challenging culture, inspiring innovation and improving care - bryan sivak

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h"p://hhs.gov/idealab @HHSIDEALab / @BryanSivak

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Challenging Culture, Inspiring Innovation and Improving Care Bryan Sivak CTO, HHS FedTalks 2014

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Page 1: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

h"p://hhs.gov/idealab  @HHSIDEALab  /  @BryanSivak    

Page 2: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“That’s  the  way  we  have  always  done  it.”  

Page 3: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“We  tried  that  once  and  it  didn’t  work.”  

Page 4: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“The  lawyers  will  never  go  for  that.”  

Page 5: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“Did  this  get  run  by  the  White  House?”  

“Our  appropriaKon  will  get  cut.”  

“If  we  say  yes  to  this,  how  do  we  say  no  to  everyone  else?”  

“Those  people  in  congress  will  never  get  it  together  to  make  that  happen.  ”  

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hhs.gov/idealab    

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hhs.gov/idealab    

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hhs.gov/idealab    

   

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hhs.gov/idealab    

1)  Invest  in  our  workforce    

2)  Recruit  from  unusual  sources    

3)  Catalyze  cross-­‐boundary  communiKes  

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hhs.gov/idealab    

AcceleraKon  and  scaling  of  proven  concepts  

Catalyzing  early  stage  ideas  HHS  Ignite  Accelerator  

HHS  Ventures  Fund  

Recognizing  HHS  employees  who    challenge  the  status  quo  

HHS  Innovates  Awards    

We  support  HHS  Employees  that  want  to  do  things  differently    

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hhs.gov/idealab    

HHS  Ignite

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hhs.gov/idealab    

HHS  Ignite

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hhs.gov/idealab    

HHS  Ignite

0   25,000   50,000  

NaKonal  Average  

White  River  Service  Unit  

Annual  Emergency  Room  Visits  

Page 15: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

HHS  Ignite

0   30   60  

NaKonal  Average  

White  River  Service  Unit  

Wait  Times  

Page 16: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

HHS  Ignite

NaKonal  Average  

White  River  Service  Unit  

0%   5%   10%   15%   20%   25%  

Le7  Without  Being  Seen  

Page 17: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

Key  Partners     Key  Ac=vi=es:   Value   Customer  Rela=ons   Who  Idea  Lab  Ignite   Provide  access  for  PTS   ↓  Wait  Kmes   Earn  PaKent  confidence   PaKents  AdministraKon   Educate   ↓  Delay  in  care   Consistency      Community  Members   Develop  PSAs/Brochures   ↓  LWOBS   Improve  Access  to  care      Staff   Sodware  development   ↑  SaKsfacKon/safety   Implement  an  easy  process      Vendors:   Design  New  Physical   ↑  Customer  Svc/conf.          

PrinKng   environment   ↑  Keep  customers          Radio  Time   Visit  Sites  with  Kiosks              Signage   PIT   ↓  FrustraKon/Anxiety       Providers  Kiosk       ↓  Staff  turnover          Sodware   Key  Resources:   ↑  SaKsfacKon/safety   Channels      Forms  Commi"ee   See  Key  Partners       EducaKon  brochures  and      

PaKent  Advocate   Team  Members   ↓  LWOBS   PSA's   Tribe  Pharmacy     Ignite  Teams   ↑  SaKsfacKon/safety   Format  change  at  Regist.      OPD   Other  FaciliKes   ↑  Confidence   Signage      Procedure  Room   $  New  Design       Staff  EducaKon           $  Sodware   ↓  PenalKes   PHN  -­‐  Community  Outreach   AdministraKon       $  Hardware   ↑  SaKsfacKon/safety   Kiosk           $  Brochures   ↑  Improve  ReputaKon   New  PosiKon           $  Signage   ↑  Revenue   RenovaKon  -­‐  improve  flow           $  Community  AdverKsing              

