Re-mixing Public Health: A walk (long) through Open Health & the Emerging Social Mediascape Jody Ranck, DrPH Principal Investigator, Public Health Institute July 2009

Why Re-Mixing? Because it sounds trendy? Borrow and steal from already existing tools, disciplines Recombinant innovation Making the invisible visible and changing behaviors and policies—the mash-up is an important metaphor Complexity of our problems—demands solutions coming from multiple sectors, geographies, etc.

Because it sounds trendy?

Borrow and steal from already existing tools, disciplines

Recombinant innovation

Making the invisible visible and changing behaviors and policies—the mash-up is an important metaphor

Complexity of our problems—demands solutions coming from multiple sectors, geographies, etc.

Why should Public Health Care about social media? New types of communities/knowledge systems emerging Socio-techological change: not a question of WHETHER social media will change how we think, behave, etc. but rather, it is a question of HOW? Complexity of health issues requires new thinking New modes of governance & citizenship Ways of delivering healthcare changing Luddites will become irrelevant in many areas

New types of communities/knowledge systems emerging

Socio-techological change: not a question of WHETHER social media will change how we think, behave, etc. but rather, it is a question of HOW?

Complexity of health issues requires new thinking

New modes of governance & citizenship

Ways of delivering healthcare changing

Luddites will become irrelevant in many areas

Public Health Challenges From command-control systems to distibuted systems and production System built on 1910 Flexner Report Health Society: expansion of territory of health  health is no longer just about health systems Health outcomes linked as much to other sectors as health sector—perfect multi-sectoral issue, but many silos Health competes with many other issues Behavioralist paradigms-dated, not producing outcomes Socio-technological change: health innovations change societies, social change changes innovation systems: New Meanings of Health AND Innovation!!!!!

From command-control systems to distibuted systems and production

System built on 1910 Flexner Report

Health Society: expansion of territory of health  health is no longer just about health systems

Health outcomes linked as much to other sectors as health sector—perfect multi-sectoral issue, but many silos

Health competes with many other issues

Behavioralist paradigms-dated, not producing outcomes

Socio-technological change: health innovations change societies, social change changes innovation systems: New Meanings of Health AND Innovation!!!!!

Government/Civil Society Shift

Section 1: Social Media and Public Health Introduction to Social Media Tools Medicine 2.0 Health 2.0 How do we get to Public Health 2.0 and beyond? Why should we care about social media?

Introduction to Social Media Tools

Medicine 2.0

Health 2.0

How do we get to Public Health 2.0 and beyond? Why should we care about social media?

How do we respond: Social Media Blogs, wikis, vlogs Podcasts, photo-sharing Social Networking Platforms YouTube RSS Social Tagging, eg. Delicious Microblogging: Twitter Data Visualization/Infographics Enterprise 2.0 Platforms New and Old media ecosystems together

Blogs, wikis, vlogs

Podcasts, photo-sharing

Social Networking Platforms

YouTube

RSS

Social Tagging, eg. Delicious

Microblogging: Twitter

Data Visualization/Infographics

Enterprise 2.0 Platforms

New and Old media ecosystems together

Social Media: an Ecosystem

Eco-system of ‘old’ and ‘new’

Convergence of old and new Old media reporting on stories from social media, eg. Iran election & CNN Campaigns that use social media to drive broader media strategy, eg. Obama campaign In developing world use of mobiles and radio in agriculture and health Online video growing rapidly, eg. Hulu I’m sick of the word “new”

Old media reporting on stories from social media, eg. Iran election & CNN

Campaigns that use social media to drive broader media strategy, eg. Obama campaign

In developing world use of mobiles and radio in agriculture and health

Online video growing rapidly, eg. Hulu

I’m sick of the word “new”

Public Health 2.0 Social Media Architecture of Participation Open Innovation Crowdsourcing Citizen Engagement through social media Mobiles Urban Informatics Cloud Computing Design Thinking

Social Media

Architecture of Participation

Open Innovation

Crowdsourcing

Citizen Engagement through social media

Mobiles

Urban Informatics

Cloud Computing

Design Thinking

Medicine 2.0/Health 2.0

Medicine 2.0

If Medicine can do it…

Public Health 2.0? Can we do better than “cope”?

Why does it matter? A new type of web: mobile, participatory Demands for transparency, eg. Recovery.gov Non-profit sector is adopting & innovating rapidly in the social media space Convergence of old and new media: it’s not just about teens on MySpace anymore! New forms of sociality emerging: biocitizenship and social networks in health Ethos of cooperation New commons  Health commons  New public health + spirit of innovation

A new type of web: mobile, participatory

Demands for transparency, eg. Recovery.gov

Non-profit sector is adopting & innovating rapidly in the social media space

Convergence of old and new media: it’s not just about teens on MySpace anymore!

