Streamlining Transition from Bridgepoint Rehabilitation Hospital Back to the Community
For Individuals with Chronic Conditions
A Collaborative Project Between OCAD University and Bridgepoint Active Health Care Hospital
A group project with: Filipe de Abreu, Mahsa Karimi, Malin Medin, Sonia Tagari, Teresa Coronel
OCADU Supervisors: Job Rutgers, Kate Sellen
Bridgepoint Leads: Michelle Nelson, Shawn Tracy
The main objective of this research was to understand the complex care needs of stroke patients after discharge from a rehabilitation hospital to the community, finding out the gaps that exist in the current healthcare system, and propose a new system/intervention that creates smoother transition for this population.
In order to achieve the objectives, a series of design research methods involving various stakeholders were used in this study, using the principle of user-centred research and design.
To address the complexity in a healthcare system in this project we focused on Design Thinking approach.
Since a multidisciplinary response is required to address the complexity within a healthcare system in this study four different groups of stakeholders have been involved in various stage of the research including stroke patients, caregivers, care providers, and volunteers.
Methods are as follows:
Interprofessional Education (IPE)
Observation of Clinical Rounds
Lunch and Design Session
Service Journey Maps
Journey Maps/ Four Different Lenses
The structure of our synthesis map has been divided into five primary components (figure below). The first of these on the far-left highlights journeys of four different groups of stakeholders including patient, caregiver, care provider and volunteer based on the
literature and informal interviews we had with various systems stakeholders.
Dyad (Stroke patient & Family/caregiver) Needs and Barriers
The top middle diagram depicts stroke patient needs and barriers in a hospital setting and in the community after discharge and how
these needs and barriers might change in various settings with different structures.
Directly beside and below this diagram there are a series of causal loops. Causal loops that are below the diagram visualize issues of
the services and stress point in the systems.
The far-right diagram consists of horizon map that is formed based on the data we gathered from Co-Design as well as validation
and feedback sessions. Within horizon map we are proposing design interventions by considering existing resources and feasibility
of the ideas.
The bottom portion of the map contains a set of design guidelines that can be used across the system to improve the system as it currently exists as well as for the future projects.
Current Service Blueprint
The gathered data throughout the research became a base for service design blueprint (figure below). It illustrates the structure of the current system at Bridgepoint and the interactions within this system. This blueprint was a visual tool that helped us to find the gaps within the current system, understand the various people involved in it and discover the necessary touch points we needed to design in order to assist with the recognized gaps.
Future Service Blueprint
The future blueprint, below, introduces interventions in the current system to smooth out the challenges that stroke patient might face in different stages of transition including while they are in the rehabilitation hospital, at discharge, and following discharge when they are back to the community.