Design Dialogues

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Designing for Care

Reposted from the Rosenfeld book site / author blog.

I am inviting experienced designers (and professionals and administrators) to review and advise the course of a new book, Design for Care. Interested and interesting people can register on the book’s community site at designforcare.com.

Healthcare is a sector of complex interconnected systems. If we act only on the domains for which we have access and personal knowledge, we may interfere with or fail to account for other parts of the system. Therefore, the concept of this vertical book on healthcare design is to build bridges across the related systems, roles, and structures in healthcare.

We hope to enable dialogue between designing for patient experiences, consumer health information, institutional experiences, and professional practice. I believe they are all interrelated, and the prepared designer will be more effective when they understand the problems, solutions, and methods in the realms of care experience they have not (yet) touched.

Our design perspectives and methods must become collaborative, not only within our teams, but across health disciplines. In fact, information design and experience design and research must become accepted healthcare disciplines. We should be invited to participate on the teams considered responsible for care.

While design professionals have helped humanize in many positive ways, most designers are not researchers, and vice-versa. We need to blur this distinction in practice. Whether we consider it user research, innovation research, or practice research, a core purpose of the book is to strengthen your ability to perform as skillful designers by better understanding the range of design thinking and practice across healthcare. A tall order in a short volume, indeed.

Care enough to join us? Contact us, or visit the book community site at designforcare.com and share a story or successful method.  And follow on Twitter at: http://twitter.com/designforcare

Innovating as if your Future Depended on it.

So we’re in an everlasting downturn and nobody is really sure what’s next in store for any industry, newspapers, broadcast, publishing, financial, automotive, retail, construction, food production, energy, healthcare. If the rational, reasonable Western world is in such a fit of uncertainty, we clearly need to be innovating our way forward.

Designers have always been up to this task, although we often are not asked. Henry Dreyfuss started his design office during the Depression, and was never wanting for transformative projects. His work defined the look of that bold era. And George Nelson was quoted in June’s Metropolis as having said:

“Design is returning humanity to society. If design doesn’t work for people, then there isn’t much point in doing it. I’m not so much interested in designing things as I am systems. That is what is important.”

So what will our design legacy be for the post-millennial “long emergency?”

Booz delivers a set of 6 guidelines on sustaining innovation for senor management, Innovating through The Downturn: A Memo to the Chief Innovation Officer.

“Yet, past history also shows that the greatest innovation can come during periods of severe economic stress. Television, xerography, electric razors, FM radio, and scores of other advances were produced during the Great Depression. Companies such as DuPont, which in 1937 was generating 40 percent of its revenues from products introduced after 1930, pursued innovation not only to survive the Depression but also to set the stage for decades of sustained profitable growth.”

One of the things I’ve learned is that such simple presentations can apply to design strategy and experience design equally well, if translated. While these tips are not strategic in the sense of long-term organizational alignment, if followed they would create what we might  call operational thrivability. In other words, you haveto operationally survive first before you can thrive through the next era. Let’s try these points out from a design thinking point of view

1. Move with your customers.

“Build and test scenarios that seek to understand unstated and as-yet-unrecognized customer needs in the near and long terms. Use the insights they yield to shift investments to projects that help customers cope with the recession, and position your offerings to satisfy their needs and desires in the upturn.”

If innovation takes a page from user experience, why not extend the method? A large organization should shift its approach to sensing the environment, and not innovate ahead of their adoption. Industries reliant on retail strategies will find their business models vulnerable to customer intervention. Following the customer’s needs and leads will allow the firm to discover the changes occurring in market behaviors. If lucky, they can respond appropriately when the best timing presents itself.

In a serious recession, customers move quickly to hedonic switching behavior, or finding cheaper ways to satisfy a preference to which they may have become accustomed. McDonalds offers coffee products “good enough” to replace Starbucks for many.

Product and service decisions must anticipate the future world that will reveal itself once the economic dust settles. In the meantime, innovation teams should discover the customer’s world more directly, when possible. Think onsite visits, not surveys, at least to inform the organization of the types of changes happening in the real economy. “Ideal world” scenarios are helpful to understand as aspirational, but nearer term decisions must capitalize on current real world needs. Sustainability also means surviving, and lasting long enough to be sustainable. So follow the customer during the downturn, and lead them out just before the times change again.

