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The Next IT – ‘Innovation Transformation’
Making Healthy ‘Mash-ups’ of Openness, Digital Media
& Human Capital
DHA:OI MIT
DHA:OI MIT
The Content of the Audience
is more important than
The Content of the Talk
A smartphone dongle for diagnosis of infectious diseases at the point of care
Prev | Table of Contents | Next
Sci Transl Med 4 February 2015
DHA:OI MIT
Obligatory Profound Quote
The Most Important Product of
the Mines…
---Frederick Le Play
(1806 - 1882)
DHA:OI MIT
…is the Miner.
---Frederick Le Play
(1806 - 1882)
DHA:OI MIT
My 21st Century Update & Upgrade of LePlay
The Most Important Product of
the Network is the Networker.
---Michael Schrage
DHA:OI MIT
My 21st Century Update & Upgrade of LePlay
The Kinds of Networks We Design & Build…
DHA:OI MIT
My 21st Century Update & Upgrade of LePlay
….Should Reflect & Respect The Kind(s) of People
We Want Our Networkers To Become
DHA:OI MIT
Our ‘Open Innovation’ Question/Challenge
What Kind of ‘Networkers’ Do We Want Our Health
Care Networks To Create?
DHA:OI MIT
Human Capital: Not Just Doctors, Nurses, Technicians, Administrators & ‘Providers’
DHA:OI MIT
With apologies to Dickens…
A Tale of Two Networks
DHA:OI MIT
Archibald Cochrane (1909–1988):
the father of evidence-based medicine
Effectiveness and Efficiency:
Random Reflections on Health Services
[1972]
You should randomise till it hurts
DHA:OI MIT
34K People Worldwide
DHA:OI MIT
The new GE: Google, everywhere [Economist]
http://www.economist.com/news/business/21594259-string-deals-internet-giant-has-positioned-itself-become-big-inventor-and?
DHA:OI MIT
Google Glucose-in-Tears Contact Lens
DHA:OI MIT
DHA:OI MIT
‘All whimper, no bang…’ [2008-2011]
DHA:OI MIT
The ‘Secret Sauce’ is ‘Network Effects’
DHA:OI MIT
Core Web 2.0 Design Principle
The service automatically gets better
the more people use it
DHA:OI MIT
DHA:OI MIT
Understanding ‘Network Effects’
“Google gets smarter every time someone makes a link on the
web. Google gets smarter every time someone makes a search.
It gets smarter every time someone clicks on an ad. And it
immediately acts on that information to improve the experience
for everyone else.
It’s for this reason I argue that the real heart of Web 2.0 is
harnessing collective intelligence.”
DHA:OI MIT
What Does ‘Web 2.0’ Ask Participants To Become?
DHA:OI MIT
‘Collective Intelligence’ as ‘Organizing Principle’
DHA:OI MIT
DHA:OI MIT
Recommendation Engines: ‘Network Effects’ Avatar
Two-Sided Markets
DHA:OI MIT
DHA:OI MIT
Network Effects
DHA:OI MIT
Telemedicine
DHA:OI MIT
Crowd-funding Health Care Innovation?
DHA:OI MIT
Salman Khan/Khan Academy
DHA:OI MIT
Network Effects/Collective Intelligences
How Might Health Care Provisioners Cultivate Appropriate
‘Khan Academies’ for Care-givers,
Care-receivers and Care-contributors alike?
DHA:OI MIT
My ‘Open Innovation’ Thrust & Takeaway
Designing and Aligning ‘Network Effects’ To
Better Attain Better Health Care Outcomes
DHA:OI MIT
Should Health Care Enterprises Have a
CNEO
DHA:OI MIT
DHA:OI MIT
Our 4 As Network Effects Ingredients
• Apps
• APIs
• Analytics
• Architectures
Enabling New/Amplifying Existing Competences
DHA:OI MIT
DIY
DHA:OI MIT
DHA:OI MIT
[How] Do You Want To Support/Engage With Self-Quantifying Customers/Clients…..?
