VA CompanionSponsor: Veteran Affairs Palo Alto Health Care System

Develop a smart-home system to enable independence for

veterans with polytrauma injuries.

Help clinicians make the right decision at the

right moment to enhance TBI veterans’

care and recovery process.

100 interviewsin 10 weeks

Meet the Team

Monica Chan Buvana Dayanandan Kian Katanforoosh Sarah Van Sickle

BS ME;MA Education

MSx GSB MS MS&E BS EE

Operations / Design Strategy Design / Data Development

Donna Slade(Industry Mentor)

Jonathan Sills(Sponsor)

Shelagh Davis(Sponsor)

Isaac Matthews(Teaching Assistant)

*****

Our Timeline

Week 0 Week 10Week 3 Week 6

Understanding:● What is TBI /

polytrauma?● Beneficiaries

Understanding:● Archetypes● Veterans’ care &

support system

Understanding:● Active and passive

cognitive assessment measures

Interactive

mobile

Application

Data and

Dashboard

Our Emotional Trajectory

Time (weeks)

Emotions

0 105

Weeks 0-3

Week 0 Week 3

What is Traumatic Brain Injury?

How do we define cognitive decline?

Total: 35 interviews

“Remembering a routine is very tough for me. I devise my own strategies to overcome my

memory issues” ▷ Mild TBI Veteran

Easy-scheduling for TBI Veterans

MVP #1

1. Clinicians want feedback.

Weeks 4-6

Week 4 Week 6

Who are the stakeholders?

Who needs to know what to best help TBI veterans?

Total: 65 interviews

“Improving quality of care is paramount to the VA”

▷ VA Polytrauma Unit Program Director

“Hypothesis #2

Include live data feedback to the clinicians

For Caregivers For TBI Veterans For Clinicians

MVP #2: Easy-Scheduling + data feedback

1. TBI is a wide spectrum2. App is not for all TBI patients

Weeks 7-10

Week 7 Week 10

It’s still a data problem!

We have to find a passive way to track data!

Total: 100 interviews

Customer Pivot: Narrowing Stakeholders

TBI VeteransCliniciansTBI Caregivers

The clinicians are the experts who can provide “Clinical judgement” about the veteran

“

Hypothesis #3Track veterans’ data passively;

Report data to a personalized dashboard for clinicians.

Minimal Viable Product #3

John Doe

Messages from John

I’ve got headaches

yesterday...

Schedule appointment with John

He is loosing his routine!

MVP #3

1. What data do clinicians really need?2. Live alerts and active metrics

CurrentMinimal Viable Product

Dashboard for Clinicians that aggregates data from smart tracking devices

“Cognitive decline is best understood through measures such as sleep, activity-tracking, and assessment scores”

- VA Clinical Psychologist

John DoeMessages from John

I’ve got headaches

yesterday...

Schedule appointment with John

He is loosing his routine!

Live Alerts and Active Metrics

It’s actually implemented

Beneficiary Acquisition and Retention

KeepGet Grow

Lessons we learnt

Understand beneficiaries

Right-sized care

Simpler is better

Our Next Steps

06/17 08/17

Testing proof of concept;Deployment

Customize dashboard and users

01/18

Thanks!Any questions?

Backup slides

Presentation template:▷ by SlidesCarnival▷ Photographs by Unsplash

““For the people who typically come into my office to pitch an idea, it's typically data, data, data! They

don’t know why it is important and won’t listen to what data we need.”

- VA Neuropsychologist

VA Companion: Mission Model Canvas

- Software Design

- User experiences

- Intercept other workflows or processes aiding veterans, caregivers, and clinical staff today

- VA Palo Alto Health Care System

- Veterans with TBI and polytrauma injuries

- Other VA medical centers in the US

Primary:- TBI Veterans

Secondary:- Clinicians(neuropsychologists and other doctors and researchers specializing in polytrauma)

- Improve long-term care of veterans: allow clinicians to quickly understand veteran’sneeds and routines

- Alert clinicians in real time if there is any change in the veterans’ sleep, nutrition, physical movement, and sequencing activity

-Clinicians’ dashboard enabling care for a TBI veteran that is more proactive vs. reactive and further decline in cognitive impairment

- Decline in device abandonment

- Pilot project with veterans in apartments in the VA center

- Deploy to these patients in their homes after they leave the VA

- Deploy to veterans across the United States

Fixed:- Software design & engineering-Hardware devices- Helpdesk/support functionsVariable:- Customer acquisition/sales

- Security and Health Clearance

- Palo Alto VA Health Care System

- Historical data on TBI veterans

- Access to VA secure patient message systems

- Need implementation by VA Palo Alto Health Care System and veterans

- Talk to Veterans directly to convince to use/trust devices

- Convince clinical staff to use and train veterans to use during rehabilitation

Beneficiaries

Mission AchievementMission Budget/Costs

Buy-In/Support

Deployment

Value Proposition

Key Activities

Key Resources

Key Partners

Mission Model CanvasSummary of Key Partners, Beneficiaries, Deployment

VA Companion: Mission Model Canvas

- Software Design

- User experiences

- Intercept other workflows or processes aiding veterans, caregivers, and clinical staff today

- VA Palo Alto Health Care System

- Veterans with TBI and polytrauma injuries

- Other VA medical centers in the US

Primary:- TBI Veterans

Secondary:- Clinicians(neuropsychologists and other doctors and researchers specializing in polytrauma)

- Improve long-term care of veterans: allow clinicians to quickly understand veteran’sneeds and routines

- Alert clinicians in real time if there is any change in the veterans’ sleep, nutrition, physical movement, and sequencing activity

-Clinicians’ dashboard enabling care for a TBI veteran that is more proactive vs. reactive and further decline in cognitive impairment

- Decline in device abandonment

- Pilot project with veterans in apartments in the VA center

- Deploy to these patients in their homes after they leave the VA

- Deploy to veterans across the United States

Fixed:- Software design & engineering-Hardware devices- Helpdesk/support functionsVariable:- Customer acquisition/sales

- Security and Health Clearance

- Palo Alto VA Health Care System

- Historical data on TBI veterans

- Access to VA secure patient message systems

- Need implementation by VA Palo Alto Health Care System and veterans

- Talk to Veterans directly to convince to use/trust devices

- Convince clinical staff to use and train veterans to use during rehabilitation

Beneficiaries

Mission AchievementMission Budget/Costs

Buy-In/Support

Deployment

Value Proposition

Key Activities

Key Resources

Key Partners

320,000+US Troops diagnosed with TBIFrom 2010 to 2015

Primary Beneficiary: TBI Veteran

Mild

Moderate

Severe

TBI Scale

Post Traumatic Stress Disorder

orAmputation

orBlindness

etc.

Polytrauma

Beneficiary Archetypes

TBI Veterans

Post 9/11: 20-30+ years old

Executive functions affected due to traumatic event

(memory loss, depression, anxiety, sleep disruption, etc.)

TBI Caregivers

Typically veteran’s family members - spouses, parents, siblings, children (ages vary)

Also have traumatic experiences and changes in

their lives

Clinicians

Doctors / Psychologists /Physiotherapists

Unable to quickly detect cognitive decline if veteran-

patients do not come for therapy or appointments

For Caregivers

For TBI Veterans

For Clinicians

MVP #1

Discovery #1

It already exists! Clinicians want data feedback.

Discovery #2

TBI is a wide spectrum! An app is not for all TBI veterans

Discovery #3

Need live alerts and active metrics Narrow down metrics