Tag Archives: Web 2.0

What’s so Fab about Fab Labs? : The Innovation Interview with ‘Collaboriginal’ Peter Troxler

Peter Troxler: Capital I Interview Series – Number 12

As I was traversing the flat world, which is LinkedIn, I came across Peter Troxler’s fascinating profile.  There were many things that intrigued me and instigated my reaching out and inviting him to take part in the Innovation Interview Series.  In particular, his research at the intersection of business administration, society and technology along with his expertise in applying the Internet and Web 2.0 technology to support the implementation of management systems.

When it comes to hats, General Secretary at International FabLab Association,  owner/director at p&s culture net and owner of the research company Square One are only three of the more than a dozen he currently wears.  That said, it was Peter’s perspective as a serial enabler, which prompted my invitation… that and his moniker, the ‘Collaboriginal’, earned due to his determination to enable and empower collaboration and innovation.

Peter, do you see a difference between ‘little i’ and ‘Capital I’ Innovation?

I have not made such a distinction so far and cannot think of a real need to differentiate the two.  However, I think there is a big difference between invention and innovation, and the terms are often confused — even in public dialogue and ‘innovation’ awards that pretend to award innovation, but often just give money to people who are inventors so they can start to sell their inventions.

Maybe it could help to explain what I understand when I say innovation:

  • innovation = putting a new idea into practice, continuously improving it interactively with the customers (or similar) beyond a singular prototype (and in a minimal profitable way, say ‘ramen profitable
  • invention = prototypical, singular realization of a new idea
  • new idea = a principle for a new product, service or practice (without actually realizing it, not even as a prototype)

All of these need not be ‘globally’ new;  innovation, in particular, can be completely local.

What do you see as the main barriers to the success of innovation?

  1. The sit-and-wait-mentality of many inventors, who think that a good idea alone (or maybe with a prototype) will convince ‘entrepreneurs’ to take it and run with it.
  2. The idea that an ‘innovation’ has to be global.
  3. The belief that every innovation has to have a website 😉
  4. The belief that people ‘have to’ buy into an innovative product or service just because it is an ‘innovation’ (and has got an award that proves it).
  5. The belief that innovation is finished when its results are put into practice (or that there is a predictable way those results will take off and develop).

How essential has innovation been in your career?
Innovation has played a key role in many professional activities I’ve been involved in — be it in the arts, academic research or business.  In many ways I’ve been involved in making innovation happen.

I’m not a serial entrepreneur; but I’d like to see myself as a serial innovation enabler.  My passion is, together with others, to put new ideas into practice and to grow them beyond singular prototypes.  When the innovation makes the transition to routine, I lose interest.

You’re one of the three founders of p&s culture net, can you tell me a bit about why you started it?

In the late nineties I started p&s culture net together with two friends in Switzerland.  We set out to investigate what the impact of the internet would be on literature.

It began with workshops and small events, and grew into quite a substantial business, doing quite large public events in Switzerland.  We work around literature and try to make literature accessible in new ways.

And who, typically, would be involved in your workshops?

We try to get a good mix of people including researchers, academics, philosophers, historians, artists and even engineers.  We use the workshops as a kind of ‘think tank’.  For instance, when we were investigating what the internet does to literature, literary production, and literary consumption, it was extremely helpful to have all these different types peoples around the table.

I’m sure. And did your investigation come up with an answer as to what effect the internet has on literature?

No, not really.  When I think back on that particular series… it [the internet] just creates so many new ways to work with text.  And that text, and writing, are still very important and very relevant skills.

You are also the General Secretary of the International FabLab Association, which you’ve been involved with since 2007.  What is FabLab?

FabLab stands for Fabrication Laboratory.  It’s a concept that was developed at MIT by a physics professor, Neil Gershenfeld, about ten years ago while he was investigating how to create self-replicating matter.

Neil uses all sorts of machinery to do his experiments; and created the ‘How to Make Almost Anything’ course, which has been over-subscribed ever since it started.

People learn to use digital machinery like laser cutters, milling machines and 3D printers.  There’s a standard set of, relatively, simple machines that make up a FabLab.

FabLab image courtesy of Arnold Roosch

The set-up is relatively easy to use, so, about ten years ago Neil started to set up FabLabs in third-world countries, and in deprived areas in cities such as Boston, to give people instruments to play with and make their own stuff.

The idea took off, and suddenly everybody wanted to have a FabLab.  Currently there are over 70 FabLabs in the world… on almost every continent.  I think Australia and New Zealand are just waking up to the idea, but there are FabLabs all over Europe, in Africa, South America, Russia and a few in Japan.

How are FabLabs being used developing nations in particular?

