Life




                          ?


InnoMed   2010                                11
«I had no idea where to     Patients need info on three
                                 levels: the disease, the
     begin. Just figuring out    system and life.
                                 Det er tydelig at definisjonen av hva
     the social benefits         som er ‘pasientinformasjon’ må være
                                 ganske vid. Det er ikke bare det
     system almost               medisinske, men også hvordan

     killed me.»                 sykehuset og helsevesenet fungerer. I
                                 tillegg handler spørsmålene om
                                 hvordan man lever med sykdommen,
     — Kirsten, cancer patient   og følgene det har for livet. Disse tre
                                 tilsammen utgjør behovet.



InnoMed   2010                                                             12
In addition to the hospital’s information, NGO’s create a lot of information for
   patients and caregivers.
InnoMed 2010
PROTOTYPE 2:
          Create a checklist
          and a tailor-made
          information
          package for one
          specific patient


InnoMed   2010                 14
Vigdis and Cecilie were given the task to choose relevant information for a 6
  year old girl with acute lymphatic leukemia

InnoMed   2010                                                                    15
…and were categorising it: Disease, System and Life.

InnoMed   2010                                           16
We compiled and designed the information in a tailor-made binder,
  and let the family try it.
InnoMed   2010                                                        17
«The more someone can filter the
     information for us, leaving what’s
     relevant, the better.
     There is som much to read…»




     «We have a folder where we collect all the
     information. My mother-in-law has read
     it as thorough as we have. When our
     daughter got sick, we might not be the best
     to explain things to her.»

     — Anniken, mother of Cathrine (6)
InnoMed   2010                                     18
«Yes, definietly. It would be very
     good for the patient to get it in
     writing. For us, it would be
     important to keep working on what
     they’ve said and done at the
     hospital.»

     — Home care nurse, Østensjø municipality


     «…but under System there’s lacks a
     lot of information about what they
     will get from the municipality!»

     — Giske, Cancer Nurse, Østensjø municipality
InnoMed   2010                                      19
«A simple system for creating
     check lists and folders would be
     absolutely brilliant.»

     «I would have ordered ready-
     made folders from the in-house
     printer’s. It’s quicker than
     printing and making them
     myself.»

     — Childrens nurse, Ullevål



InnoMed   2010                          20
What we learned from Prototype 2
!  Up to 60% reduction of excess patient information
!  Making the selection is quick
!  Checklists are a good way of tailor making information packages for both the
   ward and for a patient
!  Bullet lists allow patients to ask better questions
!  Provides patients great value in the transition between hospital and home
!  Better overview for the municipality on information that is lacking when the
   patient leaves the hospital


Challenges:
!  Both patients and the municipality have a strong need for integration of
   personal data with the general patient information

InnoMed   2010                                                                    21
OSLO TRANSPORT AUTHORITIES

         Wayfinding and information system for Ruter


15. september 2010   live|work nordic AS   John Holager
                     www.livework.no       john@livework.no
Prototype with 30 people
30 people with different background,
language and travel habits were asked
to try the system to plan and carry out
different journeys.




             live|work nordic AS   John Holager
             www.livework.no       john@livework.no
Created user journeys
A set of user journeys were created. The user journeys
simulate real world tasks people need to solve when using
public transport.
live|work nordic AS   John Holager
www.livework.no       john@livework.no
Three cases to test
                                         1. Entering a metro station

                                         2. Exiting a metro station

                                         3. Supporting tasks




live|work nordic AS   John Holager
www.livework.no       john@livework.no
Locating a destination and choosing the right travel direction.


           live|work nordic AS   John Holager
           www.livework.no       john@livework.no
Trying the new fare zone system – and finding ticket prices
live|work nordic AS      John Holager
www.livework.no          john@livework.no
Alternative time tables – created iteratively within the prototype
              live|work nordic AS   John Holager
              www.livework.no       john@livework.no
Finding the next step of the journey




live|work nordic AS   John Holager
www.livework.no       john@livework.no
Example of detailed feedback




                                                              “It will probably help me not to travel in the
                                                              wrong direction – as I sometimes do.”