New forms of sociality emerging: biocitizenship and social networks in health

Ethos of cooperation

New commons  Health commons  New public health + spirit of innovation

Section 2: What do we do with Social Media? Content Community Collaboration Collective Action

Content

Community

Collaboration

Collective Action

Why social media? Gaurav Mishra’s 4 C’s of Social Media: Content: everyone can be a creator Collaboration: conversation, co-creation, collective action Community: Sustained collaboration Collective Intelligence: Joy’s Law-the smartest people work somewhere else See : http://www.gauravonomics.com/blog/the-4cs-social-media-framework/

Gaurav Mishra’s 4 C’s of Social Media:

Content: everyone can be a creator

Collaboration: conversation, co-creation, collective action

Community: Sustained collaboration

Collective Intelligence: Joy’s Law-the smartest people work somewhere else

See : http://www.gauravonomics.com/blog/the-4cs-social-media-framework/

Content

Content

Content Aggregators

Hyper-local/citizen news

Hyperlocalities

Content: Neighborhood News

Content: New Journalism –business models

Content: blogging the city

What’s up with that “Twitter thing”

Twitter as listening post, filter…

Twitter and distributed surveillance

Twitter & misinformation

Twitter and civic engagement

Twitter Source: http://applicant.com/wp-content/uploads/2009/04/tweetcurrency1.jpg

Twitter for Public Health Find interesting minds: @mindofandre, @AndrewPWilson, @bloodandmilk, etc. Follow conferences, legislative updates, reports from field Pool/aggregate data Suite of Twitter tools Social News Campaigns: podcast, blog, etc.

Find interesting minds: @mindofandre, @AndrewPWilson, @bloodandmilk, etc.

Follow conferences, legislative updates, reports from field

Pool/aggregate data

Suite of Twitter tools

Social News Campaigns: podcast, blog, etc.

Content in summary: Public Health 2.0 Citizenry as co-creators of content Need for deeper listening to what matters Use of social filters to highlight what is important Experts are often poor prognosticators Yet, we need to move beyond populist rhetoric of the crowd New forms of biological/technological citizenship emerging-people can find like-minded people on social media platforms and build, curate content, eg. Blogs, wikis, Twitter hashtags (eg. #H1N1)

Citizenry as co-creators of content

Need for deeper listening to what matters

Use of social filters to highlight what is important

Experts are often poor prognosticators

Yet, we need to move beyond populist rhetoric of the crowd

New forms of biological/technological citizenship emerging-people can find like-minded people on social media platforms and build, curate content, eg. Blogs, wikis, Twitter hashtags (eg. #H1N1)

Collaboration Content become center of conversations Curation of aggregate content At what point does content and conversation convert to meaningful collaboration? How can you break problems down into modular, workable pieces that engage community?

Content become center of conversations

Curation of aggregate content

At what point does content and conversation convert to meaningful collaboration?

How can you break problems down into modular, workable pieces that engage community?

Types of collaboration Defining or framing a problem Debate about strategies Moving across silos/sectors Filling in holes in data Ongoing conversations around issues Rapid response to emerging issues

Defining or framing a problem

Debate about strategies

Moving across silos/sectors

Filling in holes in data

Ongoing conversations around issues

Rapid response to emerging issues

Collaboration: platform for government & citizens

Toronto Transit Camp Case Study TTC did not define problem to be solved Sought ideas for reform from users Used blogs, wikis, discussion boards, offline polling, etc. Can use additional tools such as citizen study circles, citizen juries Illustrates need to identify the “right” networks

TTC did not define problem to be solved

Sought ideas for reform from users

Used blogs, wikis, discussion boards, offline polling, etc.

Can use additional tools such as citizen study circles, citizen juries

Illustrates need to identify the “right” networks

Platforms: moving beyond silos

All Hazards Consortium Case Study Involved VA, MD, DC Brought together private sector, non-profits, universities, citizens, govt agencies Govt Agencies are the “innovation champions” in the network: create collaborative environment Govt role is about controlling the process Govt creates infrastructure for social knowledge creation

Involved VA, MD, DC

Brought together private sector, non-profits, universities, citizens, govt agencies

Govt Agencies are the “innovation champions” in the network: create collaborative environment

Govt role is about controlling the process

Govt creates infrastructure for social knowledge creation

Collaboration: defining a problem

Collaboration: mapping problems

Collaboration: open street map

Open Street Map: telling stories

More Telling Stories with Maps

Open Street Map: coordinating agencies

Collaboration: co-created problem definition

Collaboration: Gov 2.0 using the cloud to break down silos

Virtual Alabama Platform Results $150,000 to build 10 days to create Can now share data in the cloud across government sectors The cloud is growing in importance—public health needs to be part of the discussion! But more on that later….

$150,000 to build

10 days to create

Can now share data in the cloud across government sectors

The cloud is growing in importance—public health needs to be part of the discussion! But more on that later….

Collaboration Lessons Sourcing knowledge from edges Learn from outside of the health field Collaborate with other sectors in more robust manner Co-creation of knowledge with users We’re often our own worst enemies: silos, blinders Our value networks are more complex: need more debate, discussion to deal with complex ecosystem of partners We deal with PUBLICS not a public Collaborative problem-solving is central yet not typically funded by foundations

Sourcing knowledge from edges

Learn from outside of the health field

Collaborate with other sectors in more robust manner

Co-creation of knowledge with users

We’re often our own worst enemies: silos, blinders

Our value networks are more complex: need more debate, discussion to deal with complex ecosystem of partners

We deal with PUBLICS not a public

Collaborative problem-solving is central yet not typically funded by foundations

Collaboration: co-creation of knowledge Jason Corburn shows how citizens can challenge dominant risk assessment paradigms used by EPA and scientists. Citizens as co-producers of expertise or citizen-scientists

Community Difficult to sustain engaged community MyBarackObama, DailyKos, etc. But we see PatientslikeMe.com with diverse patient communities TuDiabetes Sharing, aggregating, conversing-  Translation into Collective Action

Difficult to sustain engaged community

MyBarackObama, DailyKos, etc.