They are used to make everyday stuff.  There is a beautiful project in Africa… They buy lamps from China, which would run on batteries and have conventional light bulbs in them.  The lamps are disassembled in the FabLab, the conventional light bulbs are replaced with LEDs, the batteries are replaced and LED cells are added.  Now the lamps can be charged by sunlight and are sold on.

This sounds like the implementation of innovation.

Yes.

You have spoken in the past about businesses exploring and using open source and open innovation. How have found businesses reacting to the idea?

Businesses are extremely nervous about it.  Business owners have been told, “You have to protect your ideas. It’s dangerous to share your ideas because anybody could pick them up, run with them and make big bucks, while you starve to death because you haven’t protected your IP.”

However, if you look at it more closely, the first thing you notice is that protecting your IP is extremely expensive and time consuming, and it distracts you from the real purpose of business, which is making money… there is so much time and money spent waiting for bureaucrats to file applications.

The other thing you notice is that there’s this axiom ‘IP protection helps innovation;’ so people think, “If there is no IP protection, there will be no innovation.”  There’s absolutely no proof of that.

There is no empirical evidence that IP protection helps to grow businesses, except probably in two sectors… one is a no brainer, the lawyers.  And the other, though I haven’t looked at it very closely, is the pharmaceutical sector.  If you get counterfeit medicine, which doesn’t do what it says on the tin, that’s an obvious problem.

Are you attempting to convince business that they should be exploring the ‘Open’ option?

I am indeed. I’m working with various people, from the industrial design corner of the world, to really look into the issue and find ways for designers to make a living in an open source context.

Square One seems to sit in a very interesting niche, at the intersection of business, administration, society and technology.  How would you use technologies such as Web 2.0 and 3.0 to support the implementation of management systems.

The intersection of business, administration, society and technology in the whole context of open source, open innovation… it’s huge!  It’s massive!  What I’m trying to do is break it down and apply it in very specific contexts.  Currently the main context I am working in is the FabLab context, because they refined everything.

FabLab is the thing that is socially relevant.  They are open to the general public and are, obviously, technology based.  But, I would say, half of the FabLabs existing right now are struggling to find sustainable business models.

They’re being set up with subsidies of some kind, which helps them run for a couple of years.  Since we have such a massive growth in the number of labs – the number is doubling every 12 to 18 months – there is no real experience of the post-subsidy period.  Because many of the people who set-up FabLabs are enthusiastic tech people, they don’t have the kind of business understanding that would enable them to set up such an animal to survive long term.  That’s the specific area of complication where I try to bring all those aspects together.

Where do you think the FabLabs movement will be in ten years?

That’s a very interesting question. Because ten years is quite a long period, if we look at the technology we’re dealing with.  It could be that by the time certain machines are cheaply available the raw material won’t be.  It’s kind of hard to predict.

The other thing is that, currently, FabLabs are mainly either community based initiatives, or school/university based initiatives.  But, that said, we’re seeing things happening in France at the moment where large ‘teach yourself ’ chain stores are starting to jump on the train and say, “Hey! You know, we could attach a FabLab to our stores.”

What kind of stores?

DIY stores, for instance. You’d buy material, then go next door to the FabLab and build something. It makes complete sense.

FabLab image courtesy of Arnold Roosch

But then, on the other side, you’ve got the community based FabLabs who are thinking, “Whoa! This is not the way we think about FabLabs.”

The classic clash between corporate and communal.  Do you have an opinion as to which is a better t?

I would have to imagine a world where both exist side by side.  Not everybody would go to a community-run FabLab and wish to have this type of community. But, it makes so much sense to produce a lot of stuff yourself.

Maybe I am oversimplifying, but it seems to me that you can go and brew your own beer… many people do.  Personally I prefer to go to the store and buy it, but that’s me.  I think there’s room for all of us who like beer to do whatever is most comfortable.  Here’s hoping that FabLabs become as ubiquitous as beer!

Speaking of which – and yes, I’m segueing from beer to thoughts of Holland – there is a FabLab opening today in Rotterdam, isn’t there.

Yes, and its happened really quickly [though not as quickly as Fablab Amersfoort, which was set up in 7 days – here’s how]. They got the financing to do it in May and the first iteration opened in September. Today it opens for real.

To move this fast, we had to bring all sorts of concepts together: open source, the unconference, the possibilities and mentality of the internet – where sharing suddenly is much more easily achievable – and rapid prototyping. It’s a completely different approach to the more conventional control mentality approach.

It’s an entirely new ecosystem… it’s research AND development – rather than the more common research THEN development.

P: Yup.

Well harkening back to my beer analogy… Cheers to that!

(Kim and Peter Skype’d from their homes in Sydney and Rotterdam.)

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!


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.