Hacking the System: 3 lessons I learned working at the White House

12
Aman Bhandari Twi-er: @GHideas Hacking the Matrix: Lessons I learned in the U.S. Government

description

Keynote given at Hacking Pediatrics collaboration with MIT. Healthcare is a sector full of dinosaurs, however new funding, massive policy shifts, innovation communities and new entrants have created the best conditions for change that we have ever had. However change will still be enormously difficult and having having a "hacker" mentality can help you find a path forward.

Transcript of Hacking the System: 3 lessons I learned working at the White House

Page 1: Hacking the System: 3 lessons I learned working at the White House

   

Aman  Bhandari  Twi-er:  @GHideas  

Hacking  the  Matrix:    Lessons  I  learned  in  the  U.S.  Government

Page 2: Hacking the System: 3 lessons I learned working at the White House

Change  in  healthcare  is  enormously  difficult.  It  is  like  climbing  Mt  Everest  (someCmes  twice).  You  will  run  into  lots  of  red  tape  and  bureaucracy.  However  there  is  a  path  forward  and  the  condiCons  (policy  shiIs,  funding,  innovaCon  infrastructure)  for  change  have  never  been  beKer…  

@GHideas  |  Aman  Bhandari  

Page 3: Hacking the System: 3 lessons I learned working at the White House

The  Big  Disconnect:  Internal  Buy  In  &  New  Entrants  

"On  the  one  hand,  you  have  people…who  know  nothing  about  regulaBon…on  the  other,  a  bunch  of  health-­‐care  guys  who  think  Zynga  is  some  kind  of  fruit.  There  is  truly  a  chasm  between  world  views."  Sonny  Vu  

Page 4: Hacking the System: 3 lessons I learned working at the White House

“There  has  never  been  a  beKer  Cme  to  be  an  entrepreneur  in  healthcare.”  

“Our  job  as  leaders  is  to  find  those  innovators  and  release  their  mojo  –  lean  startup  style  –  to  serve  the  American  people  beKer.”  

@GHideas  |  Aman  Bhandari  

Page 5: Hacking the System: 3 lessons I learned working at the White House

1.  Challenging  Long  Held  Beliefs…that  have  had  systemaCc  impact

“We  just  pay  the  bills,  we  are  public  enBty  that  processes  healthcare  claims…that’s  all.”  (1965-­‐2010)    

“Be-er  health,  be-er  care,  at  lower  costs”  (2010-­‐?)  Lesson  learned:  Ask  why  and  don't  accept  the  status  quo...get  ready  for  an  era  of  much  greater  transparency.    

@GHideas  |  Aman  Bhandari  

Page 6: Hacking the System: 3 lessons I learned working at the White House

STORY  2  

Joy's  Law:  "No  ma-er  who  you  are,  most  of  the  smartest  people  work  for  someone  else”  (Sun  Microsystems  co-­‐founder  Bill  Joy)    

Lesson  learned:  Invest  in  EIRs  (hackers).  "No  ma7er  who  you  are,  most  of  the  smartest  people  work  for  someone  else”  (Sun  Microsystems  co-­‐founder  Bill  Joy,  Joy's  Law)    

2.  Bringing  in  the  Hackers:  EIRs  &  PresidenCal  InnovaCon  Fellows

@GHideas  |  Aman  Bhandari  

Page 7: Hacking the System: 3 lessons I learned working at the White House

3.  Government  as  Plaeorm:  Power  to  the  People

50+ Challenges/Code-a-Thons 2,000+ Participants

$1M+    Prizes

Lesson  learned:  There  is  incredible  hunger  for  community.  CommuniAes  of  “hackers”,  entrepreneurs,  innovators  have  sprouted  up  across  the  US…  and  now  incumbent  stakeholders  are  supporAng  hackathons  and  prize  compeAAons    

Healthcare  is  so  paleolithic  that  the  government  supported  the  first  hackathons  and  accelerators  in  the  sector    

@GHideas  |  Aman  Bhandari  

Page 8: Hacking the System: 3 lessons I learned working at the White House

Hack  the  Matrix:  A  World  Where  Anything  is  Possible  

Challenge  convenConal  wisdom  If  you  have  the  best  people  you  will  win  Find  your  tribe  

Unplug  form  the  matrix,  innovate  and  then  plug  back  in  to  make  the  world  a  beKer  place  

@GHideas  |  Aman  Bhandari  

Page 9: Hacking the System: 3 lessons I learned working at the White House

InternaBonal  EMR  Market  Overview  (1)  

The  adopBon  and  “meaningful  use”  of  electronic  medical    records  (EMRs)  is  rapidly  increasing  in  the  U.S.  and  globally  

(1) Accenture Directional EMR Adoption Projections by Country, 2010.