But we see PatientslikeMe.com with diverse patient communities

TuDiabetes

Sharing, aggregating, conversing- 

Translation into Collective Action

Community

Communities

Community of shared interests

Communities

Communities

Communities

Communities

Genetic Alliance Information portal Policy Advocacy WikiGenetics, WikiAdvocacy Resource Repository Good Example of emerging bio-sociality & biocitizenship in action

Information portal

Policy Advocacy

WikiGenetics, WikiAdvocacy

Resource Repository

Good Example of emerging bio-sociality & biocitizenship in action

Health 2.0 Communities Communities around micro-macro issues User-generated content, filters Information  knowledge  new power relationships in clinical encounter Platforms for fundraising, policy, advocacy Data aggregators that move beyond HIPAA constraints We’ve yet to see substantial movement in power structures of health & medicine But they’re still potent “issue networks” and signal of new form of bio-sociality that has potential to shift health politics

Communities around micro-macro issues

User-generated content, filters

Information  knowledge  new power relationships in clinical encounter

Platforms for fundraising, policy, advocacy

Data aggregators that move beyond HIPAA constraints

We’ve yet to see substantial movement in power structures of health & medicine

But they’re still potent “issue networks” and signal of new form of bio-sociality that has potential to shift health politics

Where does Public Health fit in? Need to move from top-down approaches Less control, democratization of expertise-we are no longer the privileged experts all the time: listen, engage Think critically about populist hubris in social mediasphere without resorting back to PH knows best ethos Who speaks for communities? Beyond bioethics to somatic ethics and relationships online How can we cultivate democratic ethos of public health in social mediasphere? Organizational design: how to incentivize collaboration and community building rather than maintenance of silos?

Need to move from top-down approaches

Less control, democratization of expertise-we are no longer the privileged experts all the time: listen, engage

Think critically about populist hubris in social mediasphere without resorting back to PH knows best ethos

Who speaks for communities? Beyond bioethics to somatic ethics and relationships online

How can we cultivate democratic ethos of public health in social mediasphere?

Organizational design: how to incentivize collaboration and community building rather than maintenance of silos?

Thinking About ROI of Social Media http://blogs.forrester.com/groundswell/2007/01/new_roi_of_blog.html

ROI Government 2.0 sites: transparency, accountability, efficiency Open innovation platforms: valuations of each app or service Citizen feedback and trust Social capital from highlighting successes and even failures

Government 2.0 sites: transparency, accountability, efficiency

Open innovation platforms: valuations of each app or service

Citizen feedback and trust

Social capital from highlighting successes and even failures

ROI (Social Media) http://www.frogloop.com/social-network-calculator Beth Kanter: Return on Insight: http://beth.typepad.com/beths_blog/2009/02/nten-and-techsoup-webinar-share-your-story-roi-and-social-media-slides-and-notes.html More than Math: Listen, Learn, Adapt May need internal organizational/cultural changes Pick the Right Metrics Tangible and Intangible Benefits Numbers and Stories

http://www.frogloop.com/social-network-calculator

Beth Kanter: Return on Insight: http://beth.typepad.com/beths_blog/2009/02/nten-and-techsoup-webinar-share-your-story-roi-and-social-media-slides-and-notes.html

More than Math: Listen, Learn, Adapt

May need internal organizational/cultural changes

Pick the Right Metrics

Tangible and Intangible Benefits

Numbers and Stories

Section 3: Social Media Platforms Collaboration: digging deeper Typologies of collaborative platforms What problem are you solving for? What are some characteristics of collaborative organizations? Network Organizations and Public Health

Collaboration: digging deeper

Typologies of collaborative platforms

What problem are you solving for?

What are some characteristics of collaborative organizations?

Network Organizations and Public Health

Collaborative Platforms: Some lessons from Satish Nambisan Exploration: Defining a problem where dissensus exists Experimentation: Testing out solutions Execution: Disseminating solutions Each of these is a form of crowdsourcing See: Satish Nambisan (2009). Platforms for Collaboration. Stanford Social Innovation Review, Summer, Vol. 7, No. 3.

Exploration: Defining a problem where dissensus exists

Experimentation: Testing out solutions

Execution: Disseminating solutions

Each of these is a form of crowdsourcing

See: Satish Nambisan (2009). Platforms for Collaboration. Stanford Social Innovation Review, Summer, Vol. 7, No. 3.

