As we continue to adjust to living with the uncertainty about the future and experiencing the reality that the Coronavirus pandemic is changing the world forever, we are also experiencing something else.
We are experiencing innovation.
Entrepreneurs, creative thinkers and change makers are jumping in to help. All around the world, people are shifting focus and pivoting efforts. Start-up companies began quickly using 3D printing technology to create lifesaving ventilator parts to meet unexpected, extraordinary demand. Gin distilleries shifted production to make hand sanitizer. Artificial Intelligence (AI) has been quickly used to scan online articles all over the world, every day to gather and analyze public health information. Drones are delivering medical supplies to remote or quarantined areas and infectious hot zones. Video doctor appointments and telemedicine are helping patients get the care that they need, without leaving the house or putting doctors at risk of infection. Germ-killing robots are sanitizing high-traffic public areas allowing for the safety of workings while observing social distancing.
All of these technological answers have been created to solve problems…..and problem-solving is always at the heart of innovation. Although horrible and scary, a crisis presents innovators with an opportunity to think and create fast, impactful change. All while working in the service of people and organizations for the greater good and maybe even the bottom line. In the midst of a crisis, the ideal that “failure is not an option” aligns everyone’s energy toward clear purpose in resolving the crisis which prompts a groundswell of new ideas and out-of-the-box thinking.
Today we are fortunate to be joined by a world-recognized innovator that is known for inspiring out-of-the-box thinking, driving innovation, motivating engagement and generating energy toward the innovation goals of an organization. Not unlike a crisis, disruptive, innovative thinking in an organization forces change and intense effort – the speed of creative-thinking, decision making, and facilitation all surge intensely and forces an organization to quickly think differently, to fail or succeed fast, to learn, and to progress…..to innovate.
Alex Goryachev is an entrepreneurial go-getter. He takes risks, thinks ahead, and loves making way for new innovations. Over the past 20 years, he’s made it his business to turn disruptive concepts into emerging business models. In his new book, Fearless Innovation: Going Beyond the Buzzword to Continuously Drive Growth, Improve the Bottom Line, and Enact Change, Alex explores how, no matter their function, leaders and managers can cut through the noise to understand change and deliver real results.
For him, it’s all about a passion to create a strategy and then drive it home to “get things done.” And as Cisco’s Senior Director of Innovation Strategy and Programs, he has plenty of opportunities to put this passion to the test. He sparks internal innovation by providing employees at all levels the chance to share their big ideas, many of which make their way into the company’s innovation engine. Alex also carries the torch for co-innovation across Cisco’s ecosystem.
At Cisco, Alex spearheads several award-winning international programs and initiatives to accelerate innovation – whether that impacts operations, businesses processes, or technology. Alex is an award-winning Silicon Valley veteran whose resume reads like a brief history of tech disruption. He is a sought-after speaker on innovation and a regular contributor to Forbes, Chief Executive Magazine, Information Week, and other leading media outlets.
The complexities of disease require sophisticated approaches for understanding and treating them. On Innovation Unleashed, we often introduce listeners to the latest approaches and technology solutions for big global challenges. On today’s episode, we are going to explore Computational Healthcare, an emerging method of using computer models and sophisticated software to figure out how human disease develops - - - - and how to prevent it. Using digital tools, computational biologists leverage experimental and clinical data to build models that can unravel complex medical mysteries through quantitative approaches for understanding the mechanisms, diagnosis and treatment of human disease through applications of mathematics, engineering and computational science.
Central to the challenge of how to use computers to improve healthcare is to develop computational models of the molecular biology, physiology, and anatomy of disease. Computational Healthcare can provide insight into and across many areas of biology, including genetics, genomics, molecular networks, cellular and tissue physiology, organ systems, and whole body pharmacology.
