Page 17 - Experience Based Co-design - a toolkit for Australia
P. 17

The Methodology
Experience based co-design is composed of two key components. 1. A user-centred orientation - ‘experience based’
2. A collaborative change process - ‘co-design’
The features15 of EBCD methodology and tools used are a way of operationalising the principles and augment the mind-set. They are based on:
A focus on designing experiences, not just improving performance or increasing safety
Putting patients and staff at the heart of the effort
Together they do the designing
In the process, improving the day to day experiences of giving and receiving care
There are a range of tools that can be used when gathering experience and their core purpose is on deeply understanding patient and staff experiences and emotions rather than relying upon attitudes or opinions. Qualitative methods play a central role and ethnographic methods such as conversations and storytelling (narrative based approaches), and in-depth observation are used. Key ‘touchpoints’, that is the point of a process where a person experiences an emotional reaction with the health care service are identified, and emotions at those touch points are mapped.
The co-design element is equally critical. A criticism of many EBCD projects is that they have not paid enough attention to the four key components that lead to effective co- design16:
o co-design is a collaborative process in which as many stakeholders as
possible have input; Development
o co-design evolves as a process, maturing and adapting as it takes place; Ownership and power
o co-design involves a transformation of ordinary power relations between stakeholders and aims to generate collective ownership; and
Outcomes and intent
o co-design has a practical focus, notwithstanding that unplanned processes
and transformations are likely to occur as collateral effects of the process.

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