Michael Schrage Digital Health Assembly 2015

The Next IT – ‘Innovation Transformation’

Making Healthy ‘Mash-ups’ of Openness, Digital Media

& Human Capital

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The Content of the Audience

is more important than

The Content of the Talk

A smartphone dongle for diagnosis of infectious diseases at the point of care

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Sci Transl Med 4 February 2015

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Obligatory Profound Quote

The Most Important Product of

the Mines…

---Frederick Le Play

(1806 - 1882)

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…is the Miner.

---Frederick Le Play

(1806 - 1882)

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My 21st Century Update & Upgrade of LePlay

The Most Important Product of

the Network is the Networker.

---Michael Schrage

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My 21st Century Update & Upgrade of LePlay

The Kinds of Networks We Design & Build…

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My 21st Century Update & Upgrade of LePlay

….Should Reflect & Respect The Kind(s) of People We Want Our Networkers To Become

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Our ‘Open Innovation’ Question/Challenge

What Kind of ‘Networkers’ Do We Want Our Health

Care Networks To Create?

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Human Capital: Not Just Doctors, Nurses, Technicians, Administrators & ‘Providers’

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With apologies to Dickens…

A Tale of Two Networks

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Archibald Cochrane (1909–1988):

the father of evidence-based medicine

Effectiveness and Efficiency:

Random Reflections on Health Services [1972]

You should randomise till it hurts

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34K People Worldwide

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The new GE: Google, everywhere [Economist]

http://www.economist.com/news/business/21594259-string-deals-internet-giant-has-positioned-itself-become-big-inventor-and?

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Google Glucose-in-Tears Contact Lens

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‘All whimper, no bang…’ [2008-2011]

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The ‘Secret Sauce’ is ‘Network Effects’

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Core Web 2.0 Design Principle

The service automatically gets better

the more people use it

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Understanding ‘Network Effects’

“Google gets smarter every time someone makes a link on the

web. Google gets smarter every time someone makes a search.

It gets smarter every time someone clicks on an ad. And it

immediately acts on that information to improve the experience

for everyone else.

It’s for this reason I argue that the real heart of Web 2.0 is

harnessing collective intelligence.”

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What Does ‘Web 2.0’ Ask Participants To Become?

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‘Collective Intelligence’ as ‘Organizing Principle’

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Recommendation Engines: ‘Network Effects’ Avatar

Two-Sided Markets

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Network Effects

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Telemedicine

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Crowd-funding Health Care Innovation?

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Salman Khan/Khan Academy

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Network Effects/Collective Intelligences

How Might Health Care Provisioners Cultivate Appropriate

‘Khan Academies’ for Care-givers,

Care-receivers and Care-contributors alike?

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My ‘Open Innovation’ Thrust & Takeaway

Designing and Aligning ‘Network Effects’ To

Better Attain Better Health Care Outcomes

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Should Health Care Enterprises Have a

CNEO

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Our 4 As Network Effects Ingredients

• Apps

• APIs

• Analytics

• Architectures

Enabling New/Amplifying Existing Competences

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DIY

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[How] Do You Want To Support/Engage With Self-Quantifying Customers/Clients…..?

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Shazam

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Medical Shazam

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The ‘Secret Sauce’ Enabling ‘Network Effects’

Interoperability

‘Interoperability’ Radically Transforms the

Economics of and Opportunities for

Interdisciplinary Innovation

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Systems ‘Integration’

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(Inter)Actions Speak Louder Than Words

Interconnectivity

isn’t

Interoperability

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Interoperability: From ‘Components’ to ‘Devices’

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Interoperability: Provide/Accept ‘Services’

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http://www.programmableweb.com/apis/directory

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‘Specifies How Software Components Should Interact With Each Other’

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Providing self-service, one-to-many,

reusable interfaces

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Lorinda Brandon

Mashery

“The path of an API now has gone from being a back-end programming

construct… to becoming a business and a product. That changes

the landscape significantly.

All of a sudden, your API has tiers and purchase plans to it. It becomes

exactly like any other product.”

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PMP Public Media Platform

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pi Steve Yegge

Google v Amazon

1) All teams will henceforth expose their data and functionality through service interfaces.

2) Teams must communicate with each other through these interfaces.

3) There will be no other form of inter-process communication allowed: no direct linking, no direct reads

of another team's data store, no shared-memory model, no back-doors whatsoever. The only

communication allowed is via service interface calls over the network.

4) It doesn't matter what technology they use. HTTP, Corba, Pubsub, custom protocols—doesn't matter.

Bezos doesn't care.

5) All service interfaces, without exception, must be designed from the ground up to be externalizable.

That is to say, the team must plan and design to be able to expose the interface to developers in the

outside world. No exceptions.

6) Anyone who doesn't do this will be fired.

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What’s ‘The Service’?

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From

“MashUps” to

“MechUps”

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Githubization [Interoperability Repositories]

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Arduino [‘Kit-ification’]

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Jose Gomez Marquez

MIT D-Lab

“The most surprising innovations in health care are often driven by

innovators who weren't even supposed to be playing

in the first place.

‘The medical device industrial complex will keep on chasing its

Towers of Babel only to have itself disrupted, thanks

to commoditization of sensors, more intelligent micromechanical

systems, etc.”

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“What's traded on the market are not, as if often supposed by economists, physical entities

but the rights to perform certain actions…”

Ronald Coase

Nobel Economist 1991

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The Next ‘IP’

‘Interoperability Permissions’ Will Increasingly

Define & Constrain ‘Openness,’ ‘Transparency’ and

‘Collaborative’ Research Issues

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To Post-Industrially and Upgrade Trotsky

for the Innovation/Collaboration Future….

You May Not Be Interested in ‘Interoperability’ But

‘Interoperability’ Is Interested In You

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Analytics

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Effective Networks & Network Effects

- How do we make it easier for our ‘constitutents’

to participate & create ‘connections’ they see as valuable?

- How do we make it easier for ourselves to identify

value from constituent participation, contributions and links?

- How do we (re)organize ourselves to best harvest the value of this

‘collective intelligence’ to boost our quality, opportunity and HCX?

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A Simple Schematic for Enabling Open Innovation ‘Network Effects’ Architectures

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APIs

Apps Analytics

Creating ‘Network Effects’ To Enable “Network Effects”

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APIs

Apps Analytics

What Culture Has For Lunch…..

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Jari Arkko/IETF

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Stuxnet Redux?

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Aggregation/Anonymization/Informed Consent

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21st Century Hippocratic Imperative

Ex

‘Primum non nocere’

Ad/Et

‘Qui benefacit ex effectibus network?’

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• Interoperability with

• Network Effects to attain

• Desirable Health Care Outcomes

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Health Care Innovation Governance:

Aligning

in case of contact...

[email protected]

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What do we call our ‘networkers’…and why??

‘Members’ vs

‘Patients’

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