Tag Archives: eHealth

The NBN: Are We Bothered… and Should We Be?

KimmiC chats with Australian technology journalist, author and speaker Brad Howarth about the National Broadband Network (NBN) and business innovation.

Brad HowarthCapital I Interview Series – Number 11

Brad Howarth is a journalist, author and speaker with more than 15 years  experience in roles which include marketing and technology editor at  business magazine BRW, and technology writer for The Australian.  His first book, ‘Innovation and Emerging Markets‘, was a study of entrepreneurial Australian technology companies and the process of commercialising technology globally.  ‘A Faster Future‘ his second, is co-authored, with Janelle Ledwidge. In it they investigate the future of broadband applications and services and the impact these may have on business, society and individuals.

The recently published Australian Industry Group National CEO Report: Business Investment in New Technologies’ noted that forty five percent of responding CEOs, from a wide range of businesses, said they lacked the skills and capabilities necessary to take advantage of the NBN.  This  has  risen from twenty percent just three years ago.

What are  your thoughts on this situation; and do you think that their solution of staff training and hiring will solve the problem?

The hiring and training of staff will only solve the problem if we also train our leaders to recognise the problem in the first place and instil in them both a desire and capability to do something about it.  I’m regularly receiving feedback that suggests that Australian businesses are struggling to image their future in a high-speed broadband world, and that’s almost regardless of whether the NBN is completed or not.  All too often short term issues such as the economy or carbon tax are getting in the way.

It’s not a great outcome to focus all your attention on managing the impact of the carbon tax to find your business has been undermined by new competitors coming in on the Internet, or find that too many of your customers have changed behaviour and no longer need you.  Australian businesses need to spend a lot more time thinking about their broadband futures – and there is huge scope for innovation once they start doing so.

You wrote your second book, ‘A Faster Future’ at a very interesting time last year, as there was a great amount of debate around broadband connectivity. 

The original idea was conceived not long after the announcement of the Fibre to the Home National Broadband Network model.  It was initially written to explore the uses of high-speed broadband and then evolved into a much broader picture.

It was very interesting to watch the debate going on in Australia, about the need – or otherwise – for high speed connection.

If you go into the rural area the debate goes away very quickly.  The debate’s been driven along primarily party political lines I suspect; so, it has more to do with posturing.

Are you saying that rurally it’s taken as a given that the NBN is coming, and it will be a positive thing?

Most regional councillors, have fallen over themselves to get their particular part of the world hooked up to broadband network.  Now whether they know exactly what to do when they get it is a little bit harder to say.  But certainly – given that so much of what we take for granted in the metropolitan regions isn’t available in regional areas – they’ll get benefits from simply bringing them up to speed.

Do you see much potential for (onshore) Australian companies to get involved in the actual building of the NBN and share in the potential profits; or will it mainly be offshore internationals who come in and make the most out of it?

In phase one, which is equipment supply and roll-out, you’re obviously seeing contracts awarded to Alcatel-Lucent and others for a lot of developments on the network…  the fibre cable itself.  Mainly because Australian companies don’t make that stuff.  To the best of my knowledge, we don’t have a company here that makes GPON equipment, so there is really no choice there.

When it comes to the deployment, I think you’ll find there’s a lot of Australian involvement in the roll-out and deployment of the network itself.  And certainly it’s going to employ a huge number of people.

Think of the phases that come over the top of that, and that’s where there’s a lot more potential for Australian businesses to get involved.  Australian businesses in the entrepreneurial technology space will build the applications and services that run over the top of the network.  And of course there is the opportunity for Australian businesses of any variety to create service offerings that utilise the network.

It may be that initially, of 30 odd billion dollars spent, a part of that may go to foreign manufacturers; but that’s really not a significant component of the actual network itself.

It has been suggested that, re the NBN Broadband, and the Government’s National Digital Economy Strategy 2020, many of the initiatives proposed could already be undertaken successfully with current infrastructure.  What is your opinion?

From that perspective, it is already possible to drive from Sydney to Melbourne, so clearly building airports is a waste of money.  Restricting investment to the goals of the Digital Economy Strategy represents short term thinking.  This is about investing for the long term.

In ‘A Faster Future’ you say that it may take a few years for a killer app for broadband to show up, but as things move so much faster now, could it not be right around the corner?

It could.  Actually, it is probably already here, we just don’t know it yet.

Where are you hoping to find the next true innovation?

The area that I think is obviously apparent today is interface technology – devices like the Kinect, the Wii, and so on – which enable us to interact with machinery through mechanisms other than our fingers.  That’s already there, but I think it’s got a long way to go.

You’ve seen derivations of that… the whole gesture based computing paradigm that’s emerging through the iPad and various other capture devices.  It is basically building a whole new language.

I think if you’re looking for ‘Capital I’ Innovation, look at a company like Emotiv and the work it’s doing with the EPOC headset and using brainwaves to become a control and measurement mechanism.

That’s Tan Le, isn’t it?

Yeah.  I think what she and the team are doing probably does represent ‘Capital I’ innovation.  Yes, it is an Innovation within a stream, but then the invention of the automobile was the extension of transport; the invention of electricity was an extension of power.  So, I think that’s definitely one.   I’m not really certain that they are too many others out there at the moment.

If you take broadband internet, I think there’s so much ‘small i’ innovation to come on that platform.  We don’t need to build faster-than-light telecommunication systems based on paired photon matching because we’ve got a truck-load of work to do with the technology that we have already developed.

But I think you might see some ‘Capital I’ innovation eventually come off of broadband… you saw a glimmer of that in Second Life.  Combine the notions of high definition with spatial realism in terms of video and audio, and possibly even haptic sensory input, then you’ve got a new platform there.

Once we’ve moved to a system where you can do direct stimulation of the brain itself, so you can actually start inputting data directly into the brain and bypassing the senses – going past the nose, eyes and ears, maybe even the fingers – in terms of haptic responses, then we’ll find a new platform for ‘Capital I’ innovation.  The Emotiv stuff is going in another direction.  It’s taking what’s in the brain and putting it back out to the world.  I think we’re only at the earliest stages of being able to see anything there.

But there is so much work to be done with what we’ve already got.  You could stop fundamental research tomorrow and innovation would continue for a very long period of time – although I wouldn’t advocate that.  We haven’t even really harnessed all the capabilities of electricity yet.

Australia has a proud tradition of adapting, some may say Innovating, healthcare to match the geographical barriers and vast remoteness of the continent.  Since 1928 the Royal Flying Doctors Service has serviced those living in rural, remote and regional areas of Australia, utilising the technologies of motorised flight and radio.  Is there enough emphasis on continuing this legacy via the potential of Broadband?

There is a lot, but there should be a lot more.  Actually, that’s one of the areas of the government where promotion of the National Broadband Network is incredibly strong on.  I think the argument for the NBN economically could be made almost entirely on the benefits to the health sector.

That said, I get the feeling that you may think innovation is an overused term.

Absolutely.  I’ve written about innovation for ages. I put innovation in the title of my first book; but I’m sick of the word.  Not so much the word itself, just sick of how it’s being used.  We seem to have these analytic discussions about the need for innovation, we have innovation conferences… it’s just endless.  I think what disappoints me about innovation is the amount time we spend talking about it as opposed to the amount of time we spend doing it.

Passive innovation, sitting around navel-gazing… it’s something that we probably focus too much on as opposed to finding practical methods for implementing Innovation.  I want companies to actually get on with it.  We need to start injecting the theory into business practice.

You can learn more about Brad, ‘A Faster Future’ and his other writing via his  website and follow him on Twitter.

Do Fries Go With That Business Shake(up)?

Capital I Innovation Interview Series – Number 5

Vincent Hunt is a man on a mission. And what is that mission? To make change. With his  tool box including the skill sets of lateral and creative thinking along with design, he is an enthusiastic, some might say evangelistic, proponent of the newly emerging role of CIO – Chief INNOVATION Officer.

Now I must be honest and say that, first off, that after ten years in the Netherlands, and two years in Sydney, sometimes the only change  – let alone innovation – I’m looking for in the hospitality industry is, well, some hospitality. That said, there is definitely a a scent of change in the air, and there are those that are leading the way. One such leader is Vincent Hunt.

Vincent is Co-founder, Chairman & Chief Innovation Officer at Kind Intelligence, which leverages cloud, mobile and social technology to bring Innovation to the hospitality industry through Hospitality Intelligence.

Vincent, how essential has innovation been in your career to date; and how important do you envisage it being going forward?

Innovation has been, in essence, the foundation of my career for quite some time, I can not remember a time where innovation has not been a factor in my professional development.  As individuals, I believe that we each have a responsibility to ourselves to continually challenge ourselves through rethinking, redefining and re-inventing who we are. EVEN as it pertains to our career, in-fact, I believe that this is one of the areas of our lives, more now than ever, that we should be exposing ourselves to “internal innovation” – evolving, and growing in a time where our historical perceptions of work are being challenged .  So not only has innovation been important in MY career, innovation has quintessentially shaped my career.

What do you think is imperative to allow ‘Capital I’ Innovation to occur? reform

I’m totally anti-politics, so I am going to steer away from that end of the question, BUT what I am going to do is dig in where my heart resides. Education.

I believe that if we are to see and benefit from one of the greatest paradigm shifts in innovation we will ever see in OUR lifetime, and if not this lifetime, one shortly after… We MUST authorize, and unleash one of the greatest and most powerful innovative forces the world has ever seen… Generation Y, the Echo Boomers and post Echo Boomers, and I think it starts with the education system.

This generation is growing up in a post-industrial world, and experiencing an industrial education system. While there is little emphasis on the arts, creativity in equal parts, and we are seeing children as young as 7 or 8 years old being diagnosed ADHD and sedated out of their creative potential, simply for the sake of conforming to  a system that was pretty much designed to produce industrial minded contributors, citizens… We have to not only evolve the education system, we have to turn it on it’s head and start exploring the creative capacity of our children.

What do you think are the main barriers to the success of innovation?

