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About this IHI Virtual Expedition

​​At the Institute for Healthcare Improvement (IHI) we believe that every system is perfectly designed to achieve the results it gets, and that to improve patient outcomes, we need to improve the programs, processes and systems designed to serve them.

In health care this traditionally involves a design process in which health care experts generate ideas and test them to see if they result in improvement. Many of these traditional design efforts have been unsuccessful because key experts - our patients - have been left out of the process.

Design Thinking and Co-Design involves patients throughout the design process, allowing improvement projects to incorporate patients’ knowledge, needs, preferences, and perspectives. 

If you have ever worked on an improvement project that seemed “resistant” to improvement or are struggling to develop strong change ideas, join this IHI Virtual Expedition starting May 15, 2018.

Throughout this virtual program you’ll learn how Design Thinking and Co-Design can provide you with an additional set of tools to strengthen your improvement efforts and achieve breakthrough results.

What you’ll learn

At the end of this Virtual Expedition, each participant will:

  • Understand the three phases of Human-Centered Design (a model of Design Thinking)
  • Have used at least three Co-Design methods or tools in their daily work to enhance patient experience and/or outcomes
  • Understand the principles of Co-Design and how to apply them their work
  • Understand how Design Thinking and the Model for Improvement can be used together to achieve breakthrough results in health care
  • Feel confident about using Design Thinking principles in all aspects of their daily work

This IHI Virtual Expedition is approved for a total of 6 continuing education credits for nurses, physicians, and pharmacists.


Session 1: Introduction to Design Thinking and Co-Design in Health Care 
Date: Tuesday, May 15, 2018, 12:00–1:30 PM ET

Session 2: Exploring the Phases of Design Thinking and Phase 1 - Inspiration
Date: Tuesday, May 29, 2018, 12:00–1:00 PM ET

Session 3: Methods and Tools: From Ideation to Implementation
Date: Tuesday, June 12, 2018, 12:00–1:00 PM ET

Session 4: What is Co-Design? Methods and Tools - Part 1
Date: Tuesday, June 26, 2018, 12:00–1:00 PM ET

Session 5: What is Co-Design? Methods and Tools - Part 2
Date: Tuesday, July 10, 2018, 12:00–1:00 PM ET

Session 6: Pulling it All Together: Using Patients as Experts to Improve Outcomes
Date: Tuesday, July 24, 2018, 12:00–1:00 PM ET

Learn more about course Materials and Technology.​​


Paul Howard Paul Howard, is Director of Community Initiatives for 100 Million Healthier Lives at IHI, where he leads several national projects focused on improving health, wellbeing and equity in communities. Prior to coming to IHI, he served as Senior Director of Knowledge Sharing (KnoSh) at Community Solutions, leading their domestic and international consulting work. This included the development of an Agile Problem Solving methodology to improve systems and solve complex issues, particularly in the areas of homelessness, poverty alleviation and health. His work has included managing the launch of the Institute of Global Homelessness, the planning and launching of a 20,000 Homes Campaign in Canada, and the European Campaign to End Street Homelessness. Previously he served as the Director of Data and Performance Management for Community Solutions’ 100,000 Homes Campaign. Mr. Howard brings more than 20 years of experience working in human services, including direct services, system design and design thinking, training, facilitation, performance management and consulting.

Estee Neuwirth Estee Neuwirth is a Senior Director for the Design Consultancy with Kaiser Permanente's Center for Health Systems Performance. She leads large scale initiatives in care delivery and operations that are aimed at accelerating learning and spread and leveraging human-centered design to deliver better outcomes. Through application of improvement and innovation methods and mindsets she and her team focus on making lives better for Kaiser Permanente patients, their families, as well organizational staff and clinicians. Estee has been with Kaiser Permanente for over 12 years. In addition to her current role, she served as a consultant and a director with Kaiser Permanente's Center for Evaluation and Analytics in the Care Management Institute. She has worked on a range of projects such as improving diabetes care through panel management and improving cancer care. She has also co-authored numerous tool kits to drive impactful organizational change including one featured in Health Affairs and by the Institute for Health Care Improvement on video ethnography for quality improvement. Before coming to Kaiser Permanente, Estee earned a PhD in Sociology and served as a postdoctoral health services researcher at UC Berkeley's School of Public Health.

Jeff Hall Jeffrey K. Hall, MFA, is currently a Lead Designer for Kaiser Permanente’s Design Consultancy. Jeff believes that design is a way of life, which means always asking the question - how do we understand and collaborate with people to improve their lives? Jeff mixes a variety of experience such as, applying Human Centered Design at Kaiser Permanente from 2008-2011, with deep ethnographic research experiences in Uganda, and starting UNICEF’s first Innovation Lab in South East Asia from 2013-2016.

Ioulia Kachirskaia Ioulia Kachirskaia, PhD is a Design Strategist with the Design Consultancy at Kaiser Permanente. She has expertise in creating models that fuse methods from improvement sciences and human-centered design to tackle opportunities in care delivery, strategy, operations, and beyond. Ioulia has lead multiple programs for building organizational capacity in human-centered design/design thinking, partnering with patients through Co-Design, and video ethnography and has extensive experience coaching multidisciplinary healthcare teams in applying these methodologies to achieve outcomes. Ioulia has been a lead for developing the Co-Design approach at Kaiser Permanente and has lead the training of hundreds of healthcare improvement, care experience, operations specialists and others in human-centered design and Co-Design. Ioulia has worked on improving care and making care more patient-centered in a range of clinical areas: from cancer, Parkinson’s disease, and diabetes, to subclinical and clinical depression, and more. Ioulia has received training in human-centered design and entrepreneurship from Stanford’s d.School and Business School, has a Ph.D. in Cell/Molecular biology from Stanford, and has served as a post-doctoral fellow at the Stanford School of Medicine

Ziva Mann Ziva Mann, MA is the Patient Lead for Cambridge Health Alliance (CHA), where she represents CHA’s 100,000 patients. In that role, she works to guide visioning around patient partnership in health and improvement for the transition to person-centered, community-based health and health care for diverse and underserved communities of patients. She coordinates CHA's award-winning patient partnership program, supporting the patient and family members who serve on each of CHA’s primary care practice improvement teams, doing the work of system redesign and quality improvement in an atmosphere of collaborative learning. Ziva also works as faculty at IHI, for 100 Million Healthier Lives' SCALE grant, building capacity in communities to address problems with equity, health and wellbeing. She supports communities in co-designing with those most affected by an issue, co-creating, testing and implementing the solutions together. Prior to this, Ziva worked in patient education for the bleeding disorder community for a decade, as editor and author of many articles. She is the author of a children’s book, editor of a collection of essays, and co-author of an oral history.