The document discusses return on design (ROD), which aims to harness cross-disciplinary collaboration and integrated design thinking to address complex problems. It provides an overview of ROD research initiatives exploring how design is changing to require faster timelines, greater complexity, and cross-discipline work. Case studies show ROD can improve outcomes like energy efficiency, revenue, costs, and satisfaction. Key findings from research include reductions in falls, infections, turnover, and costs as well as increased revenue and satisfaction. A history of ROD concepts from the 1950s to present is also outlined.

1. ACHIVE SUCCESS ESTABLISH VALUE DESIGN THINKING FOCUSED ON VALUE Performance Based Design Project IN PROGRESS 2005-2011 TOOLS FOR INNOVATION & TRANSFORMATION

2. RETURN ON DESIGN RESEARCH INITIATIVE Introduction

3. For the past five years we have been conducting Integrated Design Research with the clients we serve We have already learned a lot!

4. RETURN ON DESIGN RESEARCH INITIATIVE Design is Changing: Challenge Complexity is Rising Complex Problem What skills & tools are needed to do this work? Today Multiple Discipline Single Discipline Yesterday Simple Problem

5. RETURN ON DESIGN RESEARCH INITIATIVE Design is Changing: Time Frames are Compressing Yesterday: Old World Sequential Processing Project Start Project End Today: New World Parallel Processing What skills & tools are needed to do this work?

6. RETURN ON DESIGN RESEARCH INITIATIVE Design is Changing: Thinking Across Disciplines is Required Today Yesterday Single-discipline Teamwork Alone-work Cross-discipline Teamwork What skills & tools are needed to do this work?

7. We share understandings about the realities of Return on Design by inviting clients to participate in the research.

8. Participant engagement typically includes defining what Return on Design is what it isn’t and how to build capacity in real teams and real organizations.

9. In all of our research we utilize a diverse set of tools within the Innovation Process created five years ago and still a work in progress.

10. WHAT IS RETURN ON DESIGN?

11. RETURN ON DESIGN RESEARCH INITIATIVE What is Design Thinking? Return on Design is the disciplined ability of recognizing, orchestrating and integrating the diverse brainpower of cross-disciplinary teams as they grapple with and navigate complex innovation challenges. MICRO VIEW

12. At it’s core Return on Design is about harnessing and utilizing the design talents of individual disciplines, and aligning those preferences into an innovation process. It is also about jettisoning old design habits and adopting valuable new behaviors. RETURN ON DESIGN RESEARCH INITIATIVE What is Return on Design? MICRO VIEW

13. WHAT DOES RETURN ON DESIGN SUPPORT?

14. RETURN ON DESIGN RESEARCH INITIATIVE What is Design Thinking? e Return on Design Supports the disciplined ability to deliberately create robust sustainable conditions that enables Integrative Design across multiple disciplines in organizationalcontexts. MACRO VIEW

15. Integrated Design Value Business (viability) MACRO: Integrated Design thinking is here emotional innovation experience innovation MICRO: IntegratedDesign actions are here People (desirability) * Environment (usability) service innovation operational innovation Technology (operability) Innovation Framework © connects MACRO & MICRO VIEWS. Shown Above: One thinking combination popular in organizations today. Many combinations are possible.

16. RETURN ON DESIGN RESEARCH INITIATIVE What is integrated Return on Design Enabling? e Helping organizations tap into the power of the Innovation Framework© is an ongoing quest and has been for numerous years With the focus of leading transformation by design MACRO VIEW

17. RETURN ON DESIGN RESEARCH INITIATIVE Value Advantage©Model g e Value Generation Model Environment Capital Loyalty Operations

18. RETURN ON DESIGN RESEARCH INITIATIVE Value Advantage©Process g e value Value Generation Process Inquire Implement understanding the current environment building the vision Imagine Illustrate creating a vivid description of the future Giving form to The vision building the foundation Innovate

19. RETURN ON DESIGN RESEARCH INITIATIVE Value Advantage©Teams g e Value Generation Team Generator Implementer Conceptualizer Optimizer

20. Creatinga Return on Design© typically involves working with organizational leaders to redesign, retool & measure the “Innovation Model” within their organizations.

