By People, For People Reinventing Healthcare to Serve People, Not Institutions

Понравилась презентация – покажи это...

Слайд 0

#SxSW @timoreilly By People, For People Reinventing Healthcare to Serve People, Not Institutions Tim O’Reilly SxSW March 16, 2015

Слайд 1

@timoreilly “The skill of writing is to create a context in which other people can think.” -Edwin Schlossberg

Слайд 2


Слайд 3


Слайд 4


Слайд 5


Слайд 6

@timoreilly The smartphone is the most widely distributed “Internet of Things” platform.

Слайд 7


Слайд 8

@timoreilly The Apple Store is magical!

Слайд 9

@timoreilly “Any sufficiently advanced technology is indistinguishable from magic.” Arthur C. Clarke

Слайд 10

@timoreilly @conference @timoreilly

Слайд 11


Слайд 12


Слайд 13

@timoreilly Uber and Lyft and Cover are magical!

Слайд 14


Слайд 15


Слайд 16


Слайд 17

@timoreilly Google Now is magical!

Слайд 18

@timoreilly Lesson #1: Use technology to give people super powers

Слайд 19

@timoreilly Our Phones Used to Be the Tool of Superheroes Dick Tracy: 1946 Star Trek: 1964

Слайд 20

@timoreilly An Everyday Modern Superpower

Слайд 21

@timoreilly This is the key question How do we use the capabilities of our devices to build better human experiences?

Слайд 22

@timoreilly Lesson #2: Do Less!

Слайд 23

@timoreilly How often have you filled out some version of this form?

Слайд 24

@timoreilly 20th Century Vital Sign Monitoring

Слайд 25

@timoreilly Lesson #3: Do More!

Слайд 26


Слайд 27


Слайд 28

@timoreilly WTF?!

Слайд 29

@timoreilly Look At Everything Uber Does For Me Lets me call a car from anywhere Automatically tells available drivers where I am Lets me know how long it will be till my car arrives Lets me contact the driver by text or voice - anonymously Lets me pay without having to pull out my wallet Gives me a detailed receipt showing exactly where I went and how long it took - which lets me complain if the driver didn’t go the optimal route (and Uber gives refunds) Lets me rate my driver, and uses that rating to manage the quality of service

Слайд 30

@timoreilly How a Doctor’s Visit Ought to Work Phone detected on entry to office, hospital, or ER Insurance automatically checked Medical history automatically loaded into system Vitals and other quantified self info automatically loaded Data automatically used to sort queue and give wait times If ER, possible discharge to available nearby outpatient clinic or doctor’s office Portable medical record updated as patient exits (Aside: We also need payment reform!!!) Lets me rate my experience, and uses that rating to manage the quality of service

Слайд 31


Слайд 32

@timoreilly Lesson #4: Build software “above the level of a single device”

Слайд 33

@timoreilly “Why be distracted into looking backwards by the commodity cloners of open source?...There is a new frontier, where software "collectives" are being built with ad hoc protocols and with clustered devices. Robotics and automation of all sorts is exposing a demand for sophisticated new ways of thinking....Useful software written above the level of the single device will command high margins for a long time to come.” - Dave Stutz, On Leaving Microsoft, February 2003 http://www.synthesist.net/writing/onleavingms.html

Слайд 34

@timoreilly Data At the Heart of the Uber System Real-time location tracking Dispatch Trip tracking Names and faces Payment Dynamic Pricing Reputation Passenger Driver

Слайд 35

@timoreilly Many of these data services are not run by Uber

Слайд 36

@timoreilly Something about state of interoperability

Слайд 37

@timoreilly Lesson #5: Measure and Respond

Слайд 38

@timoreilly The Lean Startup

Слайд 39

@timoreilly Minimum Viable Product “that version of a new product which allows a team to collect the maximum amount of validated learning about customers with the least effort.” - Eric Ries

Слайд 40

@timoreilly We’ve taken this for granted in web applications. But now, with Internet of Things applications powered by big data back ends, Lean Startup principles apply to every real world service!