$45

$93 $62

$11 $35

$66

$220

$159 $184

5 5 7

5 7

6

18 18

27

-

5

10

15

20

25

30

$-

$50

$100

$150

$200

$250

Q12010

Q22010

Q32010

Q42010

Q12011

Q22011

Q32011

Q42011

Q12012

Nu

mb

er

of

Tra

ns

ac

tio

ns

To

tal T

ran

sa

cti

on

Va

lue

($

in

MM

)

Health  IT  Venture  capital  funding  reflects  increasing  entrepreneurial  acBvity  

ContribuBons  of  populaBon  aging  and  excess  healthcare  cost  growth  to  overall  enBtlement  costs  

Accelerace  Life  

Avia  Blue  Print  Health  

Digital  Health  Accelerator  

Dream  IT  Health  

Health  Axis  Europe  

Health  Box  

Health  for  America  

Heatlh  Founders  

Health  XL  

Project  Lig  Miami  

Moebio  

Rock  Health  Startup  Heatlh  

StartX  MED  

PhiloMeton  

TigerLabs  Health  

Digital  Health  Accelerators  have  exploded  onto  the  scene:  30  accelerators  launched  in  the  last  28  months  

Ratio of adults aged 65 and over compared

with people aged 20 to 64 will increase

by 80 percent in the coming decades (3)

(2) Health and Human Services (3) US News Health

(2)

Tech,  Funding  and  Entrepreneurial  Infrastructure:  Seeding  DisrupCon

@GHideas  |  Aman  Bhandari  

Page 10: Hacking the System: 3 lessons I learned working at the White House

       "The  best  minds  of  my  generaBon  are  thinking  about  how  to  make  people  click  ads…that  sucks."  Jeff  Hammerbacher,  BW  

         "I  turned  to  healthcare  partly  because  I  saw  an  immense  hunger  

among  the  developers  that  I  work  with  to  start  working  on  stuff  that  ma-ers."  Tim  O’Reilly  

-­‐  Beth  Comstock  (CBS,  NBC)  -­‐  Doug  Hirsch  (Yahoo,  Facebook)  -­‐  Dave  Chase  (Microsog)  -­‐  Ari  Tulla  (Nokia)  -­‐  Naveen  Selvadurai  (Foursquare)  -­‐  Nat  Turner  (Google)  

Talent Flooding into the Health Sector

@GHideas | Aman Bhandari

Page 11: Hacking the System: 3 lessons I learned working at the White House

Ask why and challenge long held beliefs

If you have the best people you will win

Networked tribes and communities is how you start to build a movement for change

Lessons Learned

@GHideas | Aman Bhandari

Page 12: Hacking the System: 3 lessons I learned working at the White House

“Never underestimate the power of a small group of committed people to change the world. In fact, it is the only thing that ever has.”

[email protected] @GHideas @GHideas | Aman Bhandari


Lessons Learned Handbook · 2011-10-12 · • Lessons Learned, an adjective, describes anything related to a Lessons Learned procedure. E.g. Lessons Learned process, Lessons Learned

Lessons Learned Handbook · 2011-10-12 · • Lessons Learned, an adjective, describes anything related to a Lessons Learned procedure. E.g. Lessons Learned process, Lessons Learned

Lessons Learned Globally - Campaign for Tobacco-Free Kids...Process lessons learned 2. Content lessons learned See next page for lists of these lessons learned. 7 | Lessons Learned

Lessons Learned Globally - Campaign for Tobacco-Free Kids...Process lessons learned 2. Content lessons learned See next page for lists of these lessons learned. 7 | Lessons Learned

Lessons Learned:

Lessons Learned:

Lessons Learned and Lessons to Be Learned: Investment Law & … · 2014. 4. 30. · 1 Lessons Learned and Lessons to Be Learned: Investment Law & Development for Developed Countries

Lessons Learned and Lessons to Be Learned: Investment Law & … · 2014. 4. 30. · 1 Lessons Learned and Lessons to Be Learned: Investment Law & Development for Developed Countries

Hacking Robots Lessons learned, current research and new … · 2018. 11. 2. · Hacking Robots Lessons learned, current research and new perspectives Joint work with: Davide Quarta,

Hacking Robots Lessons learned, current research and new … · 2018. 11. 2. · Hacking Robots Lessons learned, current research and new perspectives Joint work with: Davide Quarta,

