Presentation given to University of Pennsylvania architecture graduate students. The students were running a large scale user research project and needed to understand innovation approach.

2. We care about health care because we care about us.

3. This is called enlightened self-interest.

4. Which is not this.

5. They just had self-interest.

6. It looks more like:

7. [dramatization]

8. This was pretty bad.

9. This sucked too.

10. This was the worst.

11. I want better care.

12. Seriously.

13. We all do.

14. For young

15. and old.

16. Its up to us to change the conversation.

17. - Atul Gawande M.D., The Checklist , The New Yorker “ We have a thirty-billion-dollar-a-year National Institute of Health... which has been a remarkable powerhouse of discovery. But we have no billion-dollar National Institute of Health Care Delivery studying how best to incorporate those discoveries into daily practice.”

18. Scientists provide valuable primary research Designers change perception People create demand

19. Economic Value Time Designers Culture Scientists

20. Economic Value Time Designers Culture Scientists Discovery Translation Amplification

21. So we should ask the experts?

22. “ We need to give engineers the right question and they may already have the answer.” - Dr. Andrew Denton, Materials Connexion

23. “ The future is already here, its just unevenly distributed.” - William Gibson, Author, NPR

24. Economic Value Time Designers Culture Scientists Discovery Translation Amplification firebrands instigators creators catalysts

25. The right question comes from understanding people

29. There is a lot of talk about innovation, but …

30. innovation is not something you talk about. It is something you do.

31. And the doing is messy.

32. Think big. Start small. Act fast.

33. Designers need to speak the language of business

34. in order to create meaningful change in the world.

35. We must scale our expectations

37. SPARC Innovation Group

38. Find: Map and analyze activities 1 Recognize: concept illustrations 2 Prototype 3

43. Stakeholder interviews Patient interviews Phone interviews Site visits Elicitation activities Camera study Secondary research Online survey

45. Principle 1: Provide the right information at the right time Principle 2: Recognize the individual and tailor services to them Principle 3: Maintain excellent communication between physicians Principle 4: Provide the “right” level of support Principle 5: Patients want to be as normal as possible Principle 6: Patient confidence in their care is crucial Principle 7: Give patients as much control as possible Principle 8: Patients prize convenience in treatment

49. We have to be really smart stupid people.

50. We have to be curious about the obvious

51. So what have you found out about the silver tsunami?

52. What are OLD people really like?

53. What is too OLD?

54. Do OLD people act like they should?

55. How were your assumptions challenged?