Exploration Platform

Exploration Platform

Exploration/Innovation Platform

Exploration Platforms Used to help frame issues Create communities around different aspects of a problem—modular approach Science of asking the right question Used to build consensus around vision, strategy, approaches Participants need to know what they’re being asked to accomplish

Used to help frame issues

Create communities around different aspects of a problem—modular approach

Science of asking the right question

Used to build consensus around vision, strategy, approaches

Participants need to know what they’re being asked to accomplish

Experimentation Platform

Experimentation Platforms

Experimentation Platforms Too many organizations go from idea to implementation without testing idea Neutral environments for testing things out—rapid prototypying Virtual innovation labs: Y Combinator Need agreement on success metrics Uncover implementation challenges

Too many organizations go from idea to implementation without testing idea

Neutral environments for testing things out—rapid prototypying

Virtual innovation labs: Y Combinator

Need agreement on success metrics

Uncover implementation challenges

Platforms for Implementation

Implementation Platforms Used for rolling out findings Create and distribute templates to assist replication Coordinate efforts of those in network Connected to offline sessions for sharing information, experiences

Used for rolling out findings

Create and distribute templates to assist replication

Coordinate efforts of those in network

Connected to offline sessions for sharing information, experiences

Innovation Platform: turning ideas into action, social businesses

Sambisan’s Ingredients for Platforms Need a Network Perspective: embrace non-traditional partners Modular or Plug-and-Play Expertise: agile Portfolio of Success Metrics Ability to dismantle barriers between government, business, non-profits

Need a Network Perspective: embrace non-traditional partners

Modular or Plug-and-Play Expertise: agile

Portfolio of Success Metrics

Ability to dismantle barriers between government, business, non-profits

Networked Public Health Different types of networks: loosely coupled, centralized, distributed, etc. Partnerships and Networks are not the same thing Rather than broad social movements-see more micro-movement Coordination and Control of Networks—governance Designing Networks: building relationships, managing in less hierarchical domains, interdependencies, roles and accountability What would the PHR for public health look like: collaborative platform that enables citizens to build, share, use data

Different types of networks: loosely coupled, centralized, distributed, etc.

Partnerships and Networks are not the same thing

Rather than broad social movements-see more micro-movement

Coordination and Control of Networks—governance

Designing Networks: building relationships, managing in less hierarchical domains, interdependencies, roles and accountability

What would the PHR for public health look like: collaborative platform that enables citizens to build, share, use data

Section 4: Apps for Democracy Example New way of driving innovation through engagement with citizenry Democratizing data Improving the quality of data Building platforms for win-wins for gov/citizens What can we learn from this for public health?

New way of driving innovation through engagement with citizenry

Democratizing data

Improving the quality of data

Building platforms for win-wins for gov/citizens

What can we learn from this for public health?

Platforms: Apps for Democracy

AppsforDemocracy examples..

Apps for Democracy

Apps for Democracy

Apps for Democracy

Apps for Democracy

Apps for Democracy

Apps for Democracy Lessons How can we do more with less? Some initial apps may appear trivial, incentivize for quality Helps move out of silos, command/control structures that hinder civic engagement Many agencies will resist change and not release data—incentives? What are costs for non-engagement? Opening up data creates conditions for innovation, better data Respond to citizens, not customers

How can we do more with less?

Some initial apps may appear trivial, incentivize for quality

Helps move out of silos, command/control structures that hinder civic engagement

Many agencies will resist change and not release data—incentives? What are costs for non-engagement?

Opening up data creates conditions for innovation, better data

Respond to citizens, not customers

Apps for Health? Crowdsourcing new tools for citizen engagement in public health Multiple rounds on different themes A way to drive innovation in tough economic climate Apps for Healthy Cities 2.0? Highlight neglected public health issues Incentivize multi-sectoral collaboration

Crowdsourcing new tools for citizen engagement in public health

Multiple rounds on different themes

A way to drive innovation in tough economic climate

Apps for Healthy Cities 2.0?

Highlight neglected public health issues

Incentivize multi-sectoral collaboration

Challenges for AppsForHealth Privacy issues with health data Development of open standards Apps for individuals vs. community health outcomes: difficult translation Lack of good behavioral change models: crowdsource alternative paradigms? Complexity of chronic diseases vs. simplicity of apps

Privacy issues with health data

Development of open standards

Apps for individuals vs. community health outcomes: difficult translation

Lack of good behavioral change models: crowdsource alternative paradigms?

Complexity of chronic diseases vs. simplicity of apps

Section 5: The City and Public Health as Platform City as Platform Open Innovation Platform Tools to think with

City as Platform

Open Innovation Platform

Tools to think with

City as Platform

The City as Open Innovation Platform

Villes 2.0 Can the city be re-imagined as a platform that can be modified by its users? What resources can be shared and mobilized for re-thinking the city? The suite of web 2.0 tools available can be used to re-fashion urban services, make user-friendly New Ethos embodied in Apps for Democracy

Can the city be re-imagined as a platform that can be modified by its users?

What resources can be shared and mobilized for re-thinking the city?

The suite of web 2.0 tools available can be used to re-fashion urban services, make user-friendly

New Ethos embodied in Apps for Democracy

Government-Citizen Cooperation

Co-created Govt services

Responding and Engaging in a world of Tweets Gavin Newsom claims using free service like Twitter saved 100k over using SMS for 311 service

Disaster planning Use of social media platforms to cross silos and help build more resilient infrastructures—avoiding future Hurricane Katrinas

Civic Partnerships

Civic Engagement

The tools are here… Mapping Open data Transparency Data visualization Platform integration for services How to tie it all together and make sense? We need to rethink organizations, networks, communities In many ways this is what AppsForDemocracy points toward…

Mapping

Open data

Transparency

Data visualization

Platform integration for services

How to tie it all together and make sense?

