Briis

Diversifying The Concept of Prescription Towards A Better Patient-Centred Care System

Timeline

August 2020 -January 2021

Collaborators

North Estonia Medical Center,

Taltech & EKA

Role

Problem Analysis, Pain Points Identification,

Probe-kit Design,

Co-design Workshops, Solution Design, User Testing, Presentation

BRIIS, a holistic approach towards a better and more active life for Asthma & COPD Patients. Our service addresses the existing spots between the fragmented healthcare system and provides the patients with

PA (A trained professional who will always be with the patients in the harshest part of their journey)
A Smart Inhaler (A device that keeps track of the daily medicine in-take & also acts as a reminder)
A Respiratory Toolkit ( A kit that makes the journey of the patients in the most remote places more comfortable & keep them on track on the road to a better life)

Problem Space

To understand the problem space Initially, virtual interviews with pulmonary physicians and pulmonary physiotherapists have been conducted. Following possible problems, space has been identified after the analysis

Brain Storming Sessions and Mind Mapping

The initial process started with brainstorming and writing drawing the ideas. Considering all playing factors and mapping them out. Later a patient journey map was also designed to understand the context of the problem space.

Stakeholder Map

The external collaborator of this project is North Estonia Medical Center (PERH in Estonian). PERH has the Pulmonology Centre, located at the North Estonia Medical Centre's internal disease clinic, is the largest planned and emergency pulmonological treatment centre in northern Estonia. The following map is designed to understand who is involved in pulmonary care and rehabilitation and prioritize contacts so as to define the research questions and problems.

Patient Journey Map

A patient journey map is developed from desktop research and hypotheses. It is made by two axes - stakeholders and illness sequences (before diagnosis, after diagnosis, and life with COPD/Asthma). Tthis journey map helped visualize not only the actions, motivations and pain points of stakeholders, but also the interaction between them. It helped to understand the complexity of the pulmonary disease and patient’s illness experience, and it has a role as a beacon to keep our research patient-centred.

Probe Kit Design

Cultural probes is a research method that helps to understand the everyday challenges, goals and needs of users at the beginning of a design process. Participants document and reflect on certain aspects of their lives over a longer period of time. Since this method allows them to capture their real behaviour themselves, you gain largely unbiased insights from their perspective, which makes cultural probes particularly valuable for an early inspiration phase. On the right is the cultural probe designed for this project

Probe Kit Analysis Takeaways

Physical activity is supposed to enhance mental well-being
Having an intellectually rich life is one of the biggest motivations to keep themselves healthy physically and mentally
Choosing functionally proper clothes is one key factor to do physical activities
Sufficient supports from friends/relatives are essential to have a healthy life
Mindful exercises help people to focus on the present and gain a peaceful mind
A sustained diet has a key role in physical and mental well-being

Co-Design Workshops

After a better understanding and analysis of the problem space, I wanted to understand and analyze more of the problem space, two co-design workshops have been conducted.

Co-Design Workshop With Pulmunari Patients and Hospital Authority Personal

The first workshop aimed on two targets - User journey mapping and What-if future mapping

Key Takeaways of the workshop

Patients own responsibility for their illness

Patients don’t always understand that diseases come from the choice of living, exercise, and social events.

Patients cannot get lifestyle prescriptions.

Personal contacts including animals are important for emotional conditions.

Co-Design Workshop 2

The second workshop is based on one game “Roleplay prototyping” based on 3 realistic narratives in different sizes of places (city - Tallinn, rural - Roela, mid - Rakvere) where participants could play through their own scenario with different kinds of “Play Cards” (stakeholders, activities, available services/products, and wanted services/products) so as to think about the aspirational solutions for enhancing persona’s quality of life and well-being.

Key Takeaways of Co-Design Workshop 2

Cognitive Prescription: Giving ownership to patients is critical.

Pulmonary Accompanist.

Respiratory Toolkit.

Supporter App: Web and Mobile platform.

System Design Concept

The main components of the system are “Pulmonary Accompanist” and “Cognitive Prescription”. Pulmonary Accompanist consisting of Physiotherapists, Trained nurses, and Medical students is in charge of creating a Cognitive Prescription which includes ‘Respiratory Toolkit’ and ‘Physical/Mental/Social Activities’ for pulmonary patients.

Final Solutions

Following are the key interfaces of the BRIIS digital platform. The web application for patients, includes an overview dashboard, 2 kinds of profile views (joyful and static modes). For pulmonary accompanists, it’s the patient list dashboard and later refined to a more graphically intuitive one.

Web Platform

The BRIIS web application for patients, includes an overview dashboard, 2 kinds of profile views (joyful and static modes). For pulmonary accompanists, it’s the patient list dashboard which is later refined to a more graphically intuitive one.

Mobile Platform

For tech-savvy users, Briis also propose the mobile app that patients can track the medication behaviour, get a tailored tutorial, get motivated to engage in the activities from cognitive prescription, and get a notification of intaking medications and fun events near them. Also, the pulmonary accompanists can use the app to check the key information of patients and collaborate with fellow accompanists and GPs.

Pulmonary Toolkit

Patients can get respiratory toolkits as a part of cognitive prescription after signing up for the buddy system and confirming the details through home delivery. Patients can set up and start using the toolkit in the following steps:

Open the box and get a video/voice orientation
Register the daily plan (suggested one is already included)
Understand how to use the medical/recording devices
Start using

Pulmonary Accompanist

Pulmonary Accompanist consisting of Physiotherapists, Trained nurses, and Medical students is in charge of creating a Cognitive Prescription which includes ‘Respiratory Toolkit’ and ‘Physical/Mental/Social Activities’ for pulmonary patients, and collecting/analyzing data such as patient’s feedback, behavioural patterns, setbacks, and aspirations in collaboration with their GPs.