Some of the main barriers to the success of innovation, in my humble opinion are, and some of these may overlay one another…

1. Resistance to change

2. Rigorous conditioning by the collective mind

3. Fear

4. The protest of “play” within the workplace

5. Habit/Routine

8. If you could give a ‘Capital I’ Innovation Award to anyone, who would you nominate? 

This one is tough because I believe in so many of the Capital I Innovators… So can I give two? Please??!!

1. Tom Peters and

2. Apple …

Tom Peters, has, in my opinion, single handedly turned the business world upside down for the better. In his provocative book Re-Imagine (2006), Tom Peters gave us a Manifesto for the way we should view work where, not only was he Visionary and concise, BUT he ushered in a whole new way to think about business. Tom Peters talked about Social Media well before the phrase “Social Media” existed.  And TO THIS DAY, Tom Peters continues to define the foundation of business from a radical new paradigm, that gives Innovators a roadmap to navigate by…. Revolutionary.

Apple… Not only does Apple have the “chops” to create incredible products, the iPhone (game changer), the iMac (simply beautiful, and oh yeah… powerful), the iOs (revolutionary)… BUT they also believe in Design Thinking like no other company that I can put my finger on today (besides the champions of the thinking, Ideo, Frog, to name a couple), and it’s this “difference” that leads them to design and innovation excellence.

As it pertains to their “Capital I” contribution… one product that really rings true to me is the iPhone, and later the iPad.  I can remember when the iPhone first came into the marketplace, and I clearly remember the competition saying things like “It’s just another cell phone, with an oversized screen and touchpad… Big deal…” AND big deal it was… Because it was not only the beautiful aesthetics that made the iPhone amazing, it was the thinking behind the iPhone that was the “Innovation”.

The iPhone was the first hand-held device that gave the users the power to create the experience THEY wanted, and that was, and is, magical. Apple totally rethought the cell phone, and what it meant to us as a people, and the “mobile device”  (surely we can’t keep calling them cell phones now… right) will never be the same.

How do you see Capital I Innovation changing the hospitality industry?

The Hospitality Industry is going through a major shift right now, greatly in-part to the emergence of what I like to call the “Connected Consumer”.  Consumers have more opportunity than they have ever had, to shape, and re-shape, their experiences.

For the first time, the voice of the consumer is richly audible and influential, and brands are starting to understand that their brand experience is in large part, at the mercy of the consumer voice [via] Yelp, Facebook, Twitter, Urban Spoon, Foodspotting… enabling technologies that are a direct line of influence on the hospitality industry.  If one person has a bad experience at a hotel, that one bad experience can instantly change the perception of thousands upon thousands of people that MAY be thinking about visiting that hotel, and one tweet, retweeted can make that happen.

At Kind Intelligence, we conceptualize and develop breakthrough ideas that 1. help hospitality industry professionals streamline operational efficiencies, but more importantly, 2. we are feverishly thinking about ways that we can turn the hospitality industry on it’s head to deliver rich, and meaningful customer experiences.  Our innovations rest in “delivering better ways of doing things based on new sets of data”… new, deeper, demographic information (Hospitality Intelligence 2.0).

We think about empathetic intelligence. I can learn more about you. I can learn your mood at any given point of the day, and for the first time, I can market to moods. The Connected Consumer is giving us more data than every before, the question is how do we leverage that data and how do we make solutions that improve the customers experience. Does this means that one day you’ll be able to walk into a restaurant and be offered a completely unique experience, could that be possible? Absolutely.

I can see Capital I Innovation shifting how consumers connect with hospitality brands, but more importantly, how hospitality brands connect with the consumers.

Do you think the ‘Groupon Effect’ emboldening innovation in the industry?

I think that Groupon is a great idea, from the consumer side of the house, as they’re are able to get deals and save a lot of great money. But I think it hinders the growth and potential of some restauranteurs and other companies because they discount their products and services and reduce the value of their offerings.

What is the difference between ‘Possibility Thinking vs Competition Thinking’?

This is something that I am fanatical about, and it’s become the foundational thinking that we embrace at Kind. We don’t think in terms of  ‘competition’ because we feel that that only leads to incremental (at best) change. We lean towards focusing on what is ‘possible’, which often leads to a more disruptive form of innovation.

Right now we are working on a massive project with Mutual Mobile out of Austin Texas called Menulus, that we feel will totally reinvent the dining experience. Menulus, [which we’re launching in the first Quarter of  2012] was designed based on possibility thinking, and some of it’s abilities are going to “shake up” the mobile space in a very profound way.

‘Possibility Thinking’ is innovating based on what is possible in todays marketplace vs ‘Competition Thinking’, which suggest that we simply innovate, a little, to beat the competition. It’s the difference between taking an ‘innovation’ stance vs a  ‘disruptive innovation’ stance.

It sounds like Menulus is going to enable Micro-pitches to the consumer. 

Through micro-pitches we have ways of extending Kindness, and that’s where the name of our company comes from.  Kindness is a choice, but I need tools to help me make better choices and that’s where the semantic web and Web 3.0 really empowers what Menulus is all about.

Could we potentially have a POS (Point of Sale) System that’s integrated into the menu in real time? Could we have consumer facing tools that allowed us to discover food and restaurants in completely new ways that are more catered to our preferences – all the way down to our calorie counts? Can we do that? Absolutely. And we did it.

Tell me about The Hospitality Intelligence Company.

Kind, The Hospitality Intelligence Company focuses on conceptualizing and developing breakthrough ideas that streamline operational efficiencies and improve customer experiences within the hospitality industry.  Our value proposition rest in our  “thinking” vs our “doing”.  We work with really creative people to develop new products, services and brands that can fulfill our companies objectives and ethos… The pursuit of design and innovation excellence.

When we formed Kind Intelligence I knew I had to take the position of CIO, Chief INNOVATION Officer, as I wanted the ethos of the company to reside there, in design and innovation excellence. I oversee the Innovation Initiatives of this company, I drive that. Its interesting to be in this role at such a critical time in our economic transition, going from the Industrial Age into the Creative Age.

Here in the US the role of Chief Innovation Officer is fairly new. You have them, but you don’t have that many of them. The other component to that is that I am African American. I think I am one of only a few African American Chief Innovation Officers in the country.

Why do you think that is?

If I talk to 10 colleagues and ask them what a CIO is, they’ll all say ‘Chief Information Officer’. They just don’t know that this position exists, so they don’t know to pursue it.

That’s one of the reasons I’m excited to be in this role, because I plan on championing it and bringing it to the forefront. Saying, “This is what a Chief Innovation Officer does; and yes, you can be one!”

Its seems that in his role as Chief INNOVATION Officer, Vincent Hunt is shaking up more than the hospitality Industry. I know I’m not alone in seeing where his enthusiasm and expertise lead.

[More information on the Semantic Web and business here.]

The e-Health Perspectives of e-Patient Dave (Part 2)

Capital I Innovation Interview Series – Number 3

The e-Perspectives of e-Patient Dave 

e-Patient Daveis a world renowned keynote speaker, author, government policy advisor, e-patient advocate and champion of participatory medicine.  He, along with his physician, Dr. Danny Sands, has been named one of the “Twenty People Making Healthcare Better.”  An acclaimed speaker, Dave has received a myriad of standing ovations for his penetrative presentations, including his TEDTalk in the Netherlands this year.

As I have made clear in an earlier post, if there is anywhere that Capital I Innovationis essential, I believe it is in the field of eHealth.  This is one of the reasons I was so drawn to e-Patient Dave, an Innovative patient and  leader in what I call meHealth.

meHealth expects that I, you, we, take it upon ourselves to expect (if not demand) that all healthcare stakeholders at all levels work together to ensure that affordable, effective healthcare is available to one and all. There may be no one better known for voicing this expectation that e-Patient Dave deBronkart.

Why did you become a healthcare advocate?

Funny you should ask. During his presidential campaign JFK was asked how he became a war hero, and he answered, “It was involuntary. They sank my boat.” Same here.

I was going through life ignoring healthcare, as most of us do – it was always like the fire department: if I ever need it, it’ll be there.  And when my crisis hit, it was there for me – pretty much.

In hindsight there were avoidable errors, but all in all they saved my life, brilliantly, including gluing and screwing my leg back together when the cancer ate such a big hole [in it].

A year later my physician, Dr. Danny Sands, invited me to go on a retreat with the e-patients.net gang, with whom he’d been discussing what we now call e-patients. I read the e-patient white paper, and it blew my mind.  My little hobby blog took a sharp right turn, as if it had bounced off a boulder.  I renamed it from “the New Life of Patient Dave” to “e-Patient Dave,” and started reading books about healthcare.

And here’s the power of social media when combined with conventional print:  A year later, I tried to move my hospital records into Google Health.  What came across was garbage. It wasn’t Google’s fault – the hospital sent garbage.

That knocked me for a loop, and it took me weeks to figure out what to say.  I finally wrote a 3500 word blog post about it.

The next thing I knew, the Boston Globe called because, unbeknownst to me, medical data was a hot topic in Washington.  They wrote about my post on page 1, and we were off to the races:  speaking, policy meetings in Washington, thousands of Twitter followers, and ten months later, the end of my old career and the start of this [advocacy].

Involuntary indeed; but I’m so happy it happened, because heaven knows healthcare needs to let patients help.

What responsibility do you feel in your position as a healthcare advocate?

Not a day goes by that I don’t think of the thousands of people who, just that day, got the news they never wanted to hear.  Four thousand people a day in the US discover they have cancer.  That alone is enough.  Heaven knows how many people get other life-altering or –ending news.

Five hundred times a day, in the U.S., medical errors accidentally kill someone over age 65.  For all these people, and their families, I want to improve healthcare.

I also think about the many, many healthcare employees whose lives are sometimes ruined by involvement in a horrible medical error.  In some cases these deaths or ‘harms’ are caused by negligence, but too often they’re the inevitable result of healthcare methods that simply are not as matured, not as reliable, not as bullet-proofed, as the rest of life.  As we are all in denial about it, there’s zero chance we’ll get serious about dealing with it.  So the pain continues.