We need to rethink organizations, networks, communities

In many ways this is what AppsForDemocracy points toward…

Opportunity Mapping: how to make it user friendly? GIS is enabling greater use of maps and geo-coded data to make patterns more visible

Urban Eco-Maps

Green Maps

Crime Mapping

Crime Mapping

Crime Mapping

Open data

Open Data

Democratizing Data

DBpedia

Databases

Linked Data Linked data and semantic web are next stage of where the internet is heading

Open City Data (San Francisco)

Wikis and linking communities

Transparency

Transparency: legal

Crowdsourcing Health Politics & Transparency

Transparency: Food Safety

Transparency

Transparency

Transparency: Corporate

‘ Radical’ Transparency

Transparency policies

Transparency Policies: Need to provide info that is easy to use Target transparency systems towards interested parties Be nimble in responding to changed priorities of users Create benefits for disclosers of information Design with metrics for accuracy and compatibility Design for comprehension: eg. Visualization/infographic tools Incorporate analysis and feedback Sanctions for non-reporting

Need to provide info that is easy to use

Target transparency systems towards interested parties

Be nimble in responding to changed priorities of users

Create benefits for disclosers of information

Design with metrics for accuracy and compatibility

Design for comprehension: eg. Visualization/infographic tools

Incorporate analysis and feedback

Sanctions for non-reporting

Data Visualization tools

Data Visualization tools

Services for Creating Visual tools

Data Visualization

Infographics

Widgetization of Web

Mapping Services

GeoCommons

Geoweb More data are geocoded, web-based and mobile Growth in use of Google maps, etc. GIS becoming more ubiquitous, user-friendly Peer-to-peer geo-based services on iPhone More bottom-up, co-created maps Power of place and information in policies Participatory mapping and planning

More data are geocoded, web-based and mobile

Growth in use of Google maps, etc.

GIS becoming more ubiquitous, user-friendly

Peer-to-peer geo-based services on iPhone

More bottom-up, co-created maps

Power of place and information in policies

Participatory mapping and planning

Planning differently…

Participatory Budgeting Social media tools and Wiki Government + Mapping and Visualization Tools can re-make the participatory budgeting movement

Planning: Wiki Government

Geosimulation

DIY: tools for building urban tools

Section 6: More tools and signals Making the Invisible Visible Mobiles and Urban computing Persuasive Technologies and Games

Making the Invisible Visible

Mobiles and Urban computing

Persuasive Technologies and Games

Tools for making the invisible visible Low cost diagnostics Sensors Visual Tools Augmented Reality Mash-ups Mobiles =Tools for Collective Action on Health Issues

Low cost diagnostics

Sensors

Visual Tools

Augmented Reality

Mash-ups

Mobiles

=Tools for Collective Action on Health Issues

Making the invisible visible…

Spatial Information Design Lab

Making it Political VISIBLE

Aesthetics of Political Visibility

Augmented Reality

Urban Computing Urban infrastructures Maps, traffic info Sense of place Mobile devices, sensors Social computing/networking: familiar strangers City info, open data Augmented Reality—now on mobiles

Urban infrastructures

Maps, traffic info

Sense of place

Mobile devices, sensors

Social computing/networking: familiar strangers

City info, open data

Augmented Reality—now on mobiles

Urban Computing City Sense: San Franciso-Hot Spots Understand behaviors of “users” of the city Citizen Science, eg. Working with SF Street Sweepers on air quality Ergo—mobile air quality

City Sense: San Franciso-Hot Spots

Understand behaviors of “users” of the city

Citizen Science, eg. Working with SF Street Sweepers on air quality

Ergo—mobile air quality

Urban computing: sensors

Urban Computing (cont.)

Urban Sensing: mobile computing

CENS:(Cont)

CENS: (cont)

CENS: Feedback Loops

Persuasive Tech Example: Prius dashboard: changing behavior

Persuasive Technologies—mobile web

Persuasive Technologies: BJ Fogg Captology: computers as persuasive tech About intentions of designers of products persuading user: goal focused Less concerned with altering framing of perception that user has already developed

Captology: computers as persuasive tech

About intentions of designers of products persuading user: goal focused

Less concerned with altering framing of perception that user has already developed

Persuasive Technologies Reduction: reduce complex behavior to simple tasks Tunneling: leading user through pre-determined set of actions Suggestion: suggest behavior at most opportune moment Self-Monitoring: monitor behaviors to achieve pre-determined goal Surveillance: one party monitors behavior of another Conditioning: using operant conditioning to change behaviors, eg. Telecycle—when pedaled to a target speed and image is clarified on screen

Reduction: reduce complex behavior to simple tasks

Tunneling: leading user through pre-determined set of actions

Suggestion: suggest behavior at most opportune moment

Self-Monitoring: monitor behaviors to achieve pre-determined goal

Surveillance: one party monitors behavior of another

Conditioning: using operant conditioning to change behaviors, eg. Telecycle—when pedaled to a target speed and image is clarified on screen

Persuasive Games

Persuasive Games: Ian Bogost More focused on using rhetoric to engage user in a discourse about behavior itself, more reflexive Does not accept as a given that user understands or accepts the larger reason for a behavior Persuasive Tech is largely framed around psychology, Persuasive Games around rhetoric

More focused on using rhetoric to engage user in a discourse about behavior itself, more reflexive