Close your eyes for a moment (unless you are listening while you are driving) and think of your kitchen table…imagine a half made puzzle of a picture of a snowy landscape. Now complete the puzzle in your mind. You can see the whole picture, even though you only started with an idea and half the pieces in place. Computers can look into every aspect of biology and medicine…see how the pieces come together and tell us how to build the puzzle. Computational medicine gives us enough of the pieces to see a much clearer view of the big picture of what causes disease and how to treat it. Computers have changed every aspect of our lives…today we are going to have a chance to learn how they will change our health and wellbeing.
Today’s guest not only uses computational medicine to lead research to solve big healthcare problems, he also works to educate the next generation of scientists in this field. Dr. Chris Langmead is a Professor in the Carnegie Mellon University Computational Biology Department. He is a globally-recognized Computer Scientist with expertise in Machine Learning as well as modeling and simulating biological systems. His work stretches from drug and protein design … to clinical applications in acute and chronic illness. Dr. Langmead’s research is focused on the development and application of passive and active machine learning algorithms to address critical challenges in Medicine and Bioengineering.
Innovation demands trialing and attempts to change entire industries with novel approaches. By nature, innovation is immersed in unusual levels of risk and failure. Typically, we associate entrepreneurs with the ability and fearlessness of facing risk and failure to build innovative technology solutions and companies. But building and leading an innovative future-reaching healthcare organization within a system also requires a certain fearlessness and a similar spirit or an INTRApreneurial spirit. An intrapreneur is defined as “a person within a large organization who takes direct responsibility for turning an idea into a profitable finished product through assertive risk-taking and innovation.” But unlike an entrepreneur, an intrapreneur doesn’t own the product or service that they innovate; the system or organization owns the creative ideas and end products created by the individual(s). INTRApreneurs in healthcare organizations often do this work as part of a calling to help society, create solutions, change industries and impact humanity. This episode’s guest is an Intrapreneur working on the cutting edge of healthcare innovation and has spent her career matching her passion of caring for patients with a desire to implement novel technology solutions to create tools for better patient care at the right time and place.
Dr. Tufia Haddad is an Associate Professor of Oncology at the Mayo Clinic College of Medicine and Science, and a Consultant in the Department of Oncology. Her clinical practice and research program is dedicated to breast cancer. She currently serves as the Chair of Digital Health for the Department of Oncology and Chair of the Breast Medical Oncology Practice at Mayo Clinic Rochester. She is the Medical Director of Remote Patient Monitoring services for the Mayo Clinic Center for Connected Care, and she is a member of the Mayo Clinic Advisory Board to the Office of Augmented Human Intelligence. As an oncologist and clinical investigator, she is an active member of the Mayo Clinic Cancer Center, Women’s Cancer Research Program, and she has received federal funding in support of biomarker discovery and early phase clinical trials in drug-resistant breast cancer. In the field of digital health, her interest is in the transformation of healthcare delivery models and development of clinical decision support with novel connected health and artificial intelligence technology solutions. Dr. Haddad has authored over 50 peer-reviewed manuscripts, book chapters, and editorials.
Dr. Haddad received her Bachelor of Sciences degree in Biology, magna cum laude, from Marquette University. She completed medical school at Creighton University and is an Alpha Omega Alpha honor society member. Her Internal Medicine residency was completed at the Mayo Clinic (Rochester, Minnesota), and her fellowship in Hematology, Oncology, and Transplantation at the University of Minnesota. She received student humanitarian, individual excellence in medicine, and teaching awards throughout her training, as well as several educational excellence awards while on faculty at the University of Minnesota and the Mayo Clinic College of Medicine and Science.