Last month in Seattle, I believe, a skilled nurse killed herself after her involvement in a tragic pediatric death that became a media circus.  Shame on those media people, for hounding that woman to her death.

The responsibility I feel is to wake people up about the complexity and riskiness of healthcare, to get us out of denial – patients and providers alike – so we can work together to improve processes and, in the interim, manage and minimize risks as best we can.  [It’s about] participatory medicine.

Who is the Healthcare customer – is it only the patient, or do you include healthcare providers and managers?

“I think the answer is that, in all cases, the customer is not well served – with the sole exception of the insurance companies… when I say patient, to me that’s a collective noun. Its everybody who’s on the receiving end of the professional services.”

For more Dave’s answer to this question, click play on the video!

In our lead up to this interview, we joked about wanting to change the world.  If you could change the world, how would you do so, and what tools do you need to make it happen?

Well of course, world peace, a stable population, plenty of food, mutual care, a healthy nourishing upbringing for every child, and all kinds of things. (Caution -I’m trained in how to visualize a future without concern for its current feasibility.)

I wasn’t joking about changing the world. Cynics are wrong; change happens all the time. For heaven’s sake, the Web was only born 17 years ago. (The Mozilla browser arrived in April 1994.) That’s only 6300 days ago.

Cynics should think about this: if everywhere you turn, the world looks like shit, perhaps you have your head up your ass.

So I am changing the world (and so are you), and it’s not a joke. My tools are stories – mine and others’ – because stories well told are potent change agents; [I use] humor, because it’s more engaging than just tragedy; logic, for instance explaining why it’s reasonable for patients to be active participants; evidence; and social media.

How do you define Innovation in Healthcare? [Note: throughout his answer Dave refers to the KimmiC definition of ‘Capital I’ Innovation: Something that was not there before, upon which new economies and cultures can be built.]

Trick question – Having said that …

What’s “not there before” in healthcare is to start with the question, “What would the customer like to see?

I’m increasingly certain that the principal source of dysfunction in healthcare is that it’s the only industry I know where the definition of quality doesn’t start with what the customer wants.  Once we ignore that, then all our best efforts to improve other things will pursue other goals, but not home in on more satisfied customers.

Want evidence of this?  Consider that hardly anyone in healthcare can even imagine what this question means, much less that it might be important. 🙂

And yes, entire new economies can be built on this. Entire new ecosystems, in fact.

The other “what’s not there before” is for all our medical data – all your medical data – to be in your hands, your property, for you to take with you wherever you want.

Aside from putting the power where it belongs – in your hands – it will enable another new ecosystem of personal health data tools.

Combine the two, and we could someday see a health ecosystem that’s built on what people want, not what professionals say they should want.

The third ‘Capital I’ is uncommon today and could be immensely powerful:  a vast and widely-known network of patient communities for every condition under the sun.

Not only is there great practical value in connecting with other patients for disease management and day-to-day tips, communities enable information pathways that bypass the limitations of clinical trials and medical journals.  Those methods are focused on the scientific method, which is great – it saved my life – but by their nature those methods can’t measure anything that cannot be subjected to trials, and can’t identify factors where the scientific method is weak.

Finally, consumer communities know about findings that fail or side effects that arise after the articles are published – and communities spread the word far more rapidly than traditional channels.

What do you think are the main barriers to the success of healthcare innovation?

This too is too big for me to answer.  Having said that, within the narrow scope of my own knowledge, the main barrier I do know of is the lack of that belief that the patient ought to define care’s objectives.  If every clinician and hospital executive truly believed that everything they do is to accomplish whatever we [the patients]  want, much would change.

And [now] consider how unimaginable or senseless that seems to them.

If you could give a ‘Capital I’ Innovation in Healthcare Award to anyone, who would you nominate? 

I don’t know the whole industry.  Having said that, at this moment, within my very limited experience, I see these nominees. (I hesitate to say this because of whom I might leave out.)

    • The current leadership of the U.S. Dept of Health & Human Services. They’re implementing truly patient-centered policies for the first time in generations. That is “that which was not, before.”
    • The people in the Obama administration who by some miracle got US health reform passed. Almost every president since Roosevelt had tried. That is “that which was not, before.”
    • Don Berwick, head of Medicare and Medicaid, who is implementing policies and freeing data which will empower real informed choice for consumers.
    • Lucien Engelen at Radboud UMC in the Netherlands, for creating the REshape Academy, which is actively at work on reshaping the care relationship. That is “that which was not, before.”
    • Regina Holliday, Medical Advocacy Muralist. A phenomenal story teller in words and paint, she has been putting a face on the human suffering from our dysfunctional system. That is “that which was not, before.”

Are you a patient patient?

Hell yes, presuming the care team is working competently and I’m not being subjected to waits for no good reason.

Though the last question I ask, it is no doubt the most important.. how is your health now?

My cancer is completely gone; for better and worse, I’m exactly back to where I was before the illness, including being a bit overweight. (When the treatment ended I’d achieved my ideal weight! Unfortunately I’ve gained it all back.)

The only clinical difference is that I have one less kidney and adrenal gland, and a bunch of steel that repaired my femur after it snapped from the cancer.

Personally, I’d say Dave has a lot more steel in him than just which repaired his femur. 

[Note: On July 23 Dave celebrated the fourth anniversary of his last dose of HDIL-2 (high dosage interleukin-2), the treatment that rapidly reversed the course of the cancer that was killing him.  He hasn’t had a drop of treatment – and thus not a single side effect – since then!]

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For more information on e-Patient Dave, check out:

(Kim and Dave Skype’d between from their homes in Sydney and Boston  on July 26, 2011. Part One of this series can be found here.)

(NOTE: Excuse the quality of the filming/lighting/all-other-ing of this interview.  Suffice it to say, Spielberg has no worries I’m going to be sitting in his chair anytime soon!)

Capital I Innovation Series Introduction

It’s meHealth I’m Talking About – The To Do List

The following is a list of meHealth issues, and an overview of some of the steps necessary to solve them: meHealth

  • Convince stake holders of the efficacy of Personal Healthcare Pages and/or (PHP) National Electronic Health Records (EHR)
  • Enable all healthcare stakeholders (consumers, healthcare givers, healthcare managers) to use the Web as a platform to share information, deliver care and build communities
  • Enable patients to make better lifestyle choices

Collaborative Health

  • Convince stake holders that Collaborative Health Care (CHC) is a cheaper, safer, and better system
  • Enable single points of contact, self service and self help
  • Enable Doctors to make better diagnoses and prescribe better treatments through access to more useful and integrated data
  • Enable data aggregation to produce useful data of clinical significance for researchers evaluation, teaching doctors and development of health services

Non Vendor Locked Tools

  • Ensure systems are easy and economical for use by all stakeholders
  • Enable tools that help patients feel more informed, included and valued
  • Enable medical help via Web sites/browsers and smart phone apps
  • Enable easily understandable bundles of products and services that can be compared on quality and price, and used by stake holders with a wide range of capability levels
  • Enable access to and co-ordination of home based medical equipment / tools and assessments along with data-generating Web-enabled devices
  • Enable tools for doctor patient dialogue
  • Enable healthcare givers to electronically interact with patients regardless of where they are located
  • Enable disparate IT systems and processes to connect and co-ordinate with each other
  • Enable secure flexibility within mobile services, using such tools as PDAs and VOIP processes
  • Enable healthcare managers to better respond to emergencies and rapidly assess the national impact of particular treatments

Governmental Issues

  • Enable and enhance uptake by governmental agencies
  • Support government responsibility for public infrastructure and systems
  • Enable support for vast consumer and care provider populations in urban, suburban, rural and remote locations
  • Enable effective co-ordination and oversight of national E-Health activities
  • Enable tools and systems which support informed policy, investment and research decisions

Security and Privacy

  • Ensure security of all data transfers
  • Ensure privacy for patients
  • Enable confidential electronic information to be securely and seamlessly accessed and shared, by the right person at the right place and time, regardless of their location

Standards

  • Either create and enable record system standards and benchmarks, or make standards unnecessary by enabling different systems to talk/work with to one another without vendor lock, using a Web 3.0 / Semantic Solution

Data Management

  • Incentivise enhancement of IT and information management
  • Incentivise investment in infra- and info-structures
  • Ensure easy and economical training and support
  • Ensure implementation is cost effective

Infrastructure

  • Maximize existing information management and technology to improve functionality
  • Upgrade old computers and dial-up Internet access or ensure they can work within the new system
  • Ensure new systems are designed with potential user consultation
  • Support Funding to improve rural ICT infrastructure
  • Ensure broadband / ‘chatty’ high-speed connections are not necessary for most clinical consultation (Systems can be broadband based, but must not be broadband bound)

Costs

  • Reduce/Eliminate errors, inefficiencies and the wastage of time and effort
  • Lower healthcare provisioning costs
  • Ensures cost and service level transparency
  • Lowers costs on families and communities supporting the elderly
  • Cut time needed to review and implement systems and training
  • Modernise the management and transmission of data
  • Consolidate medical records/services and clinically relevant information
  • Remove duplication of healthcare efforts, expenditure and solutions
  • Reduce administration time and costs
  • Combine insurance systems reducing duplications and high overhead costs

Systems and Processes

  • Enable an integrated health care delivery system
  • Link emergency and acute hospitals with tertiary care in the community sector
  • Enable integrated healthcare delivery systems and the consolidation of medical records/services
  • Ensure B2B applications (i.e. reporting, billing and claiming processes) are integrated into general practice software systems
  • Enable the secure viewing and following of healthcare processes
Well, there is.
Bottom line: meHealth makes money, and it makes sense.
If you want to talk about the tech,  get in touch!


The e-Health Perspectives of e-Patient Dave (Part 1)

Capital I Interview Series – Number 3 (Part 1)

The e-Perspectives of e-Patient Dave 

Recently I, along with a myriad of others around the world, was introduced to the passionate, personable and thought provoking e-Patient Dave through his TED Talk ‘Dave deBronkart: Meet e-Patient Dave.