Cost  Structure   System  Revenues  Time  -­‐  Planning/ImplemenKng/EducaKon       Uncaptured  Revenue:  $5M+  /  Lost  Rev  $1.5M  PrinKng  -­‐  signage  and  Brochures       LWOBS  =  20%    ~  $3,072,000  (low  esKmate)  Sodware  -­‐  ApplicaKon  for  check-­‐in       Transferred  out  due  to  increased  acuity  ~  $1700/  pt  Hardware  -­‐  Ipad/labtop/Kiosk       Total  event  =  $  1,020,000      Redesign  Environment       Admi"ed  to  to  increaed  acuity  ~  1300/night  PIT         Total  =  ~  $520,000                   Pharmacy  =  $2,000,000      

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hhs.gov/idealab    

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hhs.gov/idealab    

Current  Design  

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hhs.gov/idealab    

RegistraKon  

Current  Triage  Process  

1  

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hhs.gov/idealab    

Current  Triage  Process  

Get  Triaged  2  

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hhs.gov/idealab    

Current  Triage  Process  

               WAIT.  3  

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hhs.gov/idealab    

New  FastTrack  Process  

             PaKent                        greeted  by                  health  tech.  

1  

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hhs.gov/idealab    

New  FastTrack  Process  

             Get  Triaged.  2  

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hhs.gov/idealab    

New  FastTrack  Process  

             Move  to  FT                          room,  if            non-­‐emergent.  

3  

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hhs.gov/idealab    

New  FastTrack  Process  

             Go  home!  4  

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hhs.gov/idealab    

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$80,000  investment  

$6M  annual  return  in  lost  and  uncaptured  revenue  

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hhs.gov/idealab    

Partnering  with  not-­‐for-­‐profits  to  recruit  external  talent  to  work  on  a  shared  problem    

RecruiKng  external  talent  to  work  on  high-­‐risk,  high-­‐reward  projects  over  a  12-­‐month  period      

HHS  Entrepreneurs-­‐in-­‐Residence  

HHS  Innovators-­‐in-­‐Residence  

We  leverage  outside  talent  and  skill  sets  to  solve  big  problems  

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hhs.gov/idealab    

HHS  Entrepreneurs-­‐in-­‐Residence

Page 31: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

30-­‐70  handwri"en  labels  per  organ  procurement  

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hhs.gov/idealab    

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hhs.gov/idealab    

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Leveraging  crowdsourcing  mechanisms  

Modernizing  procurement    HHS  Buyers  Club  

HHS  Competes    

LiberaKng  data    Health  Data  IniKaKve  

Driving  collaboraKve  communicaKon  HHS  Connects  

CreaKng  a  space  for  experimentaKon  HHS  InnovaKon  Lab  

We  tackle  cross-­‐Departmental  issues  of  strategic  importance  

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Procurement

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IT  Projects  over  $10  Million  are  challenged  52%  of  the  Eme  and  failed  42%  of  the  Eme  

                       

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hhs.gov/idealab    

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hhs.gov/idealab    

Current  ASPE  Homepage    

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hhs.gov/idealab    

Prototype  1  

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hhs.gov/idealab    

Prototype  2  

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Prototype  3    &  Winner  

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1,004                          

HHS  Employees  engaged  with                      IDEA  Lab  

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hhs.gov/idealab    

“That’s  the  way  we  have  always  done  it.”  

Page 44: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“Let’s  test  and  experiment.”  

Page 45: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“We  tried  that  once  and  it  didn’t  work.”  

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“It’s  okay  to  fail,  as  long  as  we  learn  from  it.”  

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hhs.gov/idealab    

“The  lawyers  will  never  go  for  that.”  

Page 48: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“The  lawyers  will  never  go  for  that.”  

Page 49: Challenging Culture, Inspiring Innovation and Improving Care - Bryan Sivak

hhs.gov/idealab    

“If  you’ve  always  done  it  that  way,  it’s  probably  wrong.”  

 -­‐  Charles  Ke"ering,  Inventor