Does not accept as a given that user understands or accepts the larger reason for a behavior

Persuasive Tech is largely framed around psychology, Persuasive Games around rhetoric

Persuasive Games Stimulate critical thinking: not the same as “serious games” that do not question established norms “ Killer Flu”: helps to understand how pandemic flus mutate and the geographical contingencies of the epidemiology “ Fat World”: politics of Nutrition “ Food Import Folly”: interrogates role of FDA, in collaboration with NY Times “ Bacteria Salad”: on agri-business, food safety “ Stone City: Cold Stone Creamery”: on portion size and profits

Stimulate critical thinking: not the same as “serious games” that do not question established norms

“ Killer Flu”: helps to understand how pandemic flus mutate and the geographical contingencies of the epidemiology

“ Fat World”: politics of Nutrition

“ Food Import Folly”: interrogates role of FDA, in collaboration with NY Times

“ Bacteria Salad”: on agri-business, food safety

“ Stone City: Cold Stone Creamery”: on portion size and profits

Public Dashboards as Persuasive Technologies

Urban-Mobile Computing

Hypercities

Hypercities Layers of historical information about cities Puts the archives of cultural histories and diverse communities on the web Encourages exploration of the history and layers of the city Goal is to change the way we interact with information on the city and with each other

Layers of historical information about cities

Puts the archives of cultural histories and diverse communities on the web

Encourages exploration of the history and layers of the city

Goal is to change the way we interact with information on the city and with each other

Mobile Health

Mobile Health: Frontline Medic/Open MRS Source: Josh Nesbitt, http://www.jopsa.org/?p=404

Mobile Health Applications Education and Awareness Data collection (for public health or clinical domains) Remote monitoring Communication and Training for Healthcare Workers Disease Surveillance and Epidemic Outbreak Tracking (Malaria, HIV/AIDS, TB, Avian Flu, chronic diseases- esp. diabetes) Diagnostics and Treatment Support mLearning, mobile health 2.0 (citizen facing) Emergency Response Decision Support Systems Remote Patient Monitoring Health Extension Services

Education and Awareness

Data collection (for public health or clinical domains)

Remote monitoring

Communication and Training for Healthcare Workers

Disease Surveillance and Epidemic Outbreak Tracking (Malaria, HIV/AIDS, TB, Avian Flu, chronic diseases- esp. diabetes)

Diagnostics and Treatment Support

mLearning, mobile health 2.0 (citizen facing)

Emergency Response

Decision Support Systems

Remote Patient Monitoring

Health Extension Services

Smart Mobs for Health

RED: Open Health Design: don’t improve existing services but design for desired outcomes Design begins with point of view of individual, not the system Co-creation Smart Mobs in Health=ActivMobs Redesign the patient-professional relationship Use this ethos for designing next gen mHealth ?

Design: don’t improve existing services but design for desired outcomes

Design begins with point of view of individual, not the system

Co-creation

Smart Mobs in Health=ActivMobs

Redesign the patient-professional relationship

Use this ethos for designing next gen mHealth ?

Convergence of social media and mobiles, eg. InSTEDD

InSTEDD

Mobile Health Research: CITRIS

Mobile Crowdsourcing

Mobile crowdsourcing: micro-volunteering

Section 7: Innovation Systems and Public Health Open Innovation User-led Innovation Peer-to-Peer New Commons Prevention Economies Design Thinking Forecasting

Open Innovation

User-led Innovation

Peer-to-Peer

New Commons

Prevention Economies

Design Thinking

Forecasting

How we think about innovation is changing…

NESTA (UK) Innovation: Cooperation and the Commons

New Innovation Approaches: User-led Innovation

Peer-to-Peer

P2P Health

Commons: Science/Health Commons

Prevention Economies: Nordic Region as Global Health Lab

Nordic Region Health Lab Prevention as top policy priority Open access to data Engagement with Civil Society organizations Collaborative Ethos Innovative science, strong industry participation Equal access to health Citizens and User-driven innovation

Prevention as top policy priority

Open access to data

Engagement with Civil Society organizations

Collaborative Ethos

Innovative science, strong industry participation

Equal access to health

Citizens and User-driven innovation

Lessons Health as a goal in itself Steps toward a prevention economy rather than sickness economy Health as economic driver rather than drain on resources Multi-sectoral Demands open health model

Health as a goal in itself

Steps toward a prevention economy rather than sickness economy

Health as economic driver rather than drain on resources

Multi-sectoral

Demands open health model

New Innovation Architectures Clayton Christensen’s “Network Facilitation Model” Need to move beyond single slice, blockbuster product or service Cooperative models with Health Commons Public Health as the Platform for “plug and play” Enabler of innovation

Clayton Christensen’s “Network Facilitation Model”

Need to move beyond single slice, blockbuster product or service

Cooperative models with Health Commons

Public Health as the Platform for “plug and play”

Enabler of innovation

Design Thinking: IDEO’s Human Centered Design What do people desire? What is technologically and organizationally feasible? What can be financially feasible?

What do people desire?

What is technologically and organizationally feasible?

What can be financially feasible?