In everyday life, when we use the word Crisper we are likely referring to something that keeps produce fresh in the refrigerator…or something to do with the marketing of the beloved potato chip. But in the scientific and healthcare world, it is shorthand for "CRISPR-Cas9 and stands for "clusters of regularly interspaced short palindromic repeats." CRISPR is possibly the most impactful area of science to be invented since the discovery of DNA. We are going to learn more about CRISPR, but to do so we just need to remember that DNA is the molecule in all cells that codes for life … and sometimes death. Within many kinds of bacterial cells, some sequences have a unique feature…they read the same in one direction as they do in another. It turns out that there are some molecular scissors that have evolved to cut these sequences … and some remarkable scientists have learned how to take those enzymes and re-program them to cut and edit almost any piece of DNA. When you mistype a word on your phone, you or autocorrect and make things right…in the same way CRISPR technology can make things right when targeted to a specific genetic problem. Molecular biologists of my generation were brought up to think this was impossible…but today, through the work of pioneers that will surely win a Nobel Prize, Genome editing is much more than possible…it is central in how we think about solving some of the world’s most vexing problems.
CRISPR allows researchers to easily alter the DNA in ways that can correct genetic defects, treat and prevent diseases, help combat opioid addition and even improve the ways that we grow food.
With all this incredible promise, though, genome editing desperately needs proactive versus responsive ethical debate. As we have discussed before on Innovation Unleashed…where there is a light…there are shadows…CRISPR can do immense good…but will also do immeasurable harm when misused. Shifting the balance from shadows to light needs pioneers who understand how to harness the good without pretending that there could be bad.
We are fortunate to be able to talk about all of this with an emerging expert on all things Genome Editing. Dr. Samira Kiani is a Professor in the Department of Pathology at the University of Pittsburgh. Samira launched her own lab in 2016 after time at MIT where she worked on developing synthetic gene circuits to reprogram the function and behavior of mammalian cells using CRISPR. In addition to her research work, Samira is passionate about people and how science affects their quality of life. Since 2017, she has been working on a documentary film about what our future looks like in the eye of genomic revolution. In parallel with the documentary film, she is building a communication platform called, “Tomorrow Land,” where she invites people, whether they are scientists or artists or the general public, to submit their opinions about how CRISPR is shaping the future of humanity. She is archiving short video clips that can be arranged together with the help of artificial intelligence.
A remarkable team called BrainX comprised of physicians and technology innovation managers from Cleveland Clinic have partnered with machine learning experts from Carnegie Mellon University to explore and solve the puzzles of the human brain while also working to create the next generation of Artificial Intelligent applications for healthcare.
This team advanced through the prestigious IBM Watson AI XPRIZE, a $5 million global competition challenging teams to develop and demonstrate how humans can collaborate with powerful Artificial Intelligence technologies to tackle the world’s grand challenges. This competition is designed to show all of us how far we can go in undertaking cancer, poverty, climate change and more – with the help of Artificial Intelligence.
We are so fortunate to have the Founder of BrainX with us today to talk about his work leading innovation efforts that integrate machine learning and artificial intelligence in healthcare. This team of experts is constantly working on the evolving issues that are most important to patient care and have added COVID-19 datasets and challenges to their important work.
The expert on this episode, Piyush Mathur MD, FCCM is the founder and team lead of BrainX. He is an Anesthesiologist, Intensivist and the quality improvement officer for Anesthesiology Institute, Cleveland Clinic. He is a leader in quality and patient safety who has innovated and successfully implemented many algorithms and tools in electronic health records such as difficult airway identification (EPIC),anesthesia awareness alert (DSS, Talis), antibiotic alert (ACG, Talis). Recipient of 3 innovation awards at Cleveland Clinic, he is leading innovation efforts integrating machine learning and artificial intelligence in healthcare. Current, projects include AIDE (Artificial Intelligence Diagnosis Engine), SALUS (robotic artificial intelligence patient safety system), BRAINS (Biologically Relational Artificial Intelligence Networking System).
Telemedicine is a big business; by 2025, it has been projected to exceed $64.1 billion in the U.S. alone. Televisits to doctors have increased at an extraordinary rate of 50% per year over the last decade and the current COVID-19 Shelter-at-Home requirements have changed everything. The Pandemic has forced primary care and specialty clinicians to adopt virtual care and telehealth so patients can still receive care while social distancing and medical resources can be redirected to the