Lessons Learned fromLessons Learned from Structural ... learned davy beicker.pdf · Lessons Learned fromLessons Learned from Structural Engggineers Learning ... reduced size of the

Lessons Learned fromLessons Learned from Structural ... learned davy beicker.pdf · Lessons Learned fromLessons Learned from Structural Engggineers Learning ... reduced size of the

hashdays 2011: Andrei Costin - Hacking Printers: 10 years of public research and lessons learned

hashdays 2011: Andrei Costin - Hacking Printers: 10 years of public research and lessons learned

The Hacking Team Hack: Lessons Learned for Enterprise Security

The Hacking Team Hack: Lessons Learned for Enterprise Security

Lessons Learned from “Lessons Learned” · 2 LESSONS LEARNED FROM “LESSONS LEARNED” 2. The NRC set safety goals in its Safety Goal Policy Statement, initiated not long after

Lessons Learned from “Lessons Learned” · 2 LESSONS LEARNED FROM “LESSONS LEARNED” 2. The NRC set safety goals in its Safety Goal Policy Statement, initiated not long after

Hacking Myself: What I learned

Hacking Myself: What I learned

Successes, Challenges, & Lessons Learned...Successes, Challenges, & Lessons Learned Overview Introduction Successes Challenges Lessons Learned New Approaches Highway 70 To Phoenix

Successes, Challenges, & Lessons Learned...Successes, Challenges, & Lessons Learned Overview Introduction Successes Challenges Lessons Learned New Approaches Highway 70 To Phoenix

Lessons Learned, Opportunities and Innovations in …pdf.usaid.gov/pdf_docs/PBAAD103.pdf · Lessons Learned, Opportunities and Innovations in Human ... Lessons Learned, Opportunities

Lessons Learned, Opportunities and Innovations in …pdf.usaid.gov/pdf_docs/PBAAD103.pdf · Lessons Learned, Opportunities and Innovations in Human ... Lessons Learned, Opportunities

LESSONS LEARNED AND GOOD PRACTICES...Lessons Learned Lessons are learned for sharing and applying to similar projects. Project lessons are learned from experiences, both inspiring

LESSONS LEARNED AND GOOD PRACTICES...Lessons Learned Lessons are learned for sharing and applying to similar projects. Project lessons are learned from experiences, both inspiring

7 Lessons Learned in Hacking the Facebook Platform from @ankurnagpal

7 Lessons Learned in Hacking the Facebook Platform from @ankurnagpal

Lessons Learned Remote PM+ Cohort Integrated K+S · Lessons Learned Below are key lessons learned on providing Remote PM+ Training of Helpers. These lessons learned are based off

Lessons Learned Remote PM+ Cohort Integrated K+S · Lessons Learned Below are key lessons learned on providing Remote PM+ Training of Helpers. These lessons learned are based off

Lessons Learned Events at SLAC · 2012-09-14 · Lessons Learned Events: Summary Comments . Important to identify and communicate lessons learned! Lessons learned and near misses

Lessons Learned Events at SLAC · 2012-09-14 · Lessons Learned Events: Summary Comments . Important to identify and communicate lessons learned! Lessons learned and near misses

Lessons&Learned&in&Deploying&Akka& Persistencedownloads.typesafe.com/website/presentations/lessons-learned-akk… · Lessons&Learned&in&Deploying&Akka& Persistence Duncan&K.&DeVore

Lessons&Learned&in&Deploying&Akka& Persistencedownloads.typesafe.com/website/presentations/lessons-learned-akk… · Lessons&Learned&in&Deploying&Akka& Persistence Duncan&K.&DeVore

Lean lessons learned - lean startup methodology and lessons learned from Blossom

Lean lessons learned - lean startup methodology and lessons learned from Blossom

Hacking CT Lessons Learned H4Dip Stanford 2016

Hacking CT Lessons Learned H4Dip Stanford 2016

ASSESSMENT & LESSONS LEARNED FROM AFRICAN DIASPORA MARKETPLACEpdf.usaid.gov/pdf_docs/PDACT256.pdf · ASSESSMENT & LESSONS LEARNED FROM AFRICAN ... ASSESSMENT & LESSONS LEARNED FROM

ASSESSMENT & LESSONS LEARNED FROM AFRICAN DIASPORA MARKETPLACEpdf.usaid.gov/pdf_docs/PDACT256.pdf · ASSESSMENT & LESSONS LEARNED FROM AFRICAN ... ASSESSMENT & LESSONS LEARNED FROM