Moving Beyond Technology-That-Works to Products-That-Matter

MOVING BEYOND TECHNOLOGY-THAT-WORKS TO PRODUCTS-THAT-MATTERDevelopers are using Internet of Things technology to demonstrate new products and applications at a pace unmatched in history. No part of our lives has gone untouched – our healthcare, our cars, our food, home life, work life, even our pets. It’s a great time to be a technologist. But recent events have also shown us that it is not enough to just make technology work. Many new applications have been more demonstrations of what’s possible than material improvements of the user’s quality of life. Developers today have to find ways to involve and integrate good design with their technology expertise to create products and experiences that don’t just function, they have to matter. This talk will share examples of meaningful IoT implementations and describe a methodology for moving from technological function to meaningful product adoption. http://reuleauxtech.com

MOVING BEYOND TECHNOLOGY-THAT-WORKS TO PRODUCTS-THAT-MATTER

Bullish on Technology!

Especially bullish on IoT!

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But technology alone is not enough

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Customers don’t buy technology• 85% insured in US have telemedicine

available

• 2-3% adoption (re-use even lower)

• Why?– One-on-one workflow

– Lack of continuity for patient-physician

• “These telemedicine companies haven’t cracked the code of patient engagement with remote physicians.”

http://medcitynews.com/2016/09/telemedicine-utilization-low/

Desirability(User)

Viability(Business)

Feasibility(Technology)

“Non-Profit”“Cool” customer experience that does not make money, e.g. NetZero, Chargify, NetGearVueZone, DotComs

No tech leverageCustomer service focus that does not scale, e.g. Blockbuster Video, Kodak, Border Books

Tech PushScalable, profitable product that no one buys, e.g. Nest Revolv, Quirky Egg Minder, Nike Fuel, Zubie

The Sweet Spot

IoT1.0

Missing

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How to focus on “matters”

1. Solve an important problem

2. Be effective – has to work technically and behaviorally

3. Be Accountable

Desirability(User)

Viability(Business)

Feasibility(Technology)

Reuleaux Technology

How to focus on “matters”

1. Solve an important problem

2. Be effective – has to work technically and behaviorally

3. Be Accountable

Desirability(User)

Viability(Business)

Feasibility(Technology)

IoT1.0

Why?

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Problem: Cost effective population health

• 27% reduction in patient infection

• 37% lower cost of antibiotics

• Big data enabling new diagnosesand treatments

“Whisper gives me the courage not to treat.”

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Problem: Infection transmission

• 25.5% increase in compliance

• 42% decrease in hospital-acquired infection

• $434,000 savings

http://medcitynews.com/2016/07/study-hand-hygiene-mrsa/

Compliance delivers value

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The five IoT value propositions

• Cost Reduction

• Risk Reduction/Safety

• Engagement/Compliance

• Workflow

• Automated commerce

http://www.forbes.com/sites/janakirammsv/2016/06/06/how-will-consumers-benefit-from-connected-cars/#789f2c304051

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How to focus on “matters”

1. Solve an important problem

2. Be effective – has to work technically and behaviorally

3. Be Accountable

Right technology – Med Reminder• Assists and tracks patient

compliance

• Automate and secure continuous cloud connectivity to remove patient friction

• Reliable and trusted reporting for care givers

Learning software that works

• Real time adaptation

• Integration of systems

• Integrated communications

• Integrate work space with work flow.

• True machine learning

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Behavior is hard.

• Over $500M and “The reality is that we don’t have a product to start with” -- CEO

• “Type 2 diabetes is really a medication meets lifestyle [disease]”

http://medcitynews.com/2016/09/verily-sanofi-diabetes-onduo-behavior-change/

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Behavior Design is a discipline• Motivation

– Varies by individual– Varies in time and intensity

• Triggers– Vary by individual and time– Fatigue

• Ability– Only thing design/developers control– Information alone not enough– Has to be easy, easy, easy

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Most valuable medical device today?

• Want to change behavior?Measure it.

• Want patients to tell the truth?Let them know you are watching.

• Behavior is an activity with physiological consequences

• >100 clinical trials using Fitbits

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How to focus on “matters”

1. Solve an important problem

2. Be effective – has to work technically and behaviorally

3. Be Accountable

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Anamorphic OFF

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Diabetes App

• Pie chart – Really?

• “Users log medication, foods eaten, and their activity. ” = Friction

• Patients need help understanding what’s happening

• Patients need help behaving

http://medcitynews.com/2016/08/taiwanese-diabetes-app-developer/

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Companies like Lyft excel at what we in healthcare have so much trouble with—better outcomes, lower costs and better experience. If they can do it, shouldn’t we be able to?

-- Dr Sachin H. Jain, CEO CareMore Health Systems

Photo via commons.wikimedia.org

http://www.forbes.com/sites/sachinjain/2016/09/06/letting-the-outside-in-how-ridesharing-provides-a-model-for-healthcare-transformation/#1e79a3b36be6

Average wait times have decreased by 30.0% (to 8.77 minutes), average per-ride costs have been reduced by 32.4% (to $21.32), and composite patient satisfaction measures 80.8%.

’”Engineers make things work, designers make things matter”. Looking past this implied elitism of designers, good engineering today includes human factors, usability, maintainability and other considerations that matter. Moreover, I would ask ‘What matters more than that it works?”’

-- MDDI Comment

Works Matters

What happens when you’re accountable?

Adopt

Use (Engagement)

Outcome

Feedback

Sharing

Matters creates adoption

500M+ monthly 100M+ daily

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Use a Design-Technology partnership to be accountable• Agree to a clear problem statement.

• Appoint a systems lead who understands design.

• Work with designers who understand technology.

• Follow a build-measure-learn process.

• Simplify for success.

Make things that matter.

Solve an important problem

Be effective – has to work technically and behaviorally

Be Accountable

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• Scott A. Nelson

• CEO/CTO Reuleaux Technology

• www.reuleauxtech.com• https://www.linkedin.com/in/scottanelson17

• https://twitter.com/Scott_Nelson19