Desireability Feasibility Viability

Design Thinking Observations Stories Themes Opportunities Solutions Prototypes Implementation Plan

Observations

Stories

Themes

Opportunities

Solutions

Prototypes

Implementation Plan

Service Design

Scenarios and Forecasting for Public Health Making visible the drivers of change and trends Identification of emerging opportunities and threats Building more resilient systems in a system that is not centered around command/control systems

Making visible the drivers of change and trends

Identification of emerging opportunities and threats

Building more resilient systems in a system that is not centered around command/control systems

Innovation, Risk & Failure Woody Allen: If you’re not failing every now and again, it’s a sign you’re not doing anything very innovative

Woody Allen: If you’re not failing every now and again, it’s a sign you’re not doing anything very innovative

Wikipedia of Failures as Innovation Platform Failure as forgotten data point But understanding why things fail can help drive innovation Rapid (Slow) prototyping in Public Health Take risks, learn, rethink and innovate

Failure as forgotten data point

But understanding why things fail can help drive innovation

Rapid (Slow) prototyping in Public Health

Take risks, learn, rethink and innovate

Section 8: Future Issues Cloud Computing and Identities Technological Citizenship Resilience Public Health Platforms in the Cloud

Cloud Computing and Identities

Technological Citizenship

Resilience

Public Health Platforms in the Cloud

Pointing toward the Future: The Cloud… “ At the end of August [2008], as Hurricane Gustav threatened the coast of Texas, the Obama campaign called the Red Cross to say it would be routing donations to it via the Red Cross home page. “Get your servers ready—our guys can be pretty nuts”, Team Obama said. “Sure, sure, whatever”, the Red Cross responded. “We’ve been through 9/11, Katrina, we can handle it.” The surge of Obama dollars crashed the Red Cross website in less than 15 minutes. —Newsweek See J.D. Lascia (2009). Identity in an Age of Cloud Computing, Aspen Institute, Boulder CO.

“ At the end of August [2008], as Hurricane Gustav threatened the coast of Texas, the Obama campaign called the Red Cross to say it would be routing donations to it via the Red Cross home page. “Get your servers ready—our guys can be pretty nuts”, Team Obama said. “Sure, sure, whatever”, the Red Cross responded. “We’ve been through 9/11, Katrina, we can handle it.” The surge of Obama dollars crashed the Red Cross website in less than 15 minutes. —Newsweek

Cloud Computing Virtual Platform, eg. SalesForce, web mail, Delicious, YouTube Transition from self-generated power to the grid (transition we’re going through now) Software as a Service (SaaS), eg. Amazon Web Services Enables greater customization Can lower the carbon footprint of IT for orgs

Virtual Platform, eg. SalesForce, web mail, Delicious, YouTube

Transition from self-generated power to the grid (transition we’re going through now)

Software as a Service (SaaS), eg. Amazon Web Services

Enables greater customization

Can lower the carbon footprint of IT for orgs

Cloud Computing Now, you use cloud computing at home, but your CTO doesn’t allow you to use it at work But we may have “inter-clouds” between orgs to facilitate cooperation, eg. Virtual Alabama Therefore, public and private identities emerging Boundaries as socio-cultural constructs How can public health take advantage of cloud? What are the risks? We need to start a discussion

Now, you use cloud computing at home, but your CTO doesn’t allow you to use it at work

But we may have “inter-clouds” between orgs to facilitate cooperation, eg. Virtual Alabama

Therefore, public and private identities emerging

Boundaries as socio-cultural constructs

How can public health take advantage of cloud? What are the risks?

We need to start a discussion

Cloud Computing & Identities Management of multiple identities, eg. Biz identity, health identity, friend profiles Open identities that reveal just enough data So this cloud is a mash-up of lots of social objects with different rules And markets are becoming cooperative ecosystems, not zero-sum competitive markets

Management of multiple identities, eg. Biz identity, health identity, friend profiles

Open identities that reveal just enough data

So this cloud is a mash-up of lots of social objects with different rules

And markets are becoming cooperative ecosystems, not zero-sum competitive markets

Cloud Eco-systems Drive for open identities and equalities comes up against old biz models  conflict Privacy and security mean different things to different people  HIPAA = blunt instrument, regulatory regimes are not the final word… Reputation systems/management not decentralized  digital footprints Reputation as value

Drive for open identities and equalities comes up against old biz models  conflict

Privacy and security mean different things to different people  HIPAA = blunt instrument, regulatory regimes are not the final word…

Reputation systems/management not decentralized  digital footprints

Reputation as value

Cloud Computing and Innovation Greater customization Reduced barriers to entry Combinatorial innovation Benefits of scope may outweigh scale Greater organizational complexity and info transparency—more distributed, collaborative approaches Rapid proliferation of best practices and change Innovation models themselves will change Move from marketing push to customer (citizen) pull But have to deal with risks as well

Greater customization

Reduced barriers to entry

Combinatorial innovation

Benefits of scope may outweigh scale

Greater organizational complexity and info transparency—more distributed, collaborative approaches

Rapid proliferation of best practices and change

Innovation models themselves will change

Move from marketing push to customer (citizen) pull

But have to deal with risks as well

Risks of the Cloud Security of data Reliability and backup systems Data interoperability Compliance and liability PHRs and privacy in the cloud Crime mapping Broader privacy politics in context(s)

Security of data

Reliability and backup systems

Data interoperability

Compliance and liability

PHRs and privacy in the cloud

Crime mapping

Broader privacy politics in context(s)

Technological Citizenship and Public Health Responsibility to know how to use these techs, understand rights Techno-social inclusion: need to build the tools and awareness to engage What are the new axes of inequalities? Re-configuring public health as platform Emergence of OPEN HEALTH paradigms Whose transparency counts for whom?