15. september 2010   live|work nordic AS   John Holager                                                        30
                     www.livework.no       john@livework.no
«There are quite a few questions that I’m not sure
I would have considered had I been sitting behind my desk»




live|work nordic AS   John Holager
www.livework.no       john@livework.no
Discussion tasks in groups

1.    How would ”Beta” affect                    Imagine a public service
      public services and                        where law- and police
      management?                                student are ”back to
2.  What would it take to get                    everyday” mentors for
    government to adopt this                     newly released prisoners.
    way of thinking?
                                                 How and what would you
3.  Make a 4-point ”manifesto                    prototype it? What are the
    for Beta in public service”                  key challenges?

        live|work nordic AS   John Holager
        www.livework.no       john@livework.no
john@livework.co.uk
                                        www.livework.co.uk




15. september 2010   live|work nordic AS   John Holager
                     www.livework.no       john@livework.no

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How public design? Livework

  • 1. From democracy to Beta How Public Design? • MindLab 2011 31. august 2011 John Holager flickr: megantosh live|work nordic AS John Holager 31 august 2011 www.livework.co.uk john@livework.co.uk
  • 2. Citizen involvement = democracy (usually lots of people and a fair bit of talking…) live|work nordic AS John Holager www.livework.co.uk john@livework.co.uk
  • 3. A key problem in the democratic model is the aversion towards failure •  failure is expensive •  failure is time-consuming •  and it’s not quite as much fun as success live|work nordic AS John Holager www.livework.co.uk john@livework.co.uk
  • 4. Is Beta a possible solution? Trial and error with experience prototyping •  reduced risk •  increased speed •  people are engaging for real, not abstract live|work nordic AS John Holager www.livework.co.uk john@livework.co.uk
  • 5. Two examples of experience prototyping live|work nordic AS John Holager www.livework.co.uk john@livework.co.uk
  • 6. Prototyping patient information InnoMed and Oslo University Hospital InnoMed 2010 live|work nordic AS Anders Kjeseth Valdersnes www.livework.no anders@livework.no
  • 7. Stakeholder insights !  2 nurses and 4 patients from the Cancer Centre !  2 nurses and 3 families from the Children’s Centre !  1 cancer nurse in the municipality of Østensjø InnoMed 2010 7
  • 8. Large amounts of information is being created, but there is no system. InnoMed 2010 8
  • 9. «This booklet was There’s a need for a better system that makes it simpler made by one person to create information, and to do quality assurance. who was given time, Det blir produsert mye informasjon på avdelingene. Ofte springer det ut fra and had the interest engasjerte fagpersoner som setter av to create it.» tid og forfatter et skriv, et hefte eller en perm. Det meste er tekstbasert og lite illustrert, og man begynner med — Kristin, nurse blanke ark. Det er velkomment å kunne bygge på andres arbeid og så tilpasse det. InnoMed 2010 9
  • 10. An example of sharing. Marie has brought a template from Radiumhospitalet and adapted it to the cancer department at Ullevål. It explains When, What, How, Where, Preparations and Considerations afterwards InnoMed 2010
  • 11. 100 questions about life, the disease and the system. Life ? InnoMed 2010 11
  • 12. «I had no idea where to Patients need info on three levels: the disease, the begin. Just figuring out system and life. Det er tydelig at definisjonen av hva the social benefits som er ‘pasientinformasjon’ må være ganske vid. Det er ikke bare det system almost medisinske, men også hvordan killed me.» sykehuset og helsevesenet fungerer. I tillegg handler spørsmålene om hvordan man lever med sykdommen, — Kirsten, cancer patient og følgene det har for livet. Disse tre tilsammen utgjør behovet. InnoMed 2010 12
  • 13. In addition to the hospital’s information, NGO’s create a lot of information for patients and caregivers. InnoMed 2010
  • 14. PROTOTYPE 2: Create a checklist and a tailor-made information package for one specific patient InnoMed 2010 14
