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

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

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

3. The
Big
Disconnect:
Internal
Buy
In
&
New
Entrants
"On
the
one
hand,
you
have
people…who
know
nothing
about
regulaBon…on
the
other,
a
bunch
of
health-­‐care
guys
who
think
Zynga
is
some
kind
of
fruit.
There
is
truly
a
chasm
between
world
views."
Sonny
Vu

4. “There
has
never
been
a
beKer
Cme
to
be
an
entrepreneur
in
healthcare.”
“Our
job
as
leaders
is
to
find
those
innovators
and
release
their
mojo
–
lean
startup
style
–
to
serve
the
American
people
beKer.”
@GHideas
|
Aman
Bhandari

5. 1.
Challenging
Long
Held
Beliefs…that
have
had
systemaCc
impact
“We
just
pay
the
bills,
we
are
public
enBty
that
processes
healthcare
claims…that’s
all.”
(1965-­‐2010)
“Be-er
health,
be-er
care,
at
lower
costs”
(2010-­‐?)
Lesson
learned:
Ask
why
and
don't
accept
the
status
quo...get
ready
for
an
era
of
much
greater
transparency.
@GHideas
|
Aman
Bhandari

6. 2.
Bringing
in
the
Hackers:
EIRs
&
PresidenCal
InnovaCon
Fellows
STORY
2
Joy's
Law:
"No
ma-er
who
you
are,
most
of
the
smartest
people
work
for
someone
else”
(Sun
Microsystems
co-­‐founder
Bill
Joy)
Lesson
learned:
Invest
in
EIRs
(hackers).
"No
ma7er
who
you
are,
most
of
the
smartest
people
work
for
someone
else”
(Sun
Microsystems
co-­‐founder
Bill
Joy,
Joy's
Law)
@GHideas
|
Aman
Bhandari

7. 3.
Government
as
Plaeorm:
Power
to
the
People
Healthcare
is
so
paleolithic
that
the
government
supported
the
first
hackathons
and
accelerators
in
the
sector
50+ Challenges/Code-a-Thons
2,000+ Participants
$1M+
Prizes
Lesson
learned:
There
is
incredible
hunger
for
community.
CommuniAes
of
“hackers”,
entrepreneurs,
innovators
have
sprouted
up
across
the
US…
and
now
incumbent
stakeholders
are
supporAng
hackathons
and
prize
compeAAons
@GHideas
|
Aman
Bhandar

8. Hack
the
Matrix:
A
World
Where
Anything
is
Possible
Challenge
convenConal
wisdom
If
you
have
the
best
people
you
will
win
Find
your
tribe
Unplug
form
the
matrix,
innovate
and
then
plug
back
in
to
make
the
world
a
beKer
place
@GHideas
|
Aman
Bhandari

9. Tech,
Funding
and
Entrepreneurial
Infrastructure:
Seeding
DisrupCon
The
adopBon
and
“meaningful
use”
of
electronic
medical
records
(EMRs)
is
rapidly
increasing
in
the
U.S.
and
globally
Health
IT
Venture
capital
funding
reflects
increasing
entrepreneurial
acBvity
Total Transaction Value
($ in MM)
$250
27
$220
$200
$184
$159
$150
$62
$50
15
$93
$100
$45
7
5
5
Q1
2010
Q2
2010
10
$66
7
5
$35
5
6
$11
$(1) Accenture Directional EMR Adoption Projections by Country, 2010.
ContribuBons
of
populaBon
aging
and
excess
healthcare
cost
growth
to
overall
enBtlement
costs
Q3
2010
Q4
2010
Q1
2011
Q2
2011
Q3
2011
Q4
2011
StartX
MED
Accelerace
Life
Avia
Health
for
America
Blue
Print
Health
Health
XL
Dream
IT
Health
Digital
Health
Accelerator
PhiloMeton
Moebio
Project
Lig
Miami
TigerLabs
Health
Heatlh
Founders
Health
Axis
Europe
(2)
Rock
Health
(2) Health and Human Services
(3) US News Health
Q1
2012
Digital
Health
Accelerators
have
exploded
onto
the
scene:
30
accelerators
launched
in
the
last
28
months
Health
Box
Ratio of
adults aged
65 and over
compared
with people
aged 20 to 64
will increase
by 80 percent
in the coming
decades (3)
25
20
18
18
30
Startup
Heatlh
@GHideas
|
Aman
Bhandari
Number of Transactions
InternaBonal
EMR
Market
Overview
(1)

10. Talent Flooding into the Health Sector
"The
best
minds
of
my
generaBon
are
thinking
about
how
to
make
people
click
ads…that
sucks."
Jeff
Hammerbacher,
BW
"I
turned
to
healthcare
partly
because
I
saw
an
immense
hunger
among
the
developers
that
I
work
with
to
start
working
on
stuff
that
ma-ers."
Tim
O’Reilly
-­‐
-­‐
-­‐
-­‐
-­‐
-­‐
Beth
Comstock
(CBS,
NBC)
Doug
Hirsch
(Yahoo,
Facebook)
Dave
Chase
(Microsog)
Ari
Tulla
(Nokia)
Naveen
Selvadurai
(Foursquare)
Nat
Turner
(Google)
@GHideas | Aman Bhandari

11. Lessons Learned
Ask why and challenge long held beliefs
If you have the best people you will win
Networked tribes and communities is how
you start to build a movement for change
@GHideas | Aman Bhandari

12. “Never underestimate the power of a small group of
committed people to change the world. In fact, it is the
only thing that ever has.”
@GHideas | Aman Bhandari
amanbhandari@gmail.com
@GHideas