Your SlideShare is downloading. ×
Agile & Architecture with lives at stake
Upcoming SlideShare
Loading in...5

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Agile & Architecture with lives at stake


Published on

I gave this presentation at Philly ETE (Emerging Technologies for the Enterprise) in April 2011.

I gave this presentation at Philly ETE (Emerging Technologies for the Enterprise) in April 2011.

Published in: Technology, Education

1 Like
  • Be the first to comment

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

No notes for slide
  • 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
  • Transcript

    • 1. Architecture and Agility (with Lives at Stake)
      Eduardo Jezierski, CTO
    • 2. 10+ years ago, I helped create Microsoft Patterns & Practices – push the culture, reduce the backlog gap.
      Sharing knowledge, patterns, and customer connected processes…
    • 3. Your “why” matters
    • 4. 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
    • 5. Design
    • 6. Birth complication data collection deviceTombodu (Sierra Leone)
    • 7. Appropriate Design is Contextual
    • 8. InSTEDD iLab, Phnom Penh
    • 9. 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
    • 10. Local developers help build & implement a nationwide malaria elimination project in weeks, including telco business negotiations.
    • 11. 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
    • 12. Mini-retrospective for each user story
    • 13. OWNCEPTION
    • 14. Collaboration
    • 15. As Storm Ketsana struck Thailand, health workers using InSTEDD GeoChat alerted each other of floods, how to avoid injuries and rescuing villagers
    • 16. A leptospirosis outbreak gets detected, discussed, and investigated in half the time the official reports would allow.
      It is contained early.
    • 17. 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”
    • 18. Data as an extractive industry –
      Who are data collection tools benefiting the most?
    • 19. Information technology doesn’t need to be digital – InSTEDD works on tools that simplify data reporting and interpretation across the literacy gap
    • 20. 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
    • 21. “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
    • 22. Empowering vulnerable populations with information
      Relevance: Geographic, demographic, timeliness
      Dialogue: Keep a 2-way channel open
    • 23. Extreme agile: Sudden onset design debt
      30 min
      Pattern: Building blocks, rewire on the fly
    • 24.
    • 25. Crisis response organizations desire agility, but are not as methodological about it as the technology industry
    • 26.
    • 27. Architecture
    • 28. “We will give you this new system that manages patient information on mobiles”
      “And it’s Free!”
    • 29. Gee, thanks.
    • 30. No, Really!
    • 31.
    • 32. Each group has interests!
      Linking systems across MOH departments could better taken as a B2B ‘over the web’ interaction than an ‘enterprise’ integration
    • 33. 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
    • 34. Sharing
    • 35. It takes 15 years to ‘produce’ a strong university level teacher
    • 36. BarCamp Yangon (Burma/Myanmar) 2010 and 2011
      Largest in the history of humanity, 3000+ attendees each.
    • 37.
    • 38. “Everybody is partying like it’s 1984” – Ray Ozzie
    • 39. Perspective
    • 40. 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’.
    • 41. Across the world, people want a better life for their children than they had themselves
    • 42. It can take many generations to figure out how to run ourselves and this planet
    • 43.
    • 44. Thank you!
    • 45. Appendix
    • 46. 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