Project Methodology


Each of the identified hospitals will participate in an Experience Based Co-Design Cycle (EBCD). EBCD is an approach that enables staff and patients to co-design services and/or care pathways. The process allows stakeholders to participate in identifying areas in need of improvement and together develop solutions that are tested.  This process will uncover not only ideas for providing medication for addiction treatment, but also ways to connect patients to treatment pathways that do not include medications.


Experience Based Co Design Model Image


Co-Design Process Steps:

Step 1: Preparing the Leadership Team 

This is an initial meeting during which leadership commits to supporting patient recruitment, and attending the co-design meeting to provide guidance, direction and support for the identified areas of improvement.

Step 2:  Service Line Observation

The observation/shadowing will be done by the Facilitator for the purpose of providing background information to inform the EBCD cycle. For this project the observation would be done by interviewing staff as observing patient care would not be feasible.

Step 3:  Recruiting Staff

 Identify staff representatives from all areas of the department.

Step 4: Recruiting Patients

Identify patients who have been patients or family members in the department.

Step 5: Staff Engagement Group

Using Human Centered Design strategies staff will be guided through a facilitated discussion to identify opportunities for improvement.

Step 6: Patient and Family Engagement Group

Using Human Centered Design strategies patients will be guided through a facilitated discussion to identify opportunities for improvement.

Step 7: Co-Design Meeting

This meeting will bring members from the staff, patients and families together to identify and prioritize the items from the other two meetings and generate solutions. Depending on the complexity of proposed solutions, we expect at least 4 strategies to arise from each hospital.

Step 8: Co-design Work Groups

Co-design work groups consist of staff, patient and family from the focus groups and other staff as needed. The work group identifies and implements solutions identified in the Co-Design Meeting. The Learning Collaborative will play this role as well as each of the hospital teams.

Step 9: Reporting, evaluating and celebrating success

Create a report including findings from the two focus groups and the identified areas of improvement as well as the solutions generated in the co-design meeting. A celebration event can be planned to include all participants as well as other staff, patient and families.

Using Human Centered Design strategies within each of the three meetings provides the opportunity to map the current process, identify areas for improvement, prioritize those areas and generate solutions that meet staff, clinician, patient and family needs. These solutions will be brought to the Learning Collaborative to develop an implementation of PDSA Cycles.