I was so inspired by his presentation, I immediately took to Twitter to send him a message of congratulations – and an invitation to become involved in my Innovation Interview Series – not least because of my long held interest in Innovation in healthcare, and in meHealth in particular.

Unsurprisingly, with  more than 180,000 views so far, and having been subtitled in nine languages, Dave’s TEDTalk has proven to be an international hit.  So much so, that TED invited him back to do a TED Conversation on “Let Patients Help”   scheduled for Wednesday 27 July at 1:00 p.m. (US) EDT.

My interview with Dave, conducted on 26 July, will be posted in a series of ‘chunks’ – some in text, and some in video format.

(NOTE: Excuse the quality of the filming/lighting/all-other-ing of this interview.  Suffice it to say, Spielberg has no worries I’m going to be sitting in his chair anytime soon!)

This first posting, to coincide with the Ted Conversation, will look at two questions in particular: the responsibility of Healthcare users and the demands they are entitled to make.

But first, lets talk about TED:

You’ve recently done a TedTalk and had a great global response to your presentation.  What has been the most surprising outcome from this success.

It’s no surprise that being  a hit on TED.com has been phenomenal at spreading the meme.  What is a pleasant surprise is that it’s clearly gone viral: the idea is currently spreading at over 1500 views a day, and volunteers have added subtitles in eight languages.  WHAT a pleasure for any advocate, to see an idea take off like that, especially across cultures. Farsi!

And what a testament to the power and reach of TED.

And who brought you into TED?

That’s my friend Lucien Engelen, His Twitter name is Zorg – which means ‘Care’ in Dutch – 20, and he is a visionary.  A visionary who has the ability to execute. About two years ago he got […] authorized to run a TEDx, the smaller regional franchise TED events, in Maastricht.  A year before it happened he announced that a patient was going to be the first speaker at this medical conference.”

Lucien Engelen is a Health 2.0 Ambassador, the Director of the Radboud REshape & Innovation Center, and on the Advisory Executive Board at Radboud University Nijmegen Medical Centre

“Clearly this is tapping into something in consumers cross culturally – people want to be involved in their healthcare around the world.”

What responsibility do you think healthcare users need to take in their own health?

The simplest eye-opener view was put forth in December 2008 by endocrinologist Stanley Feld: “Physicians are coaches. Patients are players.”  You don’t get to sit on the couch all day and then demand participatory healthcare. With rights come responsibility.  Get up off your ass; be physically engaged in your life, not just your care decisions.

For those inclined toward a more delicate view, and perhaps a more formal model, Jessie Gruman’s Center for Advancing Health has developed a terrific ten-piece framework for patient engagement:

  • Find Safe, Decent Care
  • Communicate with Health Care Professionals
  • Organize Health Care
  • Pay for Health Care
  • Make Good Treatment Decisions
  • Participate in Treatment
  • Promote Health
  • Get Preventive Health Care
  • Plan for the End of Life
  • Seek Health Knowledge

For details see this post with her speech about it and links to the full framework documents.

Should patients be allowed to read their doctors’ notes, access lab result and see images they aren’t necessarily qualified to assess?

“There’s several levels of thinking about this.. here’s entitled according to the law, and there’s what I think makes sense.”

“How do we improve healthcare?  And I assert that we have to start there, because we are approaching a genuine healthcare famine.”

Lucien Engelen, who hosted TEDx Maastricht… he’s going to be running the REshape academy in September, where I’m going to be doing my ePatient bootcamp.

He said that in the Netherlands, which is not a giant country, by 2025 they’re facing a shortage of 400,000 nurses.”

“Now anybody who plans to be alive in 2025, and there probably will be more humans in the Netherlands than there are today, is going to be facing a care shortage.  So it just seems unavoidable that that we’ve got to hand people a lifeline to try to help themselves.”

My doctor, Dr. Danny Sands, is famous for saying, “How can patients be engaged in their care if they can’t see the information?”

“For the patients to be a second set of eyes, to check the data quality, costs the healthcare system nothing more and will reduce defects.”

What responsibility do you think healthcare users need to take in demanding change in the healthcare system?

Well, that varies a lot.  All my life I’ve felt that demands aren’t necessary until one has asked courteously, offering partnership in creating the change and doing the work.

But there are times when the establishment simply will not listen.

It happened for hundreds of years with women’s suffrage.  It happened with the civil rights movement: folk singer Malvina Reynolds penned a cheerful ditty “It Isn’t Nice” about what you sometimes have to do for justice:

It isn’t nice to block the doorway
It isn’t nice to go to jail
There are nicer ways to do it,
But the nice ways always fail

Although I followed folk music in the Sixties, I didn’t hear that song until this year, in the context of yet another movement: gay rights.  It was mentioned in an episode of our great PBS series The American Experience the Stonewall Uprising.

One of the gents who was in that movement recounts what gays eventually had to do to be granted the right to live and let live.  Will we see a day when patients march in the streets?  Gays chanted “Out of the closets and into the streets!”

Will patients march, chanting “Out of the johnnies [US slang for hospital gown] and into the streets – stop the killing now”?

Personally, I’d prefer the chant “Let Patients Help.”  But if healthcare ignores that, who knows.

———————————————————————————————

End of Part One

In Part Two of my interview with e-Patient Dave, we’ll look at, among other things:  Capital I’ Innovation in healthcare, healthcare heroes, why Dave became a healthcare advocate (and the responsibilities that entails) and changing the world.

[ There’s a lot more to come from e-Patient Dave, so keep your ears tuned, and your eyes peeled – conversely, you could make things easy on yourself and either follow this blog or subscribe to the RSS feed! 🙂 ]

For more information on e-Patient Dave, check out:

(Kim and Dave Skype’d between from their homes in Sydney and Boston  on July 26, 2011. This is Part One of a multi-part series.)

Part Two of this interview can be found here

Capital I Innovation Series Introduction

It’s meHealth I’m Talking About

The move from eHealth to meHealth

eHealth can and should provide options for how stakeholders (consumers, care givers and healthcare managers) manage and interact with the healthcare system across geographic and health sector environs.  That said, if there is anywhere that Capital I Innovation is essential, I believe it is in the field of eHealth.

The term eHealth has become nigh on ubiquitous.  And yet, it is somewhat nebulous, as it can be perceived as being perceptively less than personal.  meHealth, however, is different. It demands that I, you, we, take it upon ourselves to take responsibility.

Responsibility for what?

Responsibility to expect and demand that all healthcare stakeholders at the local, regional and national – and, dare I say, international – level to work together to ensure that affordable, effective healthcare is available to one and all.

e-Health uses the internet and related communication technologies to improve healthcare delivery, collaboration, diagnostics and treatments, while reducing errors and costs.

Thus far most arguments for eHealth take-up have relied upon Web 2.0 solutions such as MedHelp, MyGP, patientslikeme and Hello Health – each excellent initiatives.  Unfortunately, these arguments for adoption, though interesting, have not been compelling enough to engender a rush towards mass adoption, at least not by healthcare service providers.  But, with the advent of Web 3.0 solutions, this situation should soon change.  It must.  However, this will only happen if all stakeholders take on the responsibility of demanding the change; this is the time for the change to meHealth.

In my recent conversation with ‘father of the internet’ Vint Cerf, we discussed eHealth. Vint remarked ,

“From my point of view, there is no doubt that having records which are sharable, at least among physicians, would be a huge help.  When people go in to be examined, they often have to repeat their medical histories.  They don’t get it right every time, they forget stuff.  Yet the doctors are not in a great position to service a patient without having good background information.  I am very much in favour of getting those kinds of records online.

If we were able to harness the electronic healthcare system to provide incentives for people to respond to chronic conditions, which are generally the worst problems we have in healthcare – whether its heart disease, diabetes, cancer, [obesity] – to take better care of themselves, then we would reduce a lot of the system costs, simply because we had a more healthy population.”

Unsurprisingly, I agree with Vint.  However, regardless of how involved individuals are in bettering their meHealth, we cannot ignore the fact that pressure on the healthcare industry is rapidly increasing, as is the cost of provision.  It is in this area where new technologies can be of great import by enabling the healthcare sector to operate as an effectively co-ordinated, interconnected system, which:

  • Lowers costs and eliminate wastage of time and effort
  • Lowers costs on families and communities supporting the elderly
  • Enables integrated healthcare delivery systems
  • Consolidates medical records/services
  • Enables the viewing and following of healthcare processes
  • Enables single points of contact, self service and self help
  • Ensures cost and service level transparency
  • Enables disparate IT systems and processes to connect and co-ordinate with each other
  • Supports vast consumer and care provider populations
  • Removes duplication of healthcare efforts, expenditure and solutions
  • Enables confidential electronic information to be securely and seamlessly accessed and shared, by the right person at the right place and time, regardless of their urban, suburban, rural or remote location
  • Enables effective co-ordination and oversight of national E-Health activities
  • Supports informed policy, investment and research decisions
  • Enables secure flexibility within mobile services, using such tools as PDAs and VOIP processes
  • Reduces errors and inefficiencies

All the above points are important, but the final one may be the most vital of all. Why?

Because in Australia, in 2010, approximately $3 billion was wasted in avoidable annual expenditure.  Australia has a population of over 22.5 million, the US has a population of nearly 311 million and China has a population of over 1.3 billion – you do the math.

Do you need more convincing?  How about this. Annually in the US approximately 225,000 people die as a result of erroneous medical treatments and hundreds of thousands are made worse by being misdiagnosed or given inappropriate treatment.  Added to that, the costs of medical problems caused over 60% of all personal bankruptcies filed in 2007.  These are just a few of the reasons why reducing, if not eliminating, errors and inefficiencies is imperative.

I think most of us are agreed that making these changes would be a good thing. So how do we do it? Its a big ask I know. And yet, it must, and can, be done. What is needed is a plan, and here is my To Do List. I welcome any and all who are interested in moving this debate forward to add to this list.

In next week’s post, we will look at eHealth and meHealth from the perspective of patient advocate ePatient Dave.

