Open Flow
Supernova 2008




                 June 17, 2008
Proprietary Software
                                                 World Wide Web


Closed                             ...
…openness is not binary; information or processes are not open or
closed. They sit on a broad continuum stretching from cl...
…if information is not   available or available only under
restrictive conditions it is less accessible and therefore
less...
…if information can be  modified, repurposed,
and redistributed freely it is more responsive,
and therefore more “open.”
…but greater openness is not
always the best solution…
• Privacy, security, protecting the rights of
  creators, fostering competition, are among
   values that might limit open...
…openness is ultimately not about technology
      but about an attitude…




…greater openness is when        …when game ...
Openness and Value Creation I
• The traditional theory of Intellectual Property sees
  control as central to value creatio...
Openness and Value Creation II
• Creating value from sharing offers a mirror
  image to the traditional view of IP and con...
• Information wants to be free
• Information wants to be expensive
Products of Increased Openness
• Wikipedia
• Public Library of Science (PLoS)
• YouTube and user-generated content of all ...
The Human Genome
  Project: A Model of…
ope
      nne
            ss
                 ope
                       nne
     ...
What Happens To Genomic Data?




Legislation forbidding discrimination based on genetic information
was just enacted




...
Standards                       Standards
                Standards                  Standards


    Standards




Standar...
…only


         1/4
of medical practices are based on
adequate evidence of their
efficacy…
…most drugs prescribed have positive impacts on fewer than




            60 percent
                        of those rec...
…according to the Agency for Healthcare and Quality
Research and the National Cancer Institute, it takes



        13-17 ...
52 percent
…of primary care physicians report that
their patients are now arriving with
printouts from web searches…
…roughly   25 percent
            of   U.S.   doctors utilize EHRs

    Compared to:

     98 percent of doctors in the Ne...
Genomic, nutrigenomic,
pharmacogenomic,                                Environmental exposure
epigenomic, and
proteonomic ...
…on the internet, everyone
knows you’re a dog…
Regulatory concerns over post-
                           approval changes to medical
                           devices

...
Privacy/Security                           Evidenced-based medicine

                                              Electro...
For further information, contact
emaxwell@emaxwell.net, or visit
http://www.emaxwell.net




              *Images used un...
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Maxwell Supernova 2008

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Maxwell Supernova 2008

  1. 1. Open Flow Supernova 2008 June 17, 2008
  2. 2. Proprietary Software World Wide Web Closed Open Wikipedia Never Shared Open Source
  3. 3. …openness is not binary; information or processes are not open or closed. They sit on a broad continuum stretching from closed to open, based on their accessibility and responsiveness…
  4. 4. …if information is not available or available only under restrictive conditions it is less accessible and therefore less “open.”
  5. 5. …if information can be modified, repurposed, and redistributed freely it is more responsive, and therefore more “open.”
  6. 6. …but greater openness is not always the best solution…
  7. 7. • Privacy, security, protecting the rights of creators, fostering competition, are among values that might limit openness • Or might not. Security via obfuscation? Protect the perimeter or protect the core? • The purpose and context are critical
  8. 8. …openness is ultimately not about technology but about an attitude… …greater openness is when …when game hunters in Cameroon patients have more information provide samples to public health and doctors listen closely to researchers on the lookout for them… emerging diseases…
  9. 9. Openness and Value Creation I • The traditional theory of Intellectual Property sees control as central to value creation and, therefore, innovation • Providing control to the creator (or the rights holder) allows the innovation to be monetized through licensing etc. • The greater the control (longer terms, higher penalties for infringement) the greater the incentive for innovation • But access control is costly and never perfect
  10. 10. Openness and Value Creation II • Creating value from sharing offers a mirror image to the traditional view of IP and control • The wider the sharing, the greater the openness, the more potential value from both expected and unexpected sources • Modifying, copying, and distributing are cheap • With enough eyeballs, all bugs are shallow
  11. 11. • Information wants to be free • Information wants to be expensive
  12. 12. Products of Increased Openness • Wikipedia • Public Library of Science (PLoS) • YouTube and user-generated content of all kinds • Collaborative filtering • Mash-ups and Remixes • Craigslist • Open innovation e.g. P&G—From “not invented here” to “proudly discovered elsewhere” (Or is this just outsourcing R&D? Who gets the value?) • Tinkering and other user-led innovation • Reporting of all clinical trials, even failures
  13. 13. The Human Genome Project: A Model of… ope nne ss ope nne ss op en n es s op en ne ss openness ope ness nne o pen ss ope op nne s e nn ss n nes es open ness ope s ss openne op en n es s ope nne ss
  14. 14. What Happens To Genomic Data? Legislation forbidding discrimination based on genetic information was just enacted Some prominent individuals have already made their genetic profiles public…
  15. 15. Standards Standards Standards Standards Standards Standards Standards …greater openness is impossible without standards… …open standards reflect increased openness…
  16. 16. …only 1/4 of medical practices are based on adequate evidence of their efficacy…
  17. 17. …most drugs prescribed have positive impacts on fewer than 60 percent of those receiving them…
  18. 18. …according to the Agency for Healthcare and Quality Research and the National Cancer Institute, it takes 13-17 years to get 14 percent of research into healthcare practice…
  19. 19. 52 percent …of primary care physicians report that their patients are now arriving with printouts from web searches…
  20. 20. …roughly 25 percent of U.S. doctors utilize EHRs Compared to: 98 percent of doctors in the Netherlands 92 percent of doctors in New Zealand 89 percent of doctors in the UK…
  21. 21. Genomic, nutrigenomic, pharmacogenomic, Environmental exposure epigenomic, and proteonomic data Evidence Insurance claims data Based Data underlying clinical trials and research sponsored by government-funded agencies Medicine Family medical history Deidentification Diet and exercise data
  22. 22. …on the internet, everyone knows you’re a dog…
  23. 23. Regulatory concerns over post- approval changes to medical devices user driven innovation in computational devices
  24. 24. Privacy/Security Evidenced-based medicine Electronic Health Records Standards, terminology and Biomedical nomenclature that Research allow the sharing and manipulation of data Clinical Trials Data Present Data Access to underlying Disclosure data in searchable and computable form Traditional Open Access publishing Journals and methods Repositories Concerns over post- User driven innovation approval changes Medical Devices in computational devices
  25. 25. For further information, contact emaxwell@emaxwell.net, or visit http://www.emaxwell.net *Images used under a Creative Commons license

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