Reuleaux Technology

1. MOVING BEYOND TECHNOLOGY-THAT-WORKS TO PRODUCTS-THAT-MATTER
Developers are using Internet of Things technology to demonstrate new products and applications at a
pace unmatched in history. No part of our lives has gone untouched – our healthcare, our cars, our food,
home life, work life, even our pets. It’s a great time to be a technologist. But recent events have also
shown us that it is not enough to just make technology work. Many new applications have been more
demonstrations of what’s possible than material improvements of the user’s quality of life. Developers
today have to find ways to involve and integrate good design with their technology expertise to create
products and experiences that don’t just function, they have to matter. This talk will share examples of
meaningful IoT implementations and describe a methodology for moving from technological function to
meaningful product adoption. http://reuleauxtech.com

2. MOVING BEYOND TECHNOLOGY-THAT-WORKS
TO PRODUCTS-THAT-MATTER

3. Bullish on Technology!

4. Especially bullish on IoT!

5. Reuleaux Technology
But technology alone is not enough

6. Reuleaux Technology
Customers don’t buy technology
• 85% insured in US have telemedicine
available
• 2-3% adoption (re-use even lower)
• Why?
– One-on-one workflow
– Lack of continuity for patient-physician
• “These telemedicine companies
haven’t cracked the code of patient
engagement with remote physicians.”
http://medcitynews.com/2016/09/telemedicine-utilization-low/

7. Desirability
(User)
Viability
(Business)
Feasibility
(Technology)
“Non-Profit”
“Cool” customer experience that
does not make money, e.g.
NetZero, Chargify, NetGear
VueZone, DotComs
No tech leverage
Customer service focus
that does not scale, e.g.
Blockbuster Video, Kodak,
Border Books
Tech Push
Scalable, profitable product that no one
buys, e.g. Nest Revolv, Quirky Egg Minder,
Nike Fuel, Zubie
The Sweet Spot
IoT
1.0
Missing

8. Reuleaux Technology
How to focus on “matters”
1. Solve an important problem
2. Be effective – has to work
technically and behaviorally
3. Be Accountable
Desirability
(User)
Viability
(Business)
Feasibility
(Technology)

9. Reuleaux Technology
How to focus on “matters”
1. Solve an important problem
2. Be effective – has to work
technically and behaviorally
3. Be Accountable
Desirability
(User)
Viability
(Business)
Feasibility
(Technology)

10. IoT
1.0

11. Why?

12. Reuleaux Technology
Problem: Cost effective population health
• 27% reduction in patient infection
• 37% lower cost of antibiotics
• Big data enabling new diagnoses
and treatments
“Whisper gives me the
courage not to treat.”

13. Reuleaux Technology
Problem: Infection transmission
• 25.5% increase in compliance
• 42% decrease in hospital-
acquired infection
• $434,000 savings
http://medcitynews.com/2016/07/study-hand-hygiene-mrsa/
Compliance
delivers value

14. Reuleaux Technology
The five IoT value propositions
• Cost Reduction
• Risk Reduction/Safety
• Engagement/Compliance
• Workflow
• Automated commerce
http://www.forbes.com/sites/janakirammsv/2016/06/06/how-will-consumers-benefit-from-connected-cars/#789f2c304051

15. Reuleaux Technology
How to focus on “matters”
1. Solve an important problem
2. Be effective – has to work
technically and behaviorally
3. Be Accountable

16. Right technology – Med Reminder
• Assists and tracks patient
compliance
• Automate and secure continuous
cloud connectivity to remove
patient friction
• Reliable and trusted reporting
for care givers

17. Learning software that works
• Real time adaptation
• Integration of systems
• Integrated communications
• Integrate work space with work flow.
• True machine learning

18. Reuleaux Technology
Behavior is hard.
• Over $500M and “The reality is
that we don’t have a product to
start with” -- CEO
• “Type 2 diabetes is really a
medication meets lifestyle
[disease]”
http://medcitynews.com/2016/09/verily-sanofi-diabetes-onduo-behavior-change/

19. Reuleaux Technology
Behavior Design is a discipline
• Motivation
– Varies by individual
– Varies in time and intensity
• Triggers
– Vary by individual and time
– Fatigue
• Ability
– Only thing design/developers control
– Information alone not enough
– Has to be easy, easy, easy

20. Reuleaux Technology
Most valuable medical device today?
• Want to change behavior?
Measure it.
• Want patients to tell the truth?
Let them know you are watching.
• Behavior is an activity with
physiological consequences
• >100 clinical trials using Fitbits

21. Reuleaux Technology
How to focus on “matters”
1. Solve an important problem
2. Be effective – has to work
technically and behaviorally
3. Be Accountable

22. Reuleaux Technology
Anamorphic OFF

23. Reuleaux Technology
Diabetes App
• Pie chart – Really?
• “Users log medication, foods eaten,
and their activity. ” = Friction
• Patients need help understanding
what’s happening
• Patients need help behaving
http://medcitynews.com/2016/08/taiwanese-diabetes-app-developer/

24. Reuleaux Technology
Companies like Lyft excel at what we in healthcare have so much
trouble with—better outcomes, lower costs and better experience. If
they can do it, shouldn’t we be able to?
-- Dr Sachin H. Jain, CEO CareMore Health Systems
Photo via commons.wikimedia.org
http://www.forbes.com/sites/sachinjain/2016/09/06/letting-the-outside-in-how-ridesharing-provides-a-model-for-healthcare-transformation/#1e79a3b36be6
Average wait times have decreased by
30.0% (to 8.77 minutes), average per-
ride costs have been reduced by 32.4%
(to $21.32), and composite patient
satisfaction measures 80.8%.

25. ’”Engineers make things work, designers make things matter”. Looking past this
implied elitism of designers, good engineering today includes human factors,
usability, maintainability and other considerations that matter. Moreover, I would ask
‘What matters more than that it works?”’
-- MDDI Comment
Works Matters

26. What happens when you’re accountable?
Adopt
Use
(Engagement)
Outcome
Feedback
Sharing

27. Matters creates adoption
500M+ monthly 100M+ daily

28. Reuleaux Technology
Use a Design-Technology partnership to
be accountable
• Agree to a clear problem statement.
• Appoint a systems lead who understands design.
• Work with designers who understand technology.
• Follow a build-measure-learn process.
• Simplify for success.

29. Make things that matter.
Solve an important problem
Be effective – has to work
technically and behaviorally
Be Accountable

30. Reuleaux Technology
• Scott A. Nelson
• CEO/CTO Reuleaux Technology
• www.reuleauxtech.com
• https://www.linkedin.com/in/scottanelson17
• https://twitter.com/Scott_Nelson19