DHA:OI MIT
Shazam
DHA:OI MIT
Medical Shazam
DHA:OI MIT
DHA:OI MIT
The ‘Secret Sauce’ Enabling ‘Network Effects’
Interoperability
‘Interoperability’ Radically Transforms the
Economics of and Opportunities for
Interdisciplinary Innovation
DHA:OI MIT
Systems ‘Integration’
DHA:OI MIT
(Inter)Actions Speak Louder Than Words
Interconnectivity
isn’t
Interoperability
DHA:OI MIT
DHA:OI MIT
Interoperability: From ‘Components’ to ‘Devices’
DHA:OI MIT
Interoperability: Provide/Accept ‘Services’
DHA:OI MIT
DHA:OI MIT
DHA:OI MIT
http://www.programmableweb.com/apis/directory
DHA:OI MIT
‘Specifies How Software Components Should Interact With Each Other’
DHA:OI MIT
Providing self-service, one-to-many,
reusable interfaces
DHA:OI MIT
Lorinda Brandon
Mashery
“The path of an API now has gone from being a back-end programming
construct… to becoming a business and a product. That changes
the landscape significantly.
All of a sudden, your API has tiers and purchase plans to it. It becomes
exactly like any other product.”
DHA:OI MIT
PMP Public Media Platform
DHA:OI MIT
pi Steve Yegge
Google v Amazon
1) All teams will henceforth expose their data and functionality through service interfaces.
2) Teams must communicate with each other through these interfaces.
3) There will be no other form of inter-process communication allowed: no direct linking, no direct reads
of another team's data store, no shared-memory model, no back-doors whatsoever. The only
communication allowed is via service interface calls over the network.
4) It doesn't matter what technology they use. HTTP, Corba, Pubsub, custom protocols—doesn't matter.
Bezos doesn't care.
5) All service interfaces, without exception, must be designed from the ground up to be externalizable.
That is to say, the team must plan and design to be able to expose the interface to developers in the
outside world. No exceptions.
6) Anyone who doesn't do this will be fired.
DHA:OI MIT
What’s ‘The Service’?
DHA:OI MIT
From
“MashUps”
to
“MechUps”
DHA:OI MIT
Githubization [Interoperability Repositories]
DHA:OI MIT
Arduino [‘Kit-ification’]
DHA:OI MIT
Jose Gomez Marquez
MIT D-Lab
“The most surprising innovations in health care are often driven by
innovators who weren't even supposed to be playing
in the first place.
‘The medical device industrial complex will keep on chasing its
Towers of Babel only to have itself disrupted, thanks
to commoditization of sensors, more intelligent micromechanical
systems, etc.”
DHA:OI MIT
“What's traded on the market are not, as if often supposed by economists, physical entities
but the rights to perform certain actions…”
Ronald Coase
Nobel Economist 1991
DHA:OI MIT
The Next ‘IP’
‘Interoperability Permissions’ Will Increasingly
Define & Constrain ‘Openness,’ ‘Transparency’ and
‘Collaborative’ Research Issues
DHA:OI MIT
To Post-Industrially and Upgrade Trotsky
for the Innovation/Collaboration Future….
You May Not Be Interested in ‘Interoperability’ But
‘Interoperability’ Is Interested In You
DHA:OI MIT
Analytics
DHA:OI MIT
Effective Networks & Network Effects
- How do we make it easier for our ‘constitutents’
to participate & create ‘connections’ they see as valuable?
- How do we make it easier for ourselves to identify
value from constituent participation, contributions and links?
- How do we (re)organize ourselves to best harvest the value of this
‘collective intelligence’ to boost our quality, opportunity and HCX?
DHA:OI MIT
A Simple Schematic for Enabling Open Innovation ‘Network Effects’ Architectures
DHA:OI MIT
APIs
AppsAnalytics
Creating ‘Network Effects’ To Enable “Network Effects”
DHA:OI MIT
APIs
AppsAnalytics
What Culture Has For Lunch…..
DHA:OI MIT
Jari Arkko/IETF
DHA:OI MIT
Stuxnet Redux?
DHA:OI MIT
Aggregation/Anonymization/Informed Consent
DHA:OI MIT
21st Century Hippocratic Imperative
Ex
‘Primum non nocere’
Ad/Et
‘Qui benefacit ex effectibus network?’
DHA:OI MIT
• Interoperability with
• Network Effects to attain
• Desirable Health Care Outcomes
DHA:OI MIT
Health Care Innovation Governance:
Aligning
in case of contact...
schrage@mit.edu
DHA:OI MIT
What do we call our ‘networkers’…and why??
‘Members’
vs
‘Patients’
DHA:OI MIT

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