MIT Hacking Medicine

1. #innovationleadership @mithackmed @innovationnwc @TheEAHSN

2. Hacking (v)
a creative application of ingenuity
to gain unauthorized access, to break

3. WHAT IS A HACKATHON?
• The word “hackathon” is a
portmanteau of the words “hack”
and “marathon”
• “Hacking” refers to intense,
innovative teamwork to develop a
solution (“hack”) to an existing
problem in a short time-frame

4. DESIGN THINKING PROCESS

5. DESIGN THINKING PROCESS
Step 0: IDENTIFY THE PROBLEM
Step 1: BREAK IT DOWN
Step 2: BUILD IT UP
Step 3: MAKE IT BETTER

6. Good design makes our jobs easier

7. Sodium
141
Potassium
3.1
Chloride
98
Bicarbonate 24
BUN
17
Creatinine
0.9
Glucose
121

8. 141
3.1
98
24 0.9
17
121
25.3
31.2
193
10.1

9. 141
3.1
98
24 0.9
17
121
25.3
31.2
193
10.1

10. Good design lowers costs

15. Good design saves lives

16. ANY COMPLICATION 11.0
SURGICAL SITE INFECTION 6.2
DEATH 1.5
Haynes, A. B., et al. (2009). A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. New England Journal of Medicine, 360(5),
491–499. http://doi.org/10.1056/NEJMsa0810119

18. Haynes, A. B., et al. (2009). A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. New England Journal of Medicine, 360(5),
491–499. http://doi.org/10.1056/NEJMsa0810119

19. The more complex a system is,
the more critical good design becomes

20. Does this process really work?

21. 38+ companies in 6 years
$150+ million in funding
TechStars, RockHealth, Y-Combinator, etc.
Real patients, pilots, and clinical trials

22. Case Study:
PillPack

23. PROBLEM
34M 50%
$188B 700K

24. IDENTIFY
THE
PROBLEM

25. The pain point is that the patient
wants their symptoms to be under
control but has to prioritize work and
family over managing medication
PAIN POINT

26. PATIENT
EXPERIENCE

27. BREAK
IT
DOWN

28. What do they
need?
What do they
want?
BREAK IT DOWN
Users
Stakeholders
Payers

29. BREAK IT DOWN
Patient
Family/Caregiver
Clinician
Pharmacy
Health Insurance
Health Systems
Frustrated + busy
Worried
Annoyed
Losing money
Wants to save $
Wants to avoid
admissions

30. BUILD
IT
UP

31. BUILD IT UP
OUR GOAL IS TO IMPROVE ______________________________
• QUALITY OF __________
• ACCESS TO _______________
• FREQUENCY/RATE OF _______
• EFFICIENCY OF ____________
• PROFITS OF __________
FIRST TARGET CUSTOMER IS ______
THEY SUFFER FROM ____________
WE CAN IMPROVE THEIR EXPERIENCE/HEALTH BY ______________
TODAY THEY SOLVE THIS BY ______________
BUT THE PROBLEM IS ____________________
OUR SOLUTION IS TO ATTACK _____________________
STARTING WITH _______________
THEY WILL BE EARLY ADOPTERS BECAUSE _________

32. BUILD IT UP
OUR GOAL IS TO IMPROVE THE EXPERIENCE OF pts managing multiple meds
• QUALITY OF care and pharmacy experience
• ACCESS TO pharmacists and meds
• FREQUENCY/RATE OF medication took on time + right dose
FIRST TARGET CUSTOMER IS 20-40s taking multiple meds
THEY SUFFER FROM chronic conditions
WE CAN IMPROVE THEIR EXPERIENCE/HEALTH BY taking care of entire med
experience
TODAY THEY SOLVE THIS BY going (or not going) to retail pharmacy
BUT THE PROBLEM IS the experience sucks
OUR SOLUTION IS TO ATTACK management of multiple meds
STARTING WITH 20-40 y.o. with chronic condition and into tech
THEY WILL BE EARLY ADOPTERS BECAUSE busy but not change-adverse

33. MAKE
IT
BETTER

34. MAKE IT BETTER
Glow Caps

35. MAKE IT BETTER
Medisafe

36. MAKE IT BETTER
PillPack

38. It started with the problem...

39. Can the design thinking process and
the MIT Hacking Medicine Method
translate to tackling tough challenges
in the public sector?

40. WE’RE GOING
TO FIND OUT!

41. HACK 101
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

42. Pitch Mix Hack Feedback Iterate Present
Right after this!
HACKATHON PROCESS
After lunch End of Day
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

43. HACKATHON: PITCH
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44. HACKATHON: MIX
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45. HACKATHON: HACK
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46. HACKATHON: FEEDBACK
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47. HACKATHON: ITERATE
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

48. HACKATHON: PRESENTATION
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

49. Evaluation Criteria
Health Impact
• Real problem
• Potential for widespread impact
• Solution addresses identified problems
Innovation
• Addresses challenges of specific stakeholders
• Convincing rationale for why solution will work
• Considers user experience and interface, service design
• Technologically innovative / creative (‘better/faster/cheaper’)
Business
Model
• Sustainable business model
• Demonstrates a plan to work in the field
Presentation • Presentation effectiveness
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

50. Eastern AHSN
Award
For the innovation
most likely to be
implemented
Innovation
Agency Award
For the biggest
system impact on
spread and
adoption of
innovation
AWARDS!
MIT Hacking
Medicine Award
For the best idea
that supports an
entrepreneurial
approach
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

51. HACK DOs
• OPEN YOURSELVES TO CRAZY IDEAS
• LEAVE TITLES AT THE DOOR
• SEEK DIVERSE TEAMS
• REACH OUT FOR HELP
• FAIL FAST AND CHANGE (ITERATE and PIVOT)
• FOCUS YOUR PROBLEM
• BUILD SOMETHING
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

52. HACK DON’Ts
• WORRY ABOUT PATENTING
• DISCUSS OWNERSHIP
• DEVELOP TOO BROAD OF A SOLUTION
• BE NEGATIVE
• BE SHY
• MONOPOLIZE THE CONVERSATION
• ONLY TALK… TAKE ACTION. TRY THINGS OUT
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

53. NHS Problem Statements
• [Theme 1]: [blurb]
• [Theme 2]: [blurb]
• [Theme 3]: [blurb
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

54. PROBLEM PITCHING
60 sec Be specific No solutions
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

55. Talk to those with different backgrounds than you!
The strongest teams have members that span many areas of expertise
Aim for 4-6 people per team.
Find pitch #’s/
problem statements
you liked
Talk with other
participants
Form teams around an
unmet need
Team Formation
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

56. PRO TIP: TELL A STORY!
“My father is blind and can’t tell apart his meds because all of his pill bottles
are smooth and similar in size and shape. As a result, he is dependent on me
or another family member sorting his medications into containers marked with
Braille every time he gets a refill.”
Problem pitch:
”I want to build an app that analyzes mood and vital sign data.”
Not a problem pitch:
#innovationleadership @mithackmed @innovationnwc @TheEAHSN

57. #innovationleadership @mithackmed @innovationnwc @TheEAHSN