25 - Matiu Bush, Health Transformation Lab RMIT

Matiu Bush is both a clinician and a designer who founded One Good Street, a social impact platform to encourage neighbour initiated care for older residents at risk of social isolation and loneliness.  Matiu is the Deputy Director of the Health Transformation Lab at RMIT, designing cultures of innovation and creativity in healthcare.  He has a Master's degree in Public Health and broad clinical experience as an emergency, oncology and intensive care nurse and he is also a sexual health Nurse Practitioner. He’s a board member of Better Care Victoria and the Emerging Leaders Clinical Advisory Committee.  He is a super active member of HISA, a Rotarian, and a mentor for undergraduates and post graduate science students.   Overview [01:30] Neighbour initiated care lifts the social capital in neighbourhoods, it improves house prices and creates an alternative value economy.  The One Good Street is a platform to enable and scale those initiatives. [05:00] Salutogenic Design can be used to avoid building tech that is beautifully useless.  It is about design that focuses on reducing stress levels and promoting wellbeing. Opposing the pathologising of humanity when you walk into hospital. [07:30] Guerilla information provisioning uses nudge theory to teach people about their health condition in the peripheries. [08:30] Citizen driven science looks at how to get citizens to help solve complex problems  [10:15] The RMIT Health Transformation Lab uses “The Treatment” as their design mythology, which involves ‘deep hanging out’, or anthropology (the study of humans).  Just shutting up and watching.   [10:30] They also use the Causatory reasoning method, which calls for ‘descending into the particular’ and ignoring generalisations.  [11:30] The saluto-technical approach marries salutogenic design principles with new technology, in an effort to stop the fetishisation of technology in healthcare.  Otherwise we are so close to data but so far from the truth. There is a need to provoke the sector to do better so we don’t design technology that is beautifully useless. [15:30] Technology needs to be designed while keeping the readiness of the health ecosystem in mind.   [17:50] The Cisco Digital Maturity Index helps you determine the level of work that will be required to implement new technology in a health organisation, depending on its appetite and ability to adopt technology.  [22:21] Matiu had a falling out with Mother Teresa in Tijuana… [24:00] Sanctuary trauma is what happens when you go into healthcare and they are meant to look after you and they don’t.  This can be avoided by involving the third sector of healthcare - those groups like schools, volunteers, rotary, Australia Post etc that have a legitimate place at the table with clinicians.   [25:00] Doing tech better in health will enable relational health - where doctors will ask more about your relationships to see a better ‘return on investment’ on your treatment, to help you stay healthier for longer.   Links Talking HealthTech Podcast Talking HealthTech Community One Good Street One Good Street Facebook Community Health Transformation Lab Rotary Transpire’s Vodafone Dreamlab Cisco Digital Maturity Scaling    Transcript [00:00:00] Pete: [00:00:00] Welcome to Talking HealthTech. My name is Peter Birch, and this is a podcast of conversations with doctors, developers, and decision makers that are playing in the Australian HealthTech scene today.  Here with me today's is Matiu Bush.  Matiu is both a clinician and a designer who founded One Good Street, a social impact platform to encourage neighbour initiated care for older residents at risk of social isolation and loneliness. He's the Deputy Director for the health transformation lab at RMIT, designing cultures of innovation and creativity in healthcare. He has a master's degree in public health and broad clinical experience as an emergency oncology and intensive care nurse, and he's also a sexual health nurse practitione