21. RETURN ON DESIGN RESEARCH INITIATIVE Value Advantage©Framework Alignment g Value Generation Model Value Generation Team Value Alignment Value Generation Process

22. RETURN ON DESIGN RESEARCH INITIATIVE Unbalanced 1: Most Organizations look like this Quantitative Values Dominate

23. RETURN ON DESIGN RESEARCH INITIATIVE Unbalanced 2: Some Organizations look like this Qualitative Values Dominate

24. RETURN ON DESIGN RESEARCH INITIATIVE Balanced Value Advantage© g Balanced Return on Design© © All Strategic Initiatives Aligned Dynamically Linked to Transformation

25. RETURN ON DESIGN RESEARCH INITIATIVE Value Advantage©: 3 Strategic Comparison Views e Hospital Library Long Term Care Capital Indicators ______________________ Operational Indicators ______________________ Environmental Indicators ______________________ Loyalty Indicators ______________________ Capital Indicators ______________________ Operational Indicators ______________________ Environmental Indicators ______________________ Loyalty Indicators ______________________ Capital Indicators ______________________ Operational Indicators ______________________ Environmental Indicators ______________________ Loyalty Indicators ______________________

26. RETURN ON DESIGN RESEARCH INITIATIVE Performance Based Design Project IN PROGGRESS 2005-2010

27. Creatinga Return on Design© typically involves working with organizational leaders toredesign, retool & construct the “Innovation Model” within their organizations.

28. Case Study : Neuroscience Center of NE Wisconsin RETURN ON DESIGN RESEARCH INITIATIVE Case Studies

30. Create a working environment where employees are happy and never want to leave.

31. Reduce overall operations costs through efficiencies and sustainability.

32. Engage patients and families in seamless care delivery at the Neuroscience Group of Northeast Wisconsin.“Just as evidence-based medicine is revolutionizing health care, evidence based design will transforming the health care environment. We need to have, at our disposal, proven methods for improving patient outcomes, safety, attachment levels, as well as staff retention and service efficiency. Utilizing experience-based design needs to support improvements to clinical outcomes, economic performance, productivity and community measures.” Steven J. Price, M.D. Neurologist, Neuroscience Group

34. Revenue Per Procedure

35. Operational Costs

36. Environmental Costs

37. Energy Performance

38. Light Quality

39. Acoustic Quality

41. Patient Satisfaction

42. Physician Satisfaction

43. Care Giver Satisfaction

44. Service Delivery

45. Functional Adjacency

46. Storage Requirements

48. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 1 Hospitals improve energy efficiency from a low of 15.7% to a best practice high of 31%

49. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 2 Hospitals and hospital departments generated as low as an additional 4.33% to as high as an additional 6.0% of revenue as a result of new or remodeled facilities

50. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 3 Hospitals require fewer FTEs and Reduction to the Cost of Critical Processes from a low of 2.3% to a best practice high of 15.2%

51. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 4 Hospitals document improved outcomes—specifically as high as 80% fewer falls, reducing costs $2.5 million annual savings

52. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 5 Hospitals document reduced infection rates between 5-11% resulting 4-5less infections per month resulting in $80,000 in savings

53. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 6 Reduction in turnover as high as 28.57%, patient satisfaction scores of 96.7% andphilanthropic contributions increases of 23.07%

54. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 7 Reduced in patient transfers by as much as 80% resulting in annual savings of $3.9 million dollars .

55. RETURN ON DESIGN RESEARCH INITIATIVE What the Research Shows: 8 Key Findings e Finding 8 Budget for projects were reduced by as low as 5% to as high as 13% as a result of utilizing the Return on Design Process© .

56. RETURN ON DESIGN IN HISTORY

57. RETURN ON DESIGN RESEARCH INITIATIVE Return on Design : In History e Working in the context of business organizations, numerous early Return on Design pioneers, the Design Council, Commission for Architecture and the Built Environment and others became interested in Return on Design in the 1950s. Many others have built on these foundations.

58. RETURN ON DESIGN RESEARCH INITIATIVE Explanations e NOTE: Not all of the Return on Design frameworks, tools, methods, and research are fully explained in this brief publication. For more information send an email with “Transformation” as the subject to: Joetheinowski@hotmail.com

59. The Beginning

61. Quickness – To move in fashion that is an appropriate pace to execute the desired outcome.

62. Exactitude –To be precise in ones choices and actions to support the subtleties of the desired goal.

63. Visibility –Togive deliberate visual intent to support communication and understanding.

64. Multiplicity – To harness the exhilarating infinitude of possibilities to support the ideal outcome.

66. Imagine – Creating a vivid description of the ideal future through customer & business alignment

67. Innovate – Building a foundation for the future through ideation and a robust project brief

68. Illustrate – Giving form to the vision through prototyping and visualization

70. Co-Design –Inclusion of diverse perspectives into the design process to support useful solutions.

71. User Centered Design - Accounting the needs, wants, and limitations of end users in the design process.

72. Service Design – Coordination of people, place, services & technology towards ideal experiences.

73. Design Resilience –Development of interdependent solutions that allow for flexibility and adaptability.

74. Performance Based Design –Employment of standardized metrics to evaluate design results.

75. Evidence Based Design – The use of credible data in order to influence the design process.To see more thoughts and Ideas visit my blog http://joeheinowski.tumblr.com/ VISION: Joseph Heinowski, AIA 414.328.1832 Engaging in Applied Innovation TOOLS FOR INNOVATION & TRANSFORMATION