Слайд 41

Text @timoreilly “Only 1% of healthcare spend now goes to diagnosis. We need to shift from the idea that you do diagnosis at the start, followed by treatment, to a cycle of diagnosis, treatment, diagnosis...as we explore what works.” -Pascale Witz, GE Medical Diagnostics

Слайд 42

Text @timoreilly “Half the money I spend on advertising is wasted; the trouble is I don't know which half.” - John Wanamaker (1838-1922)

Слайд 43

@timoreilly Lesson #6: These are systems made up of computers and humans working together

Слайд 44

@timoreilly @conference @timoreilly

Слайд 45


Слайд 46


Слайд 47


Слайд 48

@timoreilly “We know about all these new technologies. What we don’t know is how to organize ourselves to use them effectively.” - An IT executive at Fidelity, during Q&A after a talk I gave there in 2008

Слайд 49


Слайд 50


Слайд 51


Слайд 52

#VelocityConf @VelocityConf @timoreilly @conference @timoreilly

Слайд 53


Слайд 54

@timoreilly Are New Ways of Organizing People

Слайд 55

@timoreilly 23andMe

Слайд 56

@timoreilly PatientsLikeMe

Слайд 57

@timoreilly “Uber is a $3.5 billion lesson in building for how the world *should* work instead of optimizing for how the world *does* work” - Aaron Levie of Box.net

Слайд 58

@timoreilly That’s the bar we need to set for reinventing healthcare and health insurance

Слайд 59

@timoreilly Adding Digital To The Way the World Works Now

Слайд 60

@timoreilly Lesson #7: Rethink Workflows and Experiences!

Слайд 61


Слайд 62


Слайд 63


Слайд 64


Слайд 65

@timoreilly Learning from Failure

Слайд 66


Слайд 67

@timoreilly Rescuing healthcare.gov A team of engineers. They came in and worked tech wizardry, right? Maybe some of that, but a lot of the work was debugging the communications failures that led the contractors to build software components that didn’t work together.

Слайд 68

@timoreilly 17 hour days 100 days straight Standup meetings focused on why people weren’t able to keep the promises they’d made to each other Mikey Dickerson Google Site Reliability Engineer Mikey Dickerson

Слайд 69


Слайд 70


Слайд 71


Слайд 72

@timoreilly “…one privilege the insured and well-off have is to excuse the terrible quality of services the government routinely delivers to the poor. Too often, the press ignores?—?or simply never knows?—?the pain and trouble of interfacing with government bureaucracies that the poor struggle with daily.” —?Ezra Klein

Слайд 73


Слайд 74


Слайд 75


Слайд 76

@timoreilly “User needs. An empathetic service would ground itself in the concrete needs of concrete people. It’s not about innovation, big data, government-as-a-platform, transparency, crowd-funding, open data, or civic tech. It’s about people. Learning to prioritize people and their needs will be a long slog. It’s the kind of change that happens slowly, one person at a time. But we should start.”

Слайд 77

Слайд 78

Слайд 79


Слайд 80

Слайд 81


Слайд 82

Слайд 83

Слайд 84

@timoreilly “Unboxing” MediCal Alan Williams 2012 Startup engineer 2013 Code for America Fellow 2014 On Food Stamps and MediCal

Слайд 85

@timoreilly MediCal Unboxing

Слайд 86


Слайд 87


Слайд 88


Слайд 89


Слайд 90


Слайд 91


Слайд 92


Слайд 93


Слайд 94


Слайд 95


Слайд 96

Слайд 97


Слайд 98


Слайд 99

@timoreilly The Failure Funnel

Слайд 100

@timoreilly GDS

Слайд 101

What we are going to cover today Header 1 Header 2 Bullet 1 Blah blah blah Bullet 2 Blah blah blah Bullet 3 Blah blah blah

Слайд 102

@timoreilly Government can work for the people, by the people, in the 21st century, if we make it so. Jennifer Pahlka

Слайд 103

@timoreilly for the people

Слайд 104

@timoreilly for people

Слайд 105

by people

Слайд 106

@timoreilly Build 21st century services of people, by people, for people

Слайд 107

@timoreilly Learn More About How You Can Help Meetup tomorrow morning 9 am - 11 am Halcyon, at 4th and Lavaca c4a.me/sxsw15 codeforamerica.org/talent whitehouse.gov/usds