2. Kill weak projects.

First, you must have organizational agreement on the definition of a weak project. While it is always important to end draining projects, how much more so when cash flows are ebbing. Think of it this way – while a large firm can afford innovation experiments, projects that are not organizational commitments are wasted resources that can be concentrated on the next big win. The weaker projects, even if they have value, are ideas that can be better exploited by smaller entrepreneurial firms anyway. If you want to be in the business they grow, you might consider tracking and buying the best innovator in that new market or technology.

Projects should be assessed on various models of return, on revenue, equity, cost structure, and rapid growth in new markets. If your strategy changes in a few years, a cash cow can always be sold or spun off.

Booz suggests assessing projects against their fit to strategy. That’s fine, as long as the firm’s strategy is truly winning. In transition times like these, a business strategy drawn up before the downturn may be quickly outdated. If so, executives may be the last to know, because strategic time scales are insensitive to rapid shifts in customer behavior. A 3-year old business or innovation strategy may reflect values and implicit assumptions that made sense before markets shifted. While considering weak projects to offload, you may also evaluate and reenvision strategies, and consider replacing a weak game plan. An innovative firm may choose to play an emergent strategy until a way forward with a clearer future becomes clearer.

3. Act to retain key talent.

“Regardless of the day-to-day pressure, map out a strategy for how your core talent can be frequently and intimately involved in developing and executing future R&D strategies and capability building efforts.”

It may be too late. Many of my readers already left their agencies or weaker firms a year or so ago, before the inevitable job cuts and increased hours imposed on the walking wounded. The best talent always leaves first, before other team members even know their best clients are dropping off. Large product firms with a solid base have more time to negotiate, but they are also more likely to misunderstand this point.

Also, consider your key talent your creatives and innovators, not the executives. My observation is that brand new executives have huge motivation to perform well, and can be provided with meaningful positive incentives to learn and adapt to the strategy. Creative staff, on the other hand, are key to delivering on innovation. If you lose innovators, you cannot replace them at any price. Consider that they have also been trained for years on your firm’s technologies and competitive routines that make delivery happen. Depending on tech and product complexity, new UX, creatives, and product managers may take up to a year before they can operate at that level. If they are really good. If they were just the “best available,” good luck.
4. Double down on advantaged innovations.

Booz recommends: “Now is the time to accelerate and optimize new products and technologies that are sure to deliver market advantage. If necessary, front-load resources and adjust your development cycle to get to market in time for the upturn. As always, pay particular attention to the features that customers value most and do not take your eye off quality.”

Of course, when is this NOT the case? Again, it depends on your industry and whether it makes strategic sense to attempt to time the upturn. Significant tech advantage may take years to develop and refine, so what is your confidence and expected return in acceleration to timing an upturn? What if the upturn were – ahem, late? Nobody really knows when that upturn may happen, or what it may look like in this cycle, whether secular bear market or sector bull. Some of the industries I have consulted in – automotive, enterprise software, publishing, telecom – have very uncertain future markets. Can we forecast the level of consumer demand in 2-3 years (or longer) that would energize these sectors?

Perhaps significant technology innovations should be trialed with lead users in smaller, emerging markets with modest platforms that fulfill a single well-defined requirement. Set up a portfolio of experiments with complementary services and learn from early tests in this lower-demand, lower-stakes environment. In this way, when increased revenue opportunities return from real consumer or business demand, your early platforms will be available, branded, and ready to ramp. In theory.

Also, this step also confounds the classic technology design trade-off between time-to-market and quality. It appears their call is to focus on timing the upturn, to be prepared for the possible uptake and then, if you can, “do not take your eye off quality.” This trade-off can never be presented as a generality. In some domains, quality is all that counts, and having fewer features of high quality or quality content makes all the difference. There are no general strategies.

5. Aggressively scout technology.

“If you have buying capacity, speed up the scouting process and develop a broader partner and supplier network to identify and vet acquisition opportunities. If you do not have the resources in place, consider using short-term, ad hoc teams to scan opportunities.”