Vint Cerf: Father Knows Best! (Part 2)

Capital I Interview Series – Number 2 (Part 2)

KimmiC chats with ‘Father of the Internet’, Vinton ‘Vint’ Cerf

(Along with our particular questions, we invited some of our readers to submit their own queries to Vint, which he was happy to answer. Thanks go out to to ‘ePatient Dave’ Dave deBronkart, Brent Hall, and Roger Kermode for taking part!)

This is the final segment of the KimmiC chat with Google VP and Chief Internet Evangelist, Vinton ‘Vint’ Cerf, known around the world as one of ‘fathers of the internet’. [Part 1 available here.]

There has been a great amount of debate about Net Neutrality Vint. Do you think it is important to ongoing Innovation?


Yes, in the sense that it is intended to assure that the limited number of providers of broadband access to the Internet, do not use their control of this pipe to interfere with competing  applications that rely on this transport. It is the anti-competitive aspect that is the most critical problem. A lot of smoke and misleading argument has obscured this basic fact.

The issue here is a business issue more than anything else. It is distorted and twisted around and treated as if its a technical problem or ‘just a bunch of geeks who don’t know what they’re doing’, but this is a real, honest business problem; especially in places where there is not much competition to provide broadband service.

When you don’t have a market that’s disciplined by competition, you have the potential for real monopoly or market power abuse. If you’re the only party supplying broadband access to the internet, and if you supply vertical services like video, then you may be persuaded to interfere with someone else’s service in order to take advantage of your control over the underlying pipe.

The situation in Australia largely eliminates that problem because of the way in which you’re investing in the NBN. Here in the United States we have a serious problem because Broadband is not very competitive. We have Telcos, CableCos and maybe you could consider satellite services to be a third possible competitor, but the synchronous satellite delay makes it a lot less attractive.

Last week a popular Ted Talk by ‘ePatient DaveDave deBronkart was launched. An eHealth advocate, Dave was pleased to have the opportunity to ask you:
 Increasingly, “e-patients” are using the internet to supplement the care they receive from professionals by connecting with information, and with each other, in ways that were never possible before.

ePatient Dave

Some have found life-saving information online, but others warn that there’s garbage amid the gold. And some doctors don’t like it when patients present information they haven’t seen.

Are there lessons from other fields that have similarly faced the democratization of information? 


There are several facets to this question. First of all, there’s a lot of misinformation on the internet about healthcare. There are a lot of quacks and people who tried things and think there are correlations. Things like, “I jumped around on my left foot and sacrificed a chicken over my computer, and I got better.” So they conclude that you have to jump around on your left foot and sacrifice a chicken over your computer to get better.

Of course that’s all nonsense.  Anyone who goes out on the net looking for healthcare information should be very careful to look for bona-fides and some evidence that the information is valid.

On the other hand doctors are saying that they have more informed patients than they have ever had before because information is more readily available. I sense that people are paying more attention to their health conditions and they’ve learned a lot.

Doctors don’t have a great deal of time to tutor their patients about their problems. So one thing the healthcare system would benefit from is a deliberate provision of good quality information about either a condition, or its treatment,  its potential outcomes and possible side effects. Then the population can learn more without chewing up a lot of the doctor’s time.

As far as making a comparison with other vertical segments, none immediately come to mind, except perhaps Climate Change, which as you know is a hugely controversial thing. Perhaps one other would be in the financial services area where people go out on the net looking for advice about investments, specific stocks, or choices about home mortgages and things of that sort. All of that is subject to misinformation and deliberate fraud.

I think the honest answer is, people do get defrauded on the net. People do get involved in things that turn out to be unrealistic – ponzi schemes and whatnot. The only thing I can say is, if you don’t teach people, or at least encourage them to ask questions, or at least do some validation… if they don’t spend some time evaluating the information they’re getting, then they are going to be at risk.

The one thing that I would want to teach kids today about the net is: think critically about what you’re seeing and hearing – don’t accept everything that you see without doing some more homework.

As I’m sure you know, July 1 marked the 45th anniversary of the implementation of Medicare following President Lyndon Johnson signing the healthcare program on July 30, 1965.

How do you envisage eHealth developing with the advancement of the internet and broadband capabilities?


I have to confess that I had not been driven specifically by the eHealth vector in my work on the internet. But as it became increasingly apparent that the healthcare problem was going to get worse and worse here in the US, in terms of dollars spent per patient/capita I got more and more interested – for the same reasons that you mentioned.

As you probably know, Google has announced that its going to terminate its current efforts in the electronic health record effort. I’m disappointed at that. I think that we had hoped that it would have more traction that it did. Part of the problem is getting people to adopt and use those records – and interoperability and so on.

There is however, a small piece of light. The US CTO, Aneesh Chopra, at least succeeded in getting some agreements on a format for data that could be exchanged by email. As you know the concerns about privacy and health information have been quite intense here in the US. There’s a big, complex system here called HIPAA, (the Health Insurance Portability and Accountability Act), apparently he was able to cope with that and still get an interoperable agreement done.

US CTO Aneesh Chopra

From my point of view, there is no doubt that having records which are sharable, at least among physicians, would be a huge help. When people go in to be examined, they often have to repeat their medical histories. They don’t get it right every time, they forget stuff.  Yet the doctors are not in a great position to service a patient without having good background information. I am very much in favour of getting those kinds of records online.

The second thing I would say is that for chronic conditions, which are generally the worst problems we have in healthcare – whether its heart disease, diabetes, cancer, [obesity] – those chronic conditions cost us more per capita than anything else in the healthcare system. If we were able to harness the electronic healthcare system to provide incentives for people to respond to those problems, to take better care of themselves, then we would reduce a lot of the system costs, simply because we had a more healthy population.

On this point about a healthy population, if you are not collecting data, you can’t know what the state of health of your population is. We have to get better data.

There is a concern about Telcos on the whole, and in the US in particular, having asked for and received huge subsidies along with the removal of regulations and obligations for common carriage. In return, they have promised to provide improved services for everyone, and yet they have consistently failed to do so.


With that in mind, could you comment on Brent Hall’s question: What is the greatest threat to the future of a free and open  internet?


I worry about the: “Our business models don’t work anymore. We can’t expect the general public to pay for access to this expensive resource, so we have to find other sources of revenue to pay for the build out, which might mean government handouts,” argument. Or the, “Hey, look at those guys over there at Google and Facebook and Amazon. They’re sending streaming video over our pipes, and they’re not paying for it!

Of course we are paying for it! We pay commercial services a lot of money to put our servers up on the net. Now they’re saying, “Customers can’t pay!”
My reaction to that is: technology should be cheap enough that you can make this available to customers at a reasonable price.

Now, what are we going to do about it? Well, Google is doing something about it. We’re going to fibreize Kansas City. It’s not as big as Australia but it’s our attempt to do the work. We will expose what the problems were, what was easy, what was technically hard and what was fiscally expensive.

And by the way, I haven’t said this to [Senator] Stephen Conroy, but I would find it extraordinary if the Australian Government would be willing to share what the costs turned out to be. The reason for that is, it might encourage others, or at least give us a real datapoint so that if we want to do what you’re doing, we will all – the US and elsewhere – know what we’re getting into.

Australian Senator, and Minister for Broadband, Communications and the Digital Economy, Stephen Conroy

This could be a dangerous thing. If it turns out that its all a cock-up of some sort, if it costs more than was expected and it doesn’t get done, then nobody is going to want to talk about it. I understand that. But I am increasingly confident that you’re going to pull this off successfully. I sincerely hope you do.

The world over, citizens in their millions are calling for more openness from their respective governments. As part of the Board of advisors of Scientists and Engineers for America, what is your view of the effectiveness and potential of President Obama’s Open Government Initiative and its mandate to create an unprecedented level of openness in Government?

As you probably know, Vivek Kundra who is the CIO at OMB (the Office of Management and Budget) was vigorous in his pursuit of that objective. He got an enormous collection of government databases up and running and made them easily accessible – including budgetary information – which of course is what the OMB is all about.

US CIO Vivek Kundra

What he did was to create a tool online, which enabled you to drill-down into the budget. It allowed you to find the actual person who was responsible for spending that ‘piece’ of money in the US budget, which is unprecedented. Nobody had ever done that before.

Coupling that with tools to visualize some of this ‘dry as dust’ information was really eye opening. You began to see historical trends and things you would never see by just leafing through pages and pages of table and figures.
I’m sorry to say that in the crunch of the national debt limits and concerns over entitlements such as healthcare, social security and so on – non-discretionary expenses… in the course of  trying to negotiate reductions in spending, they reduced the budget Vivek had for some of his projects.

Whether it was causative or not, I don’t know, but recently Vivek announced that he is going to Harvard to the Berkman Centre. I don’t know who his replacement will be, but whoever it is will have less budget than Vivek originally had for the pursuit of this stuff.

President Barack Obama

I don’t think the President or any of his senior people are any less enthusiastic about openness and making information transparently available. I think they’re facing a reality of a budget problem that’s going to be hard to fix.

Looking to your past, who most influenced you in high school? I ask this, as I find it amazing that you, Jon Postel (editor of the RFC document series) and Steve Crocker (co-creator of the ARPANET) all went to the same school – was there a particular teacher, or club who inspired you there?

I actually did not meet Jon until we met at UCLA as graduate students.

Jon Postel

Steve and I were, and are, best friends -we were best men at each other’s weddings and have collaborated in many ways over the course of 5 decades.

Steve Crocker

I think the biggest influence for me in high school was the enrichment program sponsored in part by the National Science Foundation in the wake of Sputnik.
I was a direct beneficiary of the emphasis placed on science, mathematics and technology in American high schools in the 1960s. I had teachers who encouraged me in all academic subjects including history, creative writing and literature, not only math, science, physics, chemistry, etc. Steve and I were members of the math club and he was president. The club won city-wide awards in contests and that was very satisfying.

And today, why is Google a good place for an Internet Evangelist and Futurist?


Google is vibrant and alive with ideas, energy and a youthfulness that leads to innovation and Innovation. The leadership is willing to aim at big targets and is willing to allow for failure as long as the targets are ambitious enough. The company has a highly successful business model and a culture of invention and collaboration.