  • 15. Vigdis and Cecilie were given the task to choose relevant information for a 6 year old girl with acute lymphatic leukemia InnoMed 2010 15
  • 16. …and were categorising it: Disease, System and Life. InnoMed 2010 16
  • 17. We compiled and designed the information in a tailor-made binder, and let the family try it. InnoMed 2010 17
  • 18. «The more someone can filter the information for us, leaving what’s relevant, the better. There is som much to read…» «We have a folder where we collect all the information. My mother-in-law has read it as thorough as we have. When our daughter got sick, we might not be the best to explain things to her.» — Anniken, mother of Cathrine (6) InnoMed 2010 18
  • 19. «Yes, definietly. It would be very good for the patient to get it in writing. For us, it would be important to keep working on what they’ve said and done at the hospital.» — Home care nurse, Østensjø municipality «…but under System there’s lacks a lot of information about what they will get from the municipality!» — Giske, Cancer Nurse, Østensjø municipality InnoMed 2010 19
  • 20. «A simple system for creating check lists and folders would be absolutely brilliant.» «I would have ordered ready- made folders from the in-house printer’s. It’s quicker than printing and making them myself.» — Childrens nurse, Ullevål InnoMed 2010 20
  • 21. What we learned from Prototype 2 !  Up to 60% reduction of excess patient information !  Making the selection is quick !  Checklists are a good way of tailor making information packages for both the ward and for a patient !  Bullet lists allow patients to ask better questions !  Provides patients great value in the transition between hospital and home !  Better overview for the municipality on information that is lacking when the patient leaves the hospital Challenges: !  Both patients and the municipality have a strong need for integration of personal data with the general patient information InnoMed 2010 21
  • 22. OSLO TRANSPORT AUTHORITIES Wayfinding and information system for Ruter 15. september 2010 live|work nordic AS John Holager www.livework.no john@livework.no
  • 23. Prototype with 30 people 30 people with different background, language and travel habits were asked to try the system to plan and carry out different journeys. live|work nordic AS John Holager www.livework.no john@livework.no
  • 24. Created user journeys A set of user journeys were created. The user journeys simulate real world tasks people need to solve when using public transport. live|work nordic AS John Holager www.livework.no john@livework.no
  • 25. Three cases to test 1. Entering a metro station 2. Exiting a metro station 3. Supporting tasks live|work nordic AS John Holager www.livework.no john@livework.no
  • 26. Locating a destination and choosing the right travel direction. live|work nordic AS John Holager www.livework.no john@livework.no
  • 27. Trying the new fare zone system – and finding ticket prices live|work nordic AS John Holager www.livework.no john@livework.no
  • 28. Alternative time tables – created iteratively within the prototype live|work nordic AS John Holager www.livework.no john@livework.no
  • 29. Finding the next step of the journey live|work nordic AS John Holager www.livework.no john@livework.no
  • 30. Example of detailed feedback “It will probably help me not to travel in the wrong direction – as I sometimes do.” 15. september 2010 live|work nordic AS John Holager 30 www.livework.no john@livework.no
  • 31. «There are quite a few questions that I’m not sure I would have considered had I been sitting behind my desk» live|work nordic AS John Holager www.livework.no john@livework.no
  • 32. Discussion tasks in groups 1.  How would ”Beta” affect Imagine a public service public services and where law- and police management? student are ”back to 2.  What would it take to get everyday” mentors for government to adopt this newly released prisoners. way of thinking? How and what would you 3.  Make a 4-point ”manifesto prototype it? What are the for Beta in public service” key challenges? live|work nordic AS John Holager www.livework.no john@livework.no
  • 33. john@livework.co.uk www.livework.co.uk 15. september 2010 live|work nordic AS John Holager www.livework.no john@livework.no