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Design for Care

We Tried to Warn You

Team Design

Service Design for Care Workshop

We have started a quarterly series of healthcare service design workshops at OCADU for stakeholder networks, health providers and health agencies.  With an explicit focus on service design and design-led research in healthcare, we hope to raise awareness of the practices and models for service design in clinical and community care settings.

Workshop 1 – Inspiring health movements in community networks:  Community network innovations

Dr. Rick Botelho, Family physician and U Rochester School of Medicine


Challenge:  How can we mobilize people within their local and extended social networks to socialize health learning and experience to improve population health in the community?

Description:  We address the problem of community health through the approach known as catalytic innovation, creating lightweight modes of peer learning appropriate for different types of social networks (online, neighborhood, community centres). To overcome the scarcity mindset in healthcare, patients become an integral solution to these complex problems. These peer-driven services complement professional services and build growing networks of peer learning and coaching for health improvement.

The Health Coaching Buddies learning process developed by Dr. Botelho represents such a convenient, inexpensive and accessible peer learning system. These processes aim to improve health behaviors such as self-care of chronic diseases, improving health literacy, reducing social isolation and enhancing personal happiness and social well-being. These innovations can be made widely available, using social media, online programs and mobile phones. They are designed to create meaningful learning experiences that aim to accommodate people’s particular worldviews, needs, preferences and life circumstances, instead of making people fit into a particular program, theory, clinical approach or setting.

Objective: The workshop will engage participants to think systemically about population and community health improvement and to design possible interventions for peer support. It will focus on the first two phases of a 3-phase process: inspiration and ideation (but not implementation).

Methods:  Workshop participants will learn how to:

  • Frame the complex social challenge (continuous sharing and promotion of health support in community level)
  • Identify innovation opportunities
  • Visualize and specify service concepts proposed by small groups of participants
  • Formulate, conceive or propose catalytic innovations for community health improvement

Workshop Outcome: Imagine transformational leaders, innovators, organizations and communities working synergistically to:

  • Proactively disseminate peer learning and coaching systems at all levels
  • Align leadership, professional and social movements
  • Build exponential heath movements

Future Evolution of Canadian Governance in the Digital Era

A team of faculty and grad students with the OCAD U Strategic Innovation Lab facilitated a series of civic and expert engagements for an ongoing SSHRC research project on futures of governance, led by PI Evert Lindquist of U Victoria.  The sLab contribution was to iteratively develop a Gigamap, a snapshot of which is shown here. A Gigamap is a large-scale visualization of the systemic relationships in the domain, in this variation of the technique, revealing participant’s understanding of the spectrum of changes influencing and transforming governance in the digital era.  The issue is not one of “digital governance,” instead our focus is on the systemic shifts anticipated within federal, provincial and local governance and citizen experience driven by the rapid alterations brought on by digital cultures.

The March issue of Canadian Government Executive printed and posted a story about the evolving Gigamap our team developed to reflect the contributions from policy experts, innovators, and interested citizens over three invitational workshops. The brief version of the story is available online: Systems evolution: A Gigamap by Greg van Alstyne.

CA Gov Di Gigamap












I teach the Gigamapping methodology to SFI students in our Systemic Design course, and we’ve learned that compelling maps of social systems require a project team to conduct a deep dive of research in the domain, to engage stakeholders and experts to understand the salient drivers, and to critique the developing artifact in iterative studio sessions to evolve the underlying system theory that best explains the observations. We’ve developed this technique from years of parallel discourses and workshops with the Oslo School of Architecture and Design (AHO), the lead institution in the annual RSD Symposium for systemic design research. Birger Sevaldson of AHO employs an in-depth studio practice to develop a series of maps as “snapshots of understanding” as they aim to map the complexity of a sponsor’s wicked problem. A large sample of their Gigamaps are displayed on their program website, Systems Oriented Design.

Several workshops were held from 2014-2015 that contributed narratives and “subsystems” to the map, with each contributing content and concepts, including:

A major stakeholder workshop in December, coordinated by the Institute on Governance, supporting by expert “lightning talks”, small group and Open Space workshops. The first Gigamap concept was presented here. employed as a visual template of a Three Horizons model to capture the progression from today’s tensions to tomorrow’s innovations.

We held the January Design with Dialogue on The Co-evolution of Connected Citizens in Canadian Governance, engaging a completely new group of 35 civic innovators in whole group dialogue and small group sessions to elicit influence maps on the important systemic relations for access, privacy, engagement, and open data (these are represented in the loop models inserted within the Gigamap above).