Responsibility to know how to use these techs, understand rights

Techno-social inclusion: need to build the tools and awareness to engage

What are the new axes of inequalities?

Re-configuring public health as platform

Emergence of OPEN HEALTH paradigms

Whose transparency counts for whom?

Public Health 2.0 Public Health for the Network Society: re-think organizational forms Public Health as Platform: enabler of user-led innovation Public Health as Multi-sector outcome: Health impact of all policies and actually creating multi-sectoral interventions that work Public Health & Social Inclusion in Network Society Public Health as resilient system(s)

Public Health for the Network Society: re-think organizational forms

Public Health as Platform: enabler of user-led innovation

Public Health as Multi-sector outcome: Health impact of all policies and actually creating multi-sectoral interventions that work

Public Health & Social Inclusion in Network Society

Public Health as resilient system(s)

Social Status Education Physical Environment Parenting Quality of Life Physical Health Incomes Work Mental Health Determinants of Health: How do we design for this? Source: Welling Project, Scotland

Resilience and Public Health Resilience from the non-system called the health system Substantive reform unlikely to come from federal govt Multiple layers of sustainability: ecological, financial Sense, learn, create, re-organize (Andrea Saveri) Design platforms for managing complexity Increase ability of organizations to absorb threats (pandemics, State of California dysfunctional system, etc.) The tools for doing this are already available

Resilience from the non-system called the health system

Substantive reform unlikely to come from federal govt

Multiple layers of sustainability: ecological, financial

Sense, learn, create, re-organize (Andrea Saveri)

Design platforms for managing complexity

Increase ability of organizations to absorb threats (pandemics, State of California dysfunctional system, etc.)

The tools for doing this are already available

How can we respond to this vision of health? From PHRs to ePHIS ePHIS= personal health information systems as open platform for community-driven innovation Data + networking/communication Connected to tools and platforms presented throughout this presentation Eg. Portugal created i-Citizen project for rural diabetic community

ePHIS= personal health information systems as open platform for community-driven innovation

Data + networking/communication

Connected to tools and platforms presented throughout this presentation

Eg. Portugal created i-Citizen project for rural diabetic community

Public Health Innovation Not just new products & services Prevention is rarely more than 2.9% of overall health budget: need policy innovation Will have to be open innovation: open health Network governance, new partnerships, taking social determinants seriously Become experts at building and maintaining open systems, ie. open health, cooperation, managing new health commons, city as platform See KickBusch, ed. (2008), Policy Innovation for Health

Not just new products & services

Prevention is rarely more than 2.9% of overall health budget: need policy innovation

Will have to be open innovation: open health

Network governance, new partnerships, taking social determinants seriously

Become experts at building and maintaining open systems, ie. open health, cooperation, managing new health commons, city as platform

Challenges Dynamics of network organizations? New governance models How to manage the commons formed through interdependencies? Moving from innovation being about tech to innovation concerned with knowledge that creates value PPP-P: the extra P = People

Dynamics of network organizations?

New governance models

How to manage the commons formed through interdependencies?

Moving from innovation being about tech to innovation concerned with knowledge that creates value

PPP-P: the extra P = People

The tools are here… Social networks and new governance Participatory approaches Co-created, peer-to-peer, sharing economies Maps, data, platforms Mobiles as platform but need more than just mobile talk—policies, strategies Need new approaches to behavior, communications, health politics We lack coherent strategies and platforms in public health Mindset shift towards innovation, open approaches, prevention, decentering expertise

Social networks and new governance

Participatory approaches

Co-created, peer-to-peer, sharing economies

Maps, data, platforms

Mobiles as platform but need more than just mobile talk—policies, strategies

Need new approaches to behavior, communications, health politics

We lack coherent strategies and platforms in public health

Mindset shift towards innovation, open approaches, prevention, decentering expertise

Resources Us Now documentary: http://www.vimeo.com/4489849 Wiki Government, by Beth Simone Noveck http://www.gauravonomics.com/blog/ Full Disclosure, by Archon Fung et al. Investing in Democracy by Carmen Sirianni Platforms for Collaboration by Satish Nambisan, Stanford Social Innovation Review, Summer 2009 Smart Mobs by Howard Rheingold https://www.taik.fi/kirjakauppa/product_info.php?cPath=11&products_id=134 Policy Innovation for Health ed. By Ilona Kickbusch IDEO Human Centered Design Handbook Here Comes Everybody by Clay Shirky

Us Now documentary: http://www.vimeo.com/4489849

Wiki Government, by Beth Simone Noveck

http://www.gauravonomics.com/blog/

Full Disclosure, by Archon Fung et al.

Investing in Democracy by Carmen Sirianni

Platforms for Collaboration by Satish Nambisan, Stanford Social Innovation Review, Summer 2009

Smart Mobs by Howard Rheingold

https://www.taik.fi/kirjakauppa/product_info.php?cPath=11&products_id=134

Policy Innovation for Health ed. By Ilona Kickbusch

IDEO Human Centered Design Handbook

Here Comes Everybody by Clay Shirky