Vint, thank you so much for your time, which I know you extended for me. If there’s ever anything I can do for you, don’t hesitate to let me know!


If you could figure out how to fix the exchange rate between the US dollar and the Australian dollar so I can could buy more Australian wine, I’d really appreciate that!

(Kim and Vint Skype’d between from their homes in Sydney and Washington D.C. Part One of their conversation was published  on July 1, 2011)

[This interview has been translated into the Serbo-Croatian language by Jovana Milutinovich of Webhostinggeeks.com]

Capital I Innovation Series Introduction

Vint Cerf: Father Knows Best!

Capital I Interview Series – Number 2 (Part 1)

KimmiC chats with ‘Father of the Internet’, Vinton ‘Vint’ Cerf

(Along with our particular questions, we invited some of our readers to submit their own queries to Vint, which he was happy to answer. Thanks go out to to “e-Patient Dave” Dave deBronkart, Brent Hall, and Roger Kermode for taking part!)

Imagine having the opportunity to ask Johannes Gutenberg about his thoughts on how his printing press would change the industry – let alone his opinion on how his press would change the world. Well, essentially, that’s the chance that I’ve had this morning, when I was given the opportunity to speak to Google‘s VP and Chief Internet Evangelist, Vinton ‘Vint’ Cerf, known around the world as one of ‘fathers of the internet’.

When looking for a ‘poster child’ for Capital I Innovation, Vint is, to many – myself included – at the top of an impressive, international list. His list of awards and medals from around the globe is vast, as is his experience and range of interests. I do believe, in this instance, it is fair to say that when discussing Capital I Innovation – especially as it relates to the internet – ‘Father really does know best’.

As this series is based on Capital I Innovation, Lets start with how you define Innovation?
I think capital “I” innovation happens when something new is invented that has very large potential for cultural and/or economic change. However, it is important to appreciate that some innovations are stillborn if they are not, in fact, taken up widely.

In a recent book entitled Why the West Rules – For Now by Ian Morris (2010, Farrar Straus and Giroux, New York), evidence is given that strongly points to the long term evolution and adoption of agriculture ultimately replacing a hunter-gatherer way of life. The process is not instantaneous but it has dramatic effects on culture and economy.

We sometimes think of Innovation as a sudden invention but often it takes decades and even centuries to have an effect. The printing press took centuries to have its primary effect. The telegraph, railroads, highways, radio, television and even the Internet took decades but those are a blink of the eye in terms of human history, which is fairly short itself (a few tens of thousands of year for prehistory, perhaps 8,000 for “history”).

Do you see a difference between ‘little i’ and ‘Capital I’ Innovation?
Yes, I think of the lower case instance as sequential refinement and adaptation while the basic Innovation might be a dramatically different way of doing something.

The Industrial Revolution is capitalized because of that – a shift from manpower or animal power to harnessing non-biological forms of mechanical energy (water power from rivers; steam from coal and wood; hydro-electric, oil, gas, wind or solar generated electricity; internal combustion engine; fractional horsepower motors).

The Transistor (and reed switches or vacuum tubes) ushered in the harnessing the power of “mechanical” thought using computers and programs. The Telegraph ushered in new forms of communication that eventually lead to the telephone, radio, television, optical fiber, coaxial cable, microwave, etc.

Printing Telegraph

The combination of computing and communication, once the economics reached a certain level, created the conditions for the invention of packet switching and, eventually, the Internet and many other kinds of computer-based networks.

With that in mind, do you think that Cloud Computing is big enough – different enough – to be capitalised?
Yes I do, for a couple of reasons. I’ve been jokingly saying that it is like time-sharing on steroids, as, like time-sharing, it does share the same resources. However, the scale of a Cloud system is so dramatically different than any time-sharing system that’s ever existed that it does deserve to be Capital I. There is a common belief that once you scale up by a three or four orders of magnitude you are in a different space than you were before.

Of course, this raises a very interesting question about the internet, because the internet is now 6 orders of magnitude bigger than it was when we first launched it in 1983. You have to ask yourself, is it still the same architecture, the same protocols? What’s different?

Of course one thing that’s different is that there are two billion users. Another thing that’s different is that the world wide web wasn’t there, and now it is – that [came] 10 years after launch. Its also available on mobiles, which didn’t exist. So, there are a whole bunch of things about that scaling up, including data and video, which could allow you to argue that this is a whole different beast now.

The meeting I just came back from in Paris suggests this. If anyone had suggested to me in 1983 that in 2011 there would be a meeting of 50 or so countries in the OECD, for two days talking about the internet economy, concerns about intellectual property, crime on the net and so on… I would have scratched my head and said, this thing is for the military, and the research community.

You’re called by many, one of the ‘fathers of the internet’. What do you think of your baby now?

  • Astonished at its evolution and growth,
  • Hopeful that it will reach well beyond the present 2 billion users,
  • Amazed at the response to the WWW infrastructure,
  • Worried about government intervention that might seriously harm the openness that has driven innovation in and around the Internet,
  • Excited by the possibility of extending its operation across the solar system to support manned and robotic space exploration,
  • Envious of kids who get to use it at age 5 when I had to wait until I was 28… and we had to invent it first!

What is the most important piece of innovation, which has launched in your lifetime?
The obvious answer for me is, of course, the Internet, but in fact it depended on the creation of conditions that allowed this idea to be explored and, ultimately, exploited.

The ARPANET, the successful invention of packet switching, the invention of the Ethernet, the invention of the Unix operating system, the invention of the mini-computer (ie. something that could afford to be replicated and used as packet switches or routers), the invention of high speed, long distance communication technology (wired, wireless, satellite, mobile…). Those, and so many more technologies, all had to be readily available for the Internet to grow.

Business models had to be invented, not only to make and sell the equipment and software needed for the Internet to operate but for the support of the enterprises that grew up around the World Wide Web (WWW). The WWW itself would not likely have amounted to much had it not had an Internet on which to be supported. It was invented or at least became operational in a single node in December 1990, six years after the Internet became available to the academic and military communities and contemporary with the development of a commercial Internet service.

I was born in 1943. I grew up using a three-party, black dial up telephone with long-distance operators. There was no television to speak of. Jet planes were purely military. Early in my life, the atomic bomb was invented, tested and used. Microwave and radar were military systems. Sputnik happened when I was 15 and just entering high school.

We landed on the moon when I was 26. At 18 I worked in a small way on the F-1 booster rocket engines used in the Saturn V rocket that put the astronauts in orbit around the Earth.

The microwave oven became a commodity in my lifetime as did jet travel. The computer was very new during my early lifetime and I was introduced to the tube-based SAGE system (Semi-Automated Ground Environment) when I was 15.

Lasers were invented in my life time and have myriad uses today. Robotic surgical systems such as the Intuitive Surgical Da Vinci system were invented in my lifetime. So was the Pill (by Syntex and others, for birth control). The discovery of the structure of DNA occurs around 1953 when I am ten years old.

While relativity and quantum theory were already a few decades old when I was born, the existence of quarks wasn’t really demonstrated until 1968 at the Stanford Linear Accelerator (SLAC), at about the time I am working on the ARPANET at UCLA. The cochlear implant, invented by Graeme Clark beginning in 1973, was a long process, but had utterly spectacular results. My wife, who was profoundly deaf for 50 years, has two implants and is living a second life as a result!

What piece of innovation did you expect to happen/take off, that didn’t?
Two things were really disappointing. When I was working on the Saturn F-1 engines in 1962, I really did think that we would have regular, weekly space launches in 20 years, maybe out of the Antelope Valley north of Los Angeles where the famous Lockheed “Skunkworks” is located. I also thought that we would be flying personal helicopters by then, too.

I also thought 20 years was a long time (more than twice my lifetime at that point). I was wrong about all three, but I am not disappointed to have outlived thrice my lifetime at age 19!!

Where does the Interplanetary Internet project stands at the moment – and why do you think it is important?
The standards are firming up well. There are implementations of the Bundle Protocol and the Licklider Transport Protocol that realize the Interplanetary Internet architecture. Instances are on board the International Space Station and the EPOXI spacecraft. Discussions are underway in the Consultative Committee on Space Data Systems to standardize these protocols for international use.

If all space-faring nations adopt these protocols, then all espacecraft will be able to communicate with each other. Once they have completed their primary scientific missions, they can be re-purposed to become part of an interplanetary backbone network. One can imagine the aggregation of a solar internet over a period of decades, in support of both manned and robotic exploration.

Here on earth, are entrepreneurs born or made?
I think there has to be a combination of conditions to allow entrepreneurship to happen. A person has to be willing to take risks, and that often has a genetic component. But a person’s experience with risk also has to have had some positive feedback effect. If you are never successful at taking risk, you are likely to learn to be very conservative.

Conditions also have to be right to allow the risk-taking to go on long enough to produce results. This is the so called “runway” needed to go from the idea to a successful, profitable or at least self-sustaining business. It should be noted, however, that not all inventors are entrepreneurs. They may take risks in the technical sense but not necessarily in the personal (livelihood) sense.

Conditions for invention may actually require that the inventor be shielded from economic risk while exploring ideas that may have a high pay off in some sense, but such high risk that no one could afford to take the personal risk needed to explore them.

This is one reason that it is often a government that has to make the investment in research in high-risk area,s since no business or inventor would take the economic risk. It is also why inventors often die in poverty (think of Tesla) [while] others harvest wealth in addition to technical success.

What do you think are the main barriers to the success of innovation?
Sometimes they are technical (can’t process that much information in a timely way, can’t store it, can’t build a big enough data platform, uses too much power) or economic (can’t deploy the necessary infrastructure, devices out of consumer reach) or operational (too bulky, battery life too short, displays don’t work in all lighting conditions). Sometimes the major barrier is that the private sector doesn’t give innovative employees the freedom to fail.

For any particular innovation, the conditions for its sustainable growth and use may simply not yet be ready.