Why not? Emerging tech firms and their licenses are cheaper now than ever, and in a deflationary environment, where cash flow is weak in many sectors, you may have time to scout longer and negotiate for the best. This corresponds to #2 – killing off weak projects. You want to understand the potential in technology options available in the planning term.

However, this is another situation where technology appears to be positioned to drive strategy. Scouting as opportunity sensing should not be confused with locating platform technologies that support a next-generation innovation strategy.
6. Fix innovation capability gaps.

“Now is the time to undertake a sober assessment of the strengths and weaknesses of your innovation system. Fix the capability gaps now so that you can launch projects with fewer resources.”

This is great advice if you can do it. A sober assessment is difficult to accomplish, because most people are too close to the organization. Few organizations actually have a real innovation system, as it takes years to invest in practices, experiments, labs, designers, and to convert tacit knowledge to new routines. You can’t go wrong with a Christensen assessment: What are the Resources, Values, and Processes your organization requires to go forward with a next-generation innovation?

Innovating in the eternal downturn

You know we’re in a very unusual downdraft cycle when articles on keeping the faith with innovation during downturns remain popular. The perpetual (or is it eternal?) financial crisis has lasted long enough to sustain a cottage industry of books and workshops intended to help the waning innovator and entrepreneur. My colleague Walter Derzko in Toronto has just such a book coming out any day now from Wiley, Hard Times, Golden Opportunities. When you expect the situation to remain dire for another year or so, even publishers will buy the normally pessimistic premise. To be fair, Walter’s upcoming Opportunity Clinic workshop offers a glimmer of hopefulness: “Spotting and designing Opportunities in a Recession and later in the up-turn.”

“Green shoots” notwithstanding, the corporate mood has turned and uncertainty reigns. It is a great time for innovators, if not for the classic IPO-seeking “pump and dump” entrepreneurs. And while everyone in our line of work will of course insist that innovation is essential, we also need a set of guidelines sensitive to the creative destruction mindset. We need to be able to anticipate the new values and behaviors that will pick up and sustain the next-gen innovations, in ALL sectors. As Yogi Berra said, “prediction is hard, especially about the future.”

So how long do we keep calling a long-term situation a “crisis?” It appears we can stretch a crisis out to at least 9 months, and counting. Last November we addressed this shared concern at World Usability Day, moderating a panel of 3 brilliant innovators at LexisNexis (a software engineer, a corporate training director, and an innovation VP). Among the things they noted were that some of the most world-changing innovations were invented and launched during the Great Depression. Economic and war pressures push firms to innovate to meet the needs of reality, not big fat comfortable markets.

Half a year later, the issue is still hot. That must mean we’re still in the “crisis.” Until the eternal downturn, I believed that a crisis meant a moment in time that required resolution and action, not a few years of time. Some thinkers, notably Jim Kunstler and Richard Heinberg, predict a global secular (long-term cycle) change in economic fortunes due to the convergences of multiple problem systems: resource depletion, environmental impact and costs, poor risk planning, weak political will, and “peak everything.” They suggest we cannot innovate our way out of this one, and that the Anglo-American cultures will revert to simpler means of bygone eras – except with Internet.

Others, such as Alex Steffen (editor of World Changing) of the “bright green” movement, and designer Bruce Mau of Massive Change fame, point to the vision of coordinated human energy pointed in a positive direction to collectively solve huge problems. In the face of uncertainty, positive coordinated innovation can make huge unpredictable differences in our world. At the Business as Agentfor World Benefit conference, we realized we needed much more than a call for sustainability to make a difference. An energizing and humanistic vision transcending sustainability is needed to motivate a new vision of business and its role in  this change. We call this possibility the vision of Thrivability.

Design + Business as Agents of World Benefit

After attending a game-changing event, how do you share the experience so that a casual reader understands the impact? That, perhaps, there is a game being changed and that some projects we believed important before the event may appear less consequential after the event.

