In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health. We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also: - implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and - transform the way we deliver health care to ensure access to quality, affordable health care for all. Enjoy this keynote presentation from Clark Kellogg of Collective Invention, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health. To learn more about this event, please visit: http://calpact.org/index.php/en/events/leadership-conference Learn more about CALPACT: http://calpact.org/ Learn more about the CHL: http://chl.berkeley.edu/

1. Innova&ng
Upstream:
How
a
Li5le
Spring
can
become
a
Mighty
River
Clark
Kellogg,
Partner,Collec&ve
Inven&on,
Inc
Lecturer,
UC
Berkeley
Friday,
May
31st

2. People
Process
Prescrip&on

3. People
Process
Prescrip&on

4. 4Problem Finding Problem Solving Spring 2013
The Spaghetti Challenge

5. 5Problem Finding Problem Solving Spring 2013
•Build the Tallest Freestanding Structure: The winning team is the
one that has the tallest structure measured from the table top surface
to the top of the marshmallow. That means the structure cannot be
suspended from a higher structure, like a chair, ceiling or chandelier.
•The Entire Marshmallow Must be on Top: The entire marshmallow
needs to be on the top of the structure. No part of the structure may be
above the marshmallow. Cutting or eating part of the marshmallow
disqualifies the team.
•Use as Much or as Little of the Kit: The team can use as many or as
few of the 20 spaghetti sticks, as much or as little of the string or tape.
•Break up the Spaghetti, String or Tape: Teams are free to break the
spaghetti, cut up the tape and string to create new structures.
•The Challenge Lasts 18 minutes: Teams cannot hold on to the
structure when the time runs out. Those touching or supporting the
structure at the end of the exercise will be disqualified.
The Rules:

6. 6Problem Finding Problem Solving Spring 2013
The Spaghetti Challenge Countdown: 18 minutes
http://timer.onlineclock.net/

7. 7Problem Finding Problem Solving Spring 2013
Learning from The Spaghetti Challenge

8. 8Problem Finding Problem Solving Spring 2013
What Might We Learn from the Spaghetti
(or Marshmallow) Challenge?
http://www.ted.com/talks/tom_wujec_build_a_tower.html

9. What’s so hard about
innovating?

12. People
Process
Prescrip&on

15.
The Innovation
process

16. Concrete
Abstract
Analysis Synthesis
Innova'on
Process:
A
Learning
Method

17. Concrete
Abstract
Analysis Synthesis
Observations
Innova'on
Process:
A
Learning
Method

18. Concrete
Abstract
Analysis Synthesis
Observations
Insights
Innova'on
Process:
A
Learning
Method

19. Concrete
Abstract
Analysis Synthesis
Observations
Insights Ideas
Innova'on
Process:
A
Learning
Method

20. Concrete
Abstract
Analysis Synthesis
Observations
Insights Ideas
Solutions
Innova'on
Process:
A
Learning
Method

21. Concrete
Abstract
Analysis Synthesis
Observations
Insights Ideas
Solutions
Empathy
Iterate
Diverge/Converge
Storytelling
Innova'on
Process:
Underlying
Skills,
Common
Language
Insight

23. Petra Bourke
CAROLINE,
“THE INDEPENDENT ENTHUSIAST”
56 years old; divorced nine years ago, resides in Orinda, CA, in the
home in which she raised her children.
I adore food--
everything about it,
from growing it to
preparing it for people.
My ex-husband introduced
me to the notion of terroir, or
the appreciation of the effect
that local environment has
on food and wine.
Because I love to travel,
I’m interested in
gardening, food and the
environment, terroir has
become an important
idea to me.
My brother and his
partner adopted a 2-
year old. I see them as
often as possible.
I used to ski competitively.
Now my grown daughter is
teaching her kid to ski.
Hearing that, I felt old for
the first time in my life.
I rent a bicycle every time
I visit a new city, and I
take an annual cycling
vacation in Europe.
I have friends in the
nightclub business. I
get a kick out of the
“bright lights, big
city” stuff.
I installed solar
panels years ago,
and I have given up
my car altogether.
I am devoting this part of
my life to the issues I
care about most,
including the
environment.
I have recently
begun spending
time with someone I
enjoy a lot. We
might want to
spend the rest of
our lives but at this
point I can’t even
imagine giving up
my independence.
I plan to live to well over 100. That means I have
40, maybe 50 years ahead of me and I expect life
to be as active and stimulating as it is right now. I
truly hope there are residential options for people
like me as we age; people who want to age in
community but who are still engaged in living.

24. ENRIQUE AND BRENDA,
“THE THIRD AGE FAMILY”
He’s 84, she’s 78. They’ve been married for forty-five years. They
recently sold their home in Los Angeles and the family business in
order to simplify their lives.
We’re both just fascinated
with technology. We have all
the gadgets and our kids call
us with us questions. We get
a kick out of that.
Classical music is
a passion for us
both. Enrique has
been playing the
violin for the first
time in years.
He tried to get me in
a raft! I told him no
way--if he wants to
break his neck that’s
up to him! - Brenda
When we sold the
business we just
acted like kids for a
year. Hawaii, the
Yucatan, the National
Parks... - Enrique
We spend as much
time in Mexico as we
can. We still have lots
of family there but we
are really rooted in
Los Angeles after all
these years.
I have a thing for
fast cars. But I
stick to my
drawings now.
Brenda has
grounded me! -
Enrique
I must admit: I am
the better chess
player.
- Brenda
We have four kids and
three grandkids, all
nearby. They worry
about us financially.
Brenda has been having
continual pain in her legs.
We’re both concerned
about her mobility.
We really suffered in the
economic downturn.
Things are much tighter
for us than we expected
at our age.
There’s also Brenda’s sister and
her family, plus my older brother,
who is all alone now. We’re really
a hub for the whole family. --
Enrique

25. People
Process
Prescrip&on

26. Making
and
Aligning
Investments

27. Health
Innova&on
Lab

28. 1.
Framing
a
research
agenda
for
con&nued
improvement
of
upstream
health
outcomes

29. 2.
Defining
21st-­‐century
cri&cal
skills
and
knowledge—and
seSng
these
as
our
“opera&ng
system”

30. 3.
Prototyping
and
scaling
new
models
of
health
promo&on
and
delivery

31. 4.
Fostering
personal
health
behaviors
in
a
community
context
that
extends
beyond
healthcare
infrastructure.

32. 5.
Delivering
on
the
promise
of
technology
and
digital
media

33. 6.
Reimagining
assessments
of
–
and
for
–
health
and
wellness

34. 7.
Defining
new
business
models
aligned
to
the
health
promo&on
not
disease
treatment.

35. 8.
Innova&ng
funding
mechanisms
and
revenue
streams
that
align
money
with
goals.

36. 9.
Fostering
public
will
for
new
kinds
of
holis&c
health
support
systems

37. 10.
Advoca&ng
policy
that
enables
new
kinds
of
learning
and
new
health
outcomes

41. Imagine
the
Health
Innova&on
Lab

42. Imagine
the
Health
Innova&on
Lab

43. Imagine
the
Health
Innova&on
Lab

44. “The best way to predict
the future is to design it.”
-Alan Kay,
desktop computing pioneer

46. Thank you.