Hacking the System: 3 lessons I learned working at the White House
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Hacking the System: 3 lessons I learned working at the White House

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Keynote given at Hacking Pediatrics collaboration with MIT. Healthcare is a sector full of dinosaurs, however new funding, massive policy shifts, innovation communities and new entrants have created ...

Keynote given at Hacking Pediatrics collaboration with MIT. Healthcare is a sector full of dinosaurs, however new funding, massive policy shifts, innovation communities and new entrants have created the best conditions for change that we have ever had. However change will still be enormously difficult and having having a "hacker" mentality can help you find a path forward.

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    Hacking the System: 3 lessons I learned working at the White House Hacking the System: 3 lessons I learned working at the White House Presentation Transcript

    • Hacking  the  Matrix:     Lessons  I  learned  in  the  U.S.  Government     Aman  Bhandari   Twi-er:  @GHideas  
    • Change  in  healthcare  is  enormously  difficult.  It  is  like   climbing  Mt  Everest  (someCmes  twice).  You  will  run   into  lots  of  red  tape  and  bureaucracy.  However  there  is   a  path  forward  and  the  condiCons  (policy  shiIs,   funding,  innovaCon  infrastructure)  for  change  have   never  been  beKer…   @GHideas  |  Aman  Bhandari  
    • The  Big  Disconnect:  Internal  Buy  In  &  New  Entrants   "On  the  one  hand,  you  have   people…who  know  nothing  about   regulaBon…on  the  other,  a  bunch   of  health-­‐care  guys  who  think   Zynga  is  some  kind  of  fruit.  There   is  truly  a  chasm  between  world   views."  Sonny  Vu  
    • “There  has  never  been  a  beKer  Cme  to  be  an   entrepreneur  in  healthcare.”   “Our  job  as  leaders  is  to   find  those  innovators   and  release  their  mojo   –  lean  startup  style  –  to   serve  the  American   people  beKer.”   @GHideas  |  Aman  Bhandari  
    • 1.  Challenging  Long  Held  Beliefs…that  have  had   systemaCc  impact “We  just  pay  the  bills,  we  are  public  enBty  that   processes  healthcare  claims…that’s  all.”  (1965-­‐2010)     “Be-er  health,  be-er  care,  at  lower  costs”  (2010-­‐?)   Lesson  learned:  Ask  why  and  don't  accept  the  status  quo...get  ready  for  an  era   of  much  greater  transparency.     @GHideas  |  Aman  Bhandari  
    • 2.  Bringing  in  the  Hackers:  EIRs  &  PresidenCal  InnovaCon  Fellows STORY  2   Joy's  Law:  "No  ma-er  who  you  are,  most  of  the  smartest  people  work  for   someone  else”  (Sun  Microsystems  co-­‐founder  Bill  Joy)     Lesson  learned:  Invest  in  EIRs  (hackers).  "No  ma7er  who  you  are,  most  of   the  smartest  people  work  for  someone  else”  (Sun  Microsystems  co-­‐founder   Bill  Joy,  Joy's  Law)     @GHideas  |  Aman  Bhandari  
    • 3.  Government  as  Plaeorm:  Power  to  the  People Healthcare  is  so  paleolithic  that  the  government  supported  the  first   hackathons  and  accelerators  in  the  sector     50+ Challenges/Code-a-Thons 2,000+ Participants $1M+    Prizes Lesson  learned:  There  is  incredible  hunger  for  community.  CommuniAes  of   “hackers”,  entrepreneurs,  innovators  have  sprouted  up  across  the  US…  and  now   incumbent  stakeholders  are  supporAng  hackathons  and  prize  compeAAons     @GHideas  |  Aman  Bhandar
    • Hack  the  Matrix:  A  World  Where  Anything  is  Possible   Challenge  convenConal  wisdom   If  you  have  the  best  people  you  will  win   Find  your  tribe   Unplug  form  the  matrix,  innovate  and   then  plug  back  in  to  make  the  world  a   beKer  place   @GHideas  |  Aman  Bhandari  
    • Tech,  Funding  and  Entrepreneurial  Infrastructure:   Seeding  DisrupCon The  adopBon  and  “meaningful  use”  of  electronic  medical     records  (EMRs)  is  rapidly  increasing  in  the  U.S.  and  globally   Health  IT  Venture  capital  funding  reflects  increasing   entrepreneurial  acBvity   Total Transaction Value ($ in MM) $250 27 $220 $200 $184 $159 $150 $62 $50 15 $93 $100 $45 7 5 5 Q1 2010 Q2 2010 10 $66 7 5 $35 5 6 $11 $(1) Accenture Directional EMR Adoption Projections by Country, 2010. ContribuBons  of  populaBon  aging  and  excess  healthcare  cost   growth  to  overall  enBtlement  costs   Q3 2010 Q4 2010 Q1 2011 Q2 2011 Q3 2011 Q4 2011 StartX  MED   Accelerace  Life   Avia   Health  for  America   Blue  Print  Health   Health  XL   Dream  IT  Health   Digital  Health  Accelerator   PhiloMeton   Moebio   Project  Lig  Miami   TigerLabs  Health   Heatlh  Founders   Health  Axis  Europe   (2) Rock  Health   (2) Health and Human Services (3) US News Health Q1 2012 Digital  Health  Accelerators  have  exploded  onto  the  scene:  30   accelerators  launched  in  the  last  28  months   Health  Box   Ratio of adults aged 65 and over compared with people aged 20 to 64 will increase by 80 percent in the coming decades (3) 25 20 18 18 30 Startup  Heatlh   @GHideas  |  Aman  Bhandari   Number of Transactions InternaBonal  EMR  Market  Overview  (1)  
    • Talent Flooding into the Health Sector        "The  best  minds  of  my  generaBon  are  thinking  about  how  to   make  people  click  ads…that  sucks."  Jeff  Hammerbacher,  BW            "I  turned  to  healthcare  partly  because  I  saw  an  immense  hunger   among  the  developers  that  I  work  with  to  start  working  on  stuff   that  ma-ers."  Tim  O’Reilly   -­‐  -­‐  -­‐  -­‐  -­‐  -­‐  Beth  Comstock  (CBS,  NBC)   Doug  Hirsch  (Yahoo,  Facebook)   Dave  Chase  (Microsog)   Ari  Tulla  (Nokia)   Naveen  Selvadurai  (Foursquare)   Nat  Turner  (Google)   @GHideas | Aman Bhandari
    • Lessons Learned Ask why and challenge long held beliefs If you have the best people you will win Networked tribes and communities is how you start to build a movement for change @GHideas | Aman Bhandari
    • “Never underestimate the power of a small group of committed people to change the world. In fact, it is the only thing that ever has.” @GHideas | Aman Bhandari amanbhandari@gmail.com @GHideas