Harken Health Wellness Curriculum

How might we utilize our health coaches to deliver meaningful information to our members based on a member's needs and goals?

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ACTIVITIES
Workshop facilitation
Synthesis presentation
Prototype development

OUTCOME
All 10 Health Centers had representation in project and collaborated across locations for the first time.
Developed personalization algorithm and content template prototypes.

WORK AT
Harken Health

TIMELINE
4 months

ROLE
Lead Service Designer


    Prior to this work an initial Wellness Pilot 4 week class ran at two Centers in Chicago. I joined the team to synthesis findings. I interviewed staff and patients and presented insights back to the Care Teams.

    Insights from initial Wellness Pilot

    1. Members want to be able to relate to their coach. Many members explained that they didn't bother really opening up to their coach and didn't also listen to their coach's advice because how could a young fit health coach really understand what it's like to be diabetic and overweight. Members needed to see their coaches vulnerability, they needed to hear stories that were relatable.   

    2. Meet members where they are, not where you think they should be. Members shared horror stories of other places telling them to drink only protein shakes, or go to the gym everyday and run a mile when they were only being set up for failure. Members appreciated that certain health coaches approached recommendations as a lifestyle change and gave different tools that fit into the member's life.

    3. Make information actionable. Members didn't just want the theory on a topic such as nutrition. They wanted tactics, tools and clear takeaways of what to do with the information they were presented. 

    4. Re-inventing the wheel is inefficient. Care Team staff were in charge of their own members with each creating their own methods of tracking and communication. This individualized approach created inconsistency in member experiences, communication and data collection. Standard communication methods, data collection and messages would reduce the amount of administrative work and re-work done by the care teams. 

    Based on what I learned, I recommended a workshop with representation from more Centers before another 4 week time-based pilot program was launched. We mapped out the types of content we would deliver to a person who was healthy, sick, had a chronic condition, had a major illness and then the modes of how to deliver that content. 

      Synthesis recommendations when planning to offer a time based program

    Synthesis recommendations when planning to offer a time based program

      Workshop ideas around ways to deliver wellness content

    Workshop ideas around ways to deliver wellness content

    In our workshop it became apparent that we didn't need a time-based program that ran for a set number of weeks for a member to commit to. Instead we needed a personalized Wellness Curriculum that is integrated into our care model, not an opt-in or opt-out program. This curriculum would provide a consistent experience to all members while personalizing the content based on their learning style, current ability to make changes, topics of interest and level of knowledge desired.

    Below is my synthesis of our workshop and insights that outlines the Wellness Curriculum. The model of the Wellness Curriculum allows for a member through a series of tools to identify what types of topics they are interested in, what areas in their life do they need the most support, how much knowledge they currently have in that area, and how willing they are to make a change. The output from the series of tools pulls from a database of possible content and techniques to deliver a personalized plan to the member. This database allows for Care Team members to use the tools as an algorithm and deliver a consistent experience across all Centers while reducing time spent on re-making content. 

    Care Teams in both markets were excited about the recommendation and split into two teams, one focused on prototypes for a personalization tool and the others on developing content. The content team used a template as their first pass at structuring the various content topics so that any health coach could deliver the information regardless of their background and training. 

    I guided the Care Teams through how to prototype, provided resources and reassured them when they became uncomfortable with the ambiguity of not knowing the final product. I instructed the Care Teams to develop prototypes ranging from very literal (survey questions) to abstract (metaphors / images) to stretch their creativity. 

      Health Coach prototype

    Health Coach prototype

      Health Coach prototype

    Health Coach prototype

      Health Coach prototype

    Health Coach prototype

      Health Coach prototype

    Health Coach prototype

    I synthesized the prototypes from the health coaches and providers into a prototype tool to be used with members. The tool identifies a member's:
    1) learning style based on VAK questionnaire (visual, audio, kinesthetic)
    2) their preferred communication method 
    3)
     a chart of their typical progress towards a goal and barriers that get in the way
    4methods of support and goal setting that work best
    5) their positive support system  
    6three 2x2 matrices that build on another to identify the topic that is most important to a member, what they are most confident and motivated to work on and their current knowledge level in that topic.   

      Use of tool ranking topics on a 2x2 and Health Coaching template

    Use of tool ranking topics on a 2x2 and Health Coaching template

      Listing out support system and 2x2 matrix

    Listing out support system and 2x2 matrix

      Ranking topics on 2x2 matrix

    Ranking topics on 2x2 matrix


    Time lapse of Wellness prototype in use