The DwD workshop preceded the major Ottawa summit event, sponsored by SSHRC and IoG, coordinated by the research team for engagement with government executives, public service innovators and academic advisors. Another evolution of the map was used as a template to collect ideas from the participants at the summit, and these were reviewed and developed in a one-day workshop at the Institute on Governance in Ottawa.

Template Gmap

Relating Systems Thinking to Design 4

At the Frontiers of Systemic Designtcp_exterior

Relating Systems Thinking & Design 4
Banff Centre, Alberta, Canada Sept 1-3, 2015
Abstract Deadline: Now 12 April, 2015

For 3 years the Relating Systems Thinking and Design (RSD) symposium has convened scholars, design researchers, and serious practitioners to articulate and demonstrate the shared value of a transdisciplinary field with applications across all complex systems and services. We invite participation for RSD4 from all those working at the frontiers of systemic design – those leading real projects informed by systemic and complexity theories, and those researching systemic behaviours within real-world complexity, services and systems.

For over 70 years both systems and design fields have developed largely outside the academy, but also largely separated, with too few notable thinkers discovering the implicate connections. Design has been largely biased by a practical materialism and driven by theories of use and human-centredness. Systems theory has been biased by its abstract nature, and lack of attention to designerly ordering and practicality.

At the frontiers we are searching for those stories and experiments into new territory, stories of survival and sustainment, narratives of complexity unfolding into new terrains of application or discourse. We seek abstracts for presentations on real world projects that have led design into new fields, frontier domains, and both small steps or quantum leaps. These cases could demonstrate how systemic design has contributed to a case, how it adapts to the unique situation or how a case has employed systemic approaches.

At the frontiers we do not expect many success stories, as these are too often premature or are lacking the scale addressed at the system boundaries. We are perhaps seeking hopeful research from the arenas and agoras of real practice, as well as “beautiful failures” that help us learn to better navigate the frontier. Rigorous analyses and histories of failures of expanded design projects are of interest, given the fact that the failures most often seem to come from the misreading of boundary conditions, values and power, and entrenched domains, cultures or technologies unfamiliar to the system designer.

The expansion of design requires intensive learning processes and real time adjustment and application of methods and approaches. The frontier requires not only cases, but trued methods, well-researched theories, and artful fusions of design practice and system science. RSD4 calls for a focus on real experiences and cases but also asks for contributions on theoretical and methodological analyses and discussions drawn from action research and personal experiences (phronesis).

Three types of contributions are suggested:

  1. Case studies of design-led projects involving clear systemic impacts and principles
  2. Research supporting systemic design applications and validating theoretical claims
  3. Workshops for collaborative discourse or sharing new methods and practices

Instructions for Submission

Please submit an abstract by April 12 of no more than 1000 words via EasyChair.  Clearly mark your submission as either a Paper or Workshop before the first sentence of the abstract. For workshop proposals, select and  mark the category of workshop:

  • Methodology (systemic design methods, practices, processes, or skill-building)
  • Challenge (a real world challenge for participants to explore with systemic design during the symposium)
  • Theory (a theoretical discourse on an open question in systemic design research).

Accepted paper abstracts will be invited to submit a presentation and working paper to the symposium. Accepted workshops will be asked to prepare background reading and an outline for a half-day workshop to be held over the first two afternoons of the symposium.

All presentations will be published online as proceedings. Selected papers will be invited after the conference to publish a full paper in an international peer reviewed journal (announced at the Symposium).
On behalf of the Systemic Design Research Network,

Alex Ryan, Birger Sevaldson, Peter Jones, and Jodi Forlizzi
Co-Chairs, Relating Systems Thinking and Design 4

Care as Design Practice

Simplifying a complex set of concepts into a central image. We might conceive a core value of caring as ontological, a mode of existence that human-centred practices may share with medicine, nursing, counseling, social work. This way of being might be central to design as service to society, humanity, and direct clients and stakeholders.


And we might recognize that every level of structure endorses care differently. The outcomes of care for persons, as practice, as an organization, or the functions of what we believe to be system level are not coordinated by language or method. Whereas the theory of the (20th century) firm was driven by returns on assets and knowledge that required strategic alignment to achieve cycles of returns – perhaps a 21st century model of organizing for ecologies of care might align these levels of structure to a values of care – including financial sustainability – as a form of care coordination. Care as goal and as method becomes a design practice, involving whole persons in systems of related concerns resolved by interactive human-centred systems of engagement and service.