What do you think is imperative to allow ‘Capital I’ Innovation to occur?
Not all Innovations require government support, but often this is the only path to initial success because the risks are too high for the private sector, even venture capital or angel investors to take.

Google was essentially entirely private sector funded and that’s something of an anomaly, given its stunning success. In that case, angel investment was an important component.

Economics is another critical factor. It is possible to have a breakthrough invention that is simply too expensive for widespread adoption.

Mobiles have been stunningly successful but took many years to emerge because the costs and the physical size, battery life, and infrastructure were a long time in development. Tax breaks can be sustaining but generally don’t lead to capital I innovation, to first order.

If you could give a ‘Capital I’ Innovation Award to anyone, who would you nominate? This could be individuals, organizations and/or companies (it could also be yourself!).

Does Innovation have a nation?
I think there is no country that has a lock on innovation but some places, like Silicon Valley, have conditions that support it better than many other places. You have:

  • a continuous stream of trained, high technology graduates,
  • experienced business people,
  • venture capitalists,
  • a liquid stock market,
  • mobility from company to company, and
  • a community of players that know each other.

It is a potent brew. There are more smart people, in absolute numbers, outside of Silicon Valley than inside, but the conditions in SV are remarkable.

Is innovation an overused term?
Yes in some ways. It is too much the focus when one should be asking “under what conditions can innovation take hold and become a real driver of economic growth?”.

It could be said that a huge amount of the core innovations that we use seems to have come out of either government funding and/or telco’s (for instance MCI and AT&T). Do you agree with this? And if so, do you think it was past structural, political and economic situations that made these innovations possible.
I think we should be very careful to distinguish between innovation and participation within the infrastructure. MCI supplied point-to-point high speed pipes to build the NSFNET backbone, to build the vBNS network, and to ultimately build Internet MCI a publicly available internet service.

Where they DID pioneer was in the commercial use of optical fibre. You have to give them credit for that, and for participating in the National Science Foundation Network by contributing underlying transmission resources. The fact that they were willing to get into the game is different than them being the inventors of it.

The real innovators for NSFNET were Merit and IBM. Particularly IBM, which designed and built the original routers; though they didn’t really follow up on that. Ironically IBM built the routers for the NSFNET back bone but Cisco systems, Juniper and others turned out to inherit all the commercial value from it.

AT&T, as a very successful monopoly, had an enormous amount of resources, which they put into AT&T Bell labs. Bell Labs was absolutely one of the most innovative places anywhere in the world. Nobel prizes have come out of there, the transistor came out of there. There’s no doubt in my mind that something was lost when AT&T was broken up.

The one thing about MCI which was interesting was that, instead of doing research, they would dangle a $250m dollar cheque in front of company and say, “If you can do this, I will buy a quarter of a billion dollars worth…” Its amazing how much R&D you get out of people when you do that. So, rather than taking all the risks themselves MCI simply said, we’ll buy a lot of stuff if you make this happen.

And yes, there’s no question in my mind that government sponsorship for this kind of high risk research is important.

Many nations are in the midst of debates about Broadband. You were recently quoted as saying that you believe” internet bandwidth can increase exponentially,” adding that this would, among other applications, “enable greater access to high-def video.” Other than being able to get the latest blockbuster downloaded in no time, where else do you see it being of use?
The term “exponential” is not one I would use (a reporter put that word in my mouth). However, I do believe we are far from fully taking advantage of communication technology to achieve many gigabits per second, end-to-end on the Internet.

These speeds have a transformative potential because they dramatically reduce the cost of moving information in large quantities from one place to another. It allows replication for resilience and safety. Large files like MRI scans will be easily retrievable and processable with higher speed transport.

We can build much larger data processing systems when we can interlink the processors at terabit and higher speeds. In a recent technical session, serious mention was made of 1000Tbs (that’s a petabit per second). Holographic simulations will benefit from speeds of this kind.

By the way, Stephen Conroy was in Paris with me for the OECD Conference, and I have to say that I continue to stand in awe of the Australian Government decision to fund the fibre network.

Stephen Conroy launching the Digital Strategy 2020 (zdnet.com.au)

This is the kind of infrastructure investment that probably would not ever be made by the private sector. There would be parts of the community left out, there would be economic decisions that would reduce capacity….

This is a very big deal and I’m hoping that it all works out. If it does, it would be a bell weather example of why government investment in fundamental infrastructure is so important.

This leads neatly to Roger Kermode‘s question: What advice would you give Australian ISPs, governments and businesses to take best advantage of the NBN?
First of all, because its a Level 2 infrastructure, anybody who wants to is free to put up a level 3 routing system on top of it. That means they can all compete for any business or individual subscribers service. Then on top of that you have the enabling effect of the broadband capability. This means that people can put applications up there that they would never have put up without such a broadband infrastructure.

Next, with the fact that everybody is online, or very nearly everybody, you can begin to say, “We are going to do ‘X‘ for the entire population,” and have a reasonable expectation that you will, in fact, reach the entire population.

For example, when it comes to healthcare, and the possibility of remote diagnosis and things like that, you’d be in a position to actually exercise that idea. Whereas, most other places, including here in the U.S. would not.

I anticipate that if this infrastructure goes into place and it operates reliably that you will be exploring a space of ‘online-ness’ which no other country has ever experienced.

End of Part 1 – Follow our blog and Part 2 will be delivered to your in box next week!

Part 2 – Next week we talk about net neutrality, eHealth, Telcos, Google, the Open Government Initiative and more (including a message to Australian Senator Stephen Conroy)!

(Kim and Vint Skype’d between from their homes in Sydney and Washington D.C.)

[This interview has been translated into the Serbo-Croatian language by Jovana Milutinovich of Webhostinggeeks.com]

‘Capital I’ Innovation (Part 2) – An Introduction to the ‘Capital I’ Interview Series

To misquote Elvis Costello, “What’s so funny ‘bout Peace, Love and”  Innovation with a ‘Capital I’?

The reason I ask is, well… it seems to be something of a contentious subject. But hey, for a blog, I reckon that’s a good thing. Its the Lindsay Lohan side of blogging… at least they’re talking about it!

Seriously though, I have been really pleased to see the great number of people who are commenting on and discussing ‘Capital I’ Innovation, since the posting of Part 1 of this series last week. Apparently many readers are pleased that there is finally a ‘banner’ they can carry as they strive to stride forward.

There have also been those who have felt it necessary to remind me that there is nothing wrong with ‘little i’ innovation – though their penchant for ‘kissing frogs’ is beyond me (do see Part 1 of this series for the outing of this particular ‘in’ joke) – I totally agree. There is absolutely nothing wrong with the ‘little i’s’, however, they’re not what gets my heart pumping.

‘Capital I’ Innovation is what gets my motor running; this has been the case for many year, irrespective of what genre the innovation comes from. Throughout my years in the media I consistently strove to find people who broke the mold, led the pack, moved their own particular mountains – and find them I did. I also found some common denominators between them.

Though totally diverse, there are things that link these people, for instance, though at times daunting, they are compelled to tell their truths. Whether we want to hear it or not. Though many of them may not see themselves as business people, they are all certainly entrepreneurs – consciously or otherwise – and they steadfastly maintain and protect their ‘brands’.

Some of them boldly go where no one has been before, and most of them are applauded for it.  However, not all are popular for their decision to take ten steps forward, when one would, possibly, have been enough. Certainly a baby step would be easier to sell than the strides they often take. And yet this does not stop them, nor even slow them down. Whether they want the accolades or not, it should be noted that some of them may have even changed the way we see the world, if only in a small way.

I believe that ‘Capital I’ innovators deserve recognition, not just for their innovations, but for the very fact that they have refused to bow down to banality and boredom while they avoid or ignore the labels thrust upon them – even if the label begins with a ‘Capital I’.

In no particular order, I’d like to tell you about some of my past favorite ‘Capital I’ Innovator interviews:
Madelaine Albright – I was extremely fortunate to have been able to spend some time with this most gregarious and engaging, thought provoking and thoughtful woman. It came as no surprise to me that she would be erudite, informed and interesting; what was intriguing was the warmth she exudes and her infectious sense of humour, which was present throughout our interview.

  • Ms. Albright was the first female American Secretary of State – and thus the highest ranking women in American political history during her tenure.
  •  She was certainly not born on an easy path to public service, as her personal life saw more than its share of turbulence. In 1939 she and her family escaped to London after Germany invaded Czechoslovakia; many Jewish members of her family who were not able to escape were killed in the Holocaust.
  •  Following her retirement, Albright did not shy away from forthrightly and frankly commenting on world affairs. In one Newsweek International interview, she noted her fear that, “Iraq is going to turn out to be the greatest disaster in American foreign policy – worse than Vietnam.”
  • Perhaps the quote from that interview, which still resonates most strongly with me is this, “I wish everybody liked me, but that’s not possible; and I think in many ways, one is known by who dislikes you. I would just as soon be disliked by people who think that Milosevic was a good person. So, I accept those who dislike me with some honour.”

Terry Gilliam – I interviewed Terry the day after he had collected a Life Time Achievement Award at Amsterdam’s Fantastic Film Festival. As thought provoking as he is, I do believe I laughed more during this interview than any other, prior or since.

  • The animated, animating genius of the UK’s Monty Python’s Flying Circus,  Gilliam went on to direct some of the most memorable motion pictures of the last thirty years. Think: Monty Python and the Holy Grail (Excuses à l’avance pour notre fabuleux amis français!), Time Bandits, Brazil, The Fisher King, Twelve Monkeys, and Fear and Loathing in Las Vegas starring Johnny Depp as the madly brilliant, or brilliantly mad, Hunter S. Thompson.
  •  Most Innovators and entrepreneurs are ‘multi-taskers’, and some would say they have to be. For Gilliam, this just came naturally: “I want to see the other side of something. So many things in my life have happened around me as I’m bumbling around doing what interests me.  I began as a physics major … Then I became an art major for a while… Politics turned out to be the major with the least number of required courses and the maximum number of electives. Under that I could do drama, oriental philosophy and economics; I invented a very liberal education for myself.”