The 2009 Global Forum, Business as an Agent for World Benefit at Case Western Reserve University created such an opportunity. The conversation challenged thinking about the fusion of design thinking with business education. For many of the management people in the room, I suspect the design side of the equation opened new possibilities for creative re-thinking their own commitments. But the “world benefit” theme blasted through my expectations. Speaker after speaker challenged us to realize the significance of the moment in history. After last year’s spectacular global failure of “business as usual,” a passionate group of influential thinkers are insisting that businesses do the right thing. A clear financial case has been made for sustainability; the most difficult changes remaining are cultural and social.

Designers are also challenged to set aside their “known-knowns.” We like to think we are not culpable for things like the financial crisis, as we have always had the luxury of distancing ourselves from bad decisions. Not only do we need to Play Big this time around, we need to help business Play Well with Others. We’re all in this together, and design has a lead role to play.

Case Weatherhead’s Fred Collopy published a piece just after the conference in Fast Company online titled: Lessons Learned — Why the Failure of Systems Thinking Should Inform the Future of Design Thinking. This conversation leads toward the inescapable conclusion we are navigating a sea change fusion of systems and design thinking and even theory. But the game-changer is the shared commitment to a fusion of values and disciplines that transcends the differences and animosities among our fields. I see the values of positive social change, international business and social cooperation toward human goals, sustainable resource stewardship, sustainable management and leadership, and participatory engagement espoused and shared by ever-larger circles of conversation.

On the last day of the conference, our design breakout group collectively leapt to embrace the fusion value of Thrivability. A peaceful overthrow of sustainability has begun! It is time for us to contribute.

Business as Agent of World Benefit

This year’s Global Forum at Case Western, Business as Agent of World Benefit, brings a stellar A-list of presenters and world-class problems together for 3 days of workshops, discussions, and Appreciative Inquiry dialogues. With keynotes and discussions from everyone from Bill McDonough to Janine Benryus, and bringing U Toronto’s Roger Martin together with Case’s Cooperrider and Fred Collopy, the Forum is the place to be the first week of June. Their Concept whitepaper describes BAWB as:

The 2009 B.A.W.B Forum is organized around three thematic tracks: (1) the discovery and advancement of management-as-design (2) the exploration of massive innovation—that is, the principles and managerial practices for systemic innovation, scaled-up solutions, and new ways of engaging multiple actors, institutions and sectors, and (3) the design of management education, envisioning the new horizons of management education of the future, where shared “principles for responsible management education” inspire new curricula and new learning environments in areas such as corporate strategy and sustainable value, global citizenship, cradle-to-cradle design, and scaled up social entrepreneurship.

The new OCAD graduate program on Strategic Foresight and Innovation will be paying attention. We may not use the same terms or methods, but we share interest in the same world and community-level problems. We are equally inspired by the innovators from all disciplines that are converging to share wisdom and current thinking. The Global Forum tracks are precisely the areas we are interested in, except with a design focus instead of management. Where BAWB seeks to invest business thinkers and leaders with design perspectives, we seek to educate current business leaders into the disciplines of design and innovation research as socially-engaged business innovators. As management moves toward design, new design education aims to inspire and reach management with tools for their own transformation. They will need more than inspiration inside today’s organizations. If managers want to learn design “thinking,” let them start by learning design “doing” and design research.

Thank you to colleague Nancy Adler of McGill, who invited me to participate in this year’s Global Forum .  This event, plus Overlap 2009, are the two conference I most look forward to in the broader field of innovation and social change in business. I must also add Earth Spirit Rising (3 days with David Korten) as another upcoming, regional conference, which marries deep ecological thinking with the challenge of designing human economies.

I’m of the opinion that many of us in design and innovation fields spend too much time at conferences “talking to each other.” Our impact comes from crossing boundaries. I am appreciating the influence design thinking can bring to venues and conferences that designers might miss or ignore. How else will we learn to understand and appreciate the audiences and problems faced by our communities and clients?

A Peter Jones Place



Dialogue affords new ways of learning in collaboration and re-engaging our work, lives & worlds with new perspectives. Dialogue has evolved beyond the Athenian Agora, beyond the open circles, to include tools of participation to invite those whose lives are touched by our (design and) decisions.

How can design do better by doing good? How might we innovate a better future? Innovation is always turning toward what's next, and what's next is the move toward social and sustainable processes. Dialogue creates common ground for collaborative sensemaking, for organizational and cultural change.

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