Architecture and Agility with Lives at Stake
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Architecture and Agility with Lives at Stake






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  • What can a remote clinic in Africa teach us about enterprise architecture? What can a Southeast Asian Ministry of Health with a critical mission, but no CTO and no budget teach us about our agile methods? More than you would think!In this session I will share my experiences from working as an architect at Microsoft to working on health and emergency technologies in low-resource settings. Learn how we work everyday with mobile and cloud technologies, in a setting that may challenge a lot of your assumptions about the patterns that underly robust enterprise architectures and methods.Personal why mattersDesign for the users- If you don’t go you don’t knowThe power of horizontal communications“Enterprise” assumptions break downMake your app/datastore into a platformTreat the planet as a closed system
  • ----- Meeting Notes (3/10/11 12:01) -----good feedback on mission
  • Common concept but Matt Collin popularized the word, Google it for his excellent blog post
  • - An unprecedented ‘information ecosystem’
  • ANASTASIA:Promoting the Emergency Information Service (EIS) through the United Nations cluster system
  • Information is double-checked and then translated into Creole using local translators

Architecture and Agility with Lives at Stake Architecture and Agility with Lives at Stake Presentation Transcript

  • Architecture and Agility (with Lives at Stake)
    Eduardo Jezierski, CTO
  • 10+ years ago, I helped create Microsoft Patterns & Practices – push the culture, reduce the backlog gap.
    Sharing knowledge, patterns, and customer connected processes…
  • Your “why” matters
  • About InSTEDD
    We envision a world where communities everywhere design and use technology to continuously improve their health, safety and development.
    Our mission is to improve global health, safety and sustainable development through:
    BuildingCapacity within communities to foster a local culture of innovation
    Creating Collaboration Technologies for social good
    Collaborating with End Users through a bottom up design and development process
    Ensuring Usefulness and Impact through research and evaluation
    Social Responsibility - Collaboration - Agility
  • Design
  • Birth complication data collection deviceTombodu (Sierra Leone)
  • Appropriate Design is Contextual
  • InSTEDD iLab, Phnom Penh
  • InSTEDD Innovation Labs
    “Surprise plus memory equals learning”
    Stewart Brand
    The Clock of the Long Now
    “Culture eats strategy’s lunch every day”
    Common phrase at InSTEDD iLab
  • Local developers help build & implement a nationwide malaria elimination project in weeks, including telco business negotiations.
  • Phnom Penh Innovation Lab
    Build team
    Support regional biosurveillance
    Mobile Operator agreements
    100% Local app design
    First local revenues
    National scaling of programs
    Transition to Social Enterprise (18 months)
    Formal Evaluation
    TEDxPhnom Penh
    KYE Khmer Young Entrepreneurs
    Collaboration Side effects
    Sponsored 1stBarcamp
    ShareVision Created
    Phnom Penh Hackerspace
    + HI-PPP
  • Mini-retrospective for each user story
  • Collaboration
  • As Storm Ketsana struck Thailand, health workers using InSTEDD GeoChat alerted each other of floods, how to avoid injuries and rescuing villagers
  • A leptospirosis outbreak gets detected, discussed, and investigated in half the time the official reports would allow.
    It is contained early.
  • Self-Governance
    “What is missing is [..] a theory of collective action whereby a group of principals can organize themselves voluntarily to retain the residuals of their own efforts”
    E. Ostrom “Governing the Commons”
  • Data as an extractive industry –
    Who are data collection tools benefiting the most?
  • Information technology doesn’t need to be digital – InSTEDD works on tools that simplify data reporting and interpretation across the literacy gap
  • InSTEDD built for Thomson Reuters a mobile information system ‘4636’ in Haiti after the earthquake.
    The system integrated multiple tools and organizations in one information flow
  • “Information is a vital form of aid in itself… Disaster-affected people need information as much as water, food, medicine, or shelter. Information can save lives, livelihoods and resources.”- World Disaster Report
  • Empowering vulnerable populations with information
    Relevance: Geographic, demographic, timeliness
    Dialogue: Keep a 2-way channel open
  • Extreme agile: Sudden onset design debt
    30 min
    Pattern: Building blocks, rewire on the fly
  • Crisis response organizations desire agility, but are not as methodological about it as the technology industry
  • Architecture
  • “We will give you this new system that manages patient information on mobiles”
    “And it’s Free!”
  • Gee, thanks.
  • No, Really!
  • Each group has interests!
    Linking systems across MOH departments could better taken as a B2B ‘over the web’ interaction than an ‘enterprise’ integration
  • Unleashing local innovation on health systems
    Example Health Information System, Rwanda (already in progress, 2011-2012)
    External Systems
    Village Volunteer Mobile Apps
    PMTCT Apps
    Analytic Modules
    National Registry of Indicators
    Ministry of Health
    Other Ministries
    Shared Health Record
    Provider Registry
    Birth Registry
    Facility Registry (NAMIS)
    Patient Flow Management
    Death Registry
    Terminology Service
    National ID Database
    Client Registry
    Mobile Gateway
    Payment Gateway
    Provider Gateway
    Public Sector Facilities
    Private Sector Facilities
  • Sharing
  • It takes 15 years to ‘produce’ a strong university level teacher
  • BarCamp Yangon (Burma/Myanmar) 2010 and 2011
    Largest in the history of humanity, 3000+ attendees each.
  • “Everybody is partying like it’s 1984” – Ray Ozzie
  • Perspective
  • Hobby-With the purpose of inspiring different ways of looking at our Earth, we launch high-altitude balloons with children, so they take their own pictures of the curvature of the earth from ‘space’.
  • Across the world, people want a better life for their children than they had themselves
  • It can take many generations to figure out how to run ourselves and this planet
  • Thank you!
  • Appendix
  • Nudge!
    You can help! We have exciting open source projects for mobile communications, visualization, and analytics
    Many skills are needed- development, design, tech writing, market analysis, art, hardware, media..
    We encourage you to consider coming to our innovation labs and sharing your knowledge – for a day or for months!
    Find us and more info at