Tom Wolfe – It’s only fitting that I follow Gilliam, who worked with HST (and from what I understand, it really did feel like a whole lotta work!), with Tom Wolfe, ‘The Man in White’. When I met Mr. Wolfe, who did, yes, arrive in his ubiquitous, immaculate white suit, I had to continually remind myself that I was conducting an interview, and not having tea with one of the icons who, as a young woman, made me realize that I wanted to be a writer.

  •  An acclaimed novelist of such works as The Right StuffThe Bonfire of the Vanities,  and The Electric Kool-Aid Acid Test, Wolfe is also one of the originators, along with HST of Gonzo Journalism – which can be described as that which puts the cynical-eye in eye-witness.
  • Being constantly labeled a Conservative doesn’t both him either, “Its okay with me, but I always say: What’s my agenda, what’s my program, what am I trying to do, what am I trying to accomplish? Really it just means that I’m not going along with the fashionable line.”

Brian Greene  – Going from fiction to fact in one healthy swoop (unless of course you are a card carrying creationist from back-yeller-holler) this particular thought leader stands out for me in the realm of science.

  •  The renowned physicist and Pulitzer Prize finalist is finally bringing the theories from his book, The Fabric of the Cosmos, to a wider audience with a four-part miniseries for PBS in November.
  •  Perhaps because he truly believes that the majority of laymen share his thirst to understand the great ideas of science, Greene has found a way to explain these things – like using a loaf of sliced bread to explain wave particle duality §- using a language we can understand. Greene is able to impart his enthusiasm for subjects which, for most, may not be particularly palatable. He is able to speak the language that his listeners understand, thus, rather than speaking to me in terms common to Quantum physicists, he explained his ‘winding up’ of string theory in terms of poetry. We came to an agreement that, as in poetry – where often times the space between words is as important as the words themselves – with his theory, the space between the strings, is as important as the strings.

Nitin Sawhney – Speaking of strings, and music in general, London based Nitin Sawney is a standard bearer at the forefront of building bridges between Eastern and Western artistic genres and communities.

  •  Regarded as one of the world’s most influential and creative talents, he is a walking crescendo of crossing cultures. Sawhney is a film producer, songwriter, DJ, acclaimed flamenco guitarist and jazz pianist; he has even created music for a Play Station 3 game. I met the sublime Sawnhey in 2006 in Amsterdam  where he was conducting a symphony orchestra performing his composition for the 1929 silent movie,  A throw of  the Dice, alongside the screening of the film.

Eric Staller – live performances are what the installations of artist/inventor Eric Staller are all about.

  • Light and bikes are two common threads in Eric’s work, and my time with him was during his performance for the city of Amsterdam, with his mobile public artwork the PeaceTank. Seven masked and costumed riders toured the city on one of Staller’s circular ConferenceBikes. The team was led by a  symbolic Barack Obama (prior to his election) steering the PeaceTank, while past and present world leaders helped to power the pedals, contributing to the forward motion and the tour of the city. Staller believes in change.

John Wood –  I cannot have a list such as this, without including a man who is all about change. The author of Leaving Microsoft to Change the World, which he did, Wood changed his life –and was soon to change the course of a myriad more lives.

  • This change followed a 1998 trekking holiday through Nepal, where he became aware of the absolute lack of educational resources available there. He determined to build an international organization to work with villages in the developing world to meet the educational needs of villages and villagers.
  • With the help of a committed group of global volunteers,  Wood created the award winning charity, Room to Read. The Room to Read business model includes measured, sustainable results, low–overhead and Challenge Grants cultivating community ownership, along with strong local staff and partnerships. Perhaps most importantly, it is inculcated with the GST attitude (Get Sh*t Done).
  •  When I first met Wood, in 2005, in his role as part Dr. Seuss and part Andrew Carnegie – the Scottish philanthropist who built 2,500 libraries throughout the U.S. – Wood explained his long term goals to me. He wanted Room to Read to have opened 5,000 libraries by the end of 2007, and long-term, to have  provide educational access to 10 million children in the developing world by 2020. In later meetings he upped the ante stating that he wanted to have reached his target of 10 million children by 2015.
  •  Room to Read is well on its way to not only meeting, but surpassing those targets. By the end of Q1 2011 Room to Read’s accomplishments included: having built more than 1,400 schools and 11,000 libraries; they have published more than 553 Local Language Books, distributed more than 9 millions books, given more than 10,500 Girls’ scholarships and benefitted the lives of more than 5 million children. Now that’s GingSD on a monumental scale!

Thoughts of all of these inspiring innovative men and women make it particularly pleasant for me to, with today’s post, announce the launch of a new interview series, ‘The Capital I Interviews’.

These interview subjects come from a wide range of industries and crafts. They include technologists, futurists, artists and artisans, business leaders, market changers, venerated vintners, garrulous gastronomes as well as the great unwashed and underutilized. The group includes individuals who work in all types of circumstances, be they lone-wolves, or part of SMEs, large organizations or institutions. They are part of the public sector, the private sector. The only requisite is that ‘Capital I’.

I look forward to introducing you to this new group of ‘Capital I’ Innovators in the coming weeks and months.  The lineup is growing bigger everyday, and we look forward to delving into  a wide range of topics such as:

  • Innovation and Entrepreneurship;
  • The imperatives and barriers to enabling ‘Capital I’ Innovation to occur, let alone flourish;
  • How Innovation has affected particular career paths;
  • ‘Capital I’ Innovation heroes, and,
  • Does Innovation have a nation?

If you think we’ve missed something – don’t hesitate to let us know by posting a comment here.

I hope you join me in celebrating their successes, supporting them in their attempts, and standing together in our determination to move forward – together.

This week sees the launch of the KimmiC blog… oh yes, and the Australian Government’s Digital Economy Strategy for 2020

It seems fitting that we begin our blog series by looking at some major news out of Australia. Tech wise, there wasn’t much bigger than this week’s launch, by Senator Stephen Conroy, of the Federal Government’s Digital Economy Strategy for 2020.

Now to be frank, Stephen has one of those job titles which is nigh on impossible to fit onto a business card. He is the Minister for Broadband, Communications and the Digital Economy, Deputy Leader of the Government in the Senate and Minister Assisting the Prime Minister on Digital Productivity. Try sticking that in your jacket pocket.

Minister Stephen Conroy (Credit: Josh Taylor/ZDNet Australia)

Added to that, he has the – unenviable, some would say – job of explaining the government’s vision for the NBN (National Broadband Network) along with their strategy for the nation’s digital economy. A tall order when realizing that not everyone is ‘digging the digital’ and there are squawks and squabbles from quite a few quarters as to the cost of this vision.

The current government’s goals for 2020 include:

  • Australia ranking in the top five OECD countries for households that connect to broadband at home
  • Australia ranking in the top five OECD countries for businesses, and not for profit organizations being online
  • The majority of Australian households, businesses and other organizations using smart technology to manage their energy use
  • Ninety per cent of high priority health care users (i.e. OAPs, mothers and babies, chronic disease sufferers and their carers) using online health records
  • Twenty five per cent of all specialists participating in delivering telehealth consultations to remote patients
  • Australian educational institutions using online resources for collaboration, online learning, etc
  • Doubling the number of Australian employees teleworking
  • Four out of five Australians engaging with the government through online services
  • Narrowing the gap between households and businesses in capital cities and those in regional areas

Firstly, let’s give credit where credit is due. The explanatory video, launched at the Plenary Opening Session of CeBIT Australia 2011, was extremely well done. As I see it, it will do more to explain the benefits and necessities for a nationwide roll out than any number of speeches, op-eds, talking heads and white papers could accomplish. It is an interesting, informative and user friendly presentation which explains the ins and outs of the strategy to the general man or woman in the street, in their homes and in their businesses. As an impassioned advocate for eHealth and its possibilities, I was extremely happy to hear the plans.

Though the current trials are minor in scope – and too my mind, could be much grander in scale – they are a start, and a step in the right direction. I left the launch feeling positive about the plans and pleased to hear of the projects both under way and on the way.

Michael, on the other hand, left the auditorium with quite a different opinion. To his mind:

  • The initiatives proposed could already be undertaken successfully with current infrastructure.
  • Communicating within Australia is nice – but its a global economy out there – the bit pipes to the rest of the world seem under dimensioned (compared with Northern Europe) so why doesn’t the Government invest in connecting the country to the global digital economy rather than facilitating a small local one?
  • As the NBN has structured engagement in the same way as the government’s tender process is structured, only large multinational organizations, particularly those from the US and Europe, will be able to become involved. As such, though there is scope for these large corporations to make a great profit from the project, it is unlikely that any Australian company – other than those that are outposts for the large multinationals – will do so. In that regard, it is difficult to see how the Australian tax payer will recoup much from their tax investment.
  • If you look at what happened with the fibre that was laid between Europe and the US, billions of dollars were written off. So in the next decade, it is likely that a consortium will be buying up the bits and pieces that have gone bankrupt, for a song.
  • The cost of the project is such that it should be looked at like the interstate highways projects, which is a communal asset. If seen as infrastructure the project makes sense; however, if it is looked upon as a potential for the government/tax paying public to make money it will only disappoint.

Unlike Michael, I see the NBN and the digital strategy as being fundamentally important to the nation. I don’t think Australia can afford not to follow through with the plan.

Once again I will refer to eHealth and the opportunity which it gives Australia as a nation to lead the world in innovation – something it currently does not come anywhere near doing. It is very clear that Australia has a proud tradition of adapting healthcare to match the geographical barriers and vast remoteness of the continent. In 1928 the Royal Flying Doctors Service commenced servicing rural, remote and regional areas of Australia utilizing the new technologies of motorized flight and radio. The struggle to deliver the highest standard of health to all Australians has long meant pushing the envelope of technological advances. The eHealth segment of the Digital Economy Strategy is the next step in that long line of innovation.

It will be a great shame if, as we have seen to date (with technology announcements and strategy) the government decides to focus only on partnering with large multinationals. To do so would leave Australian innovators and business owners relegated to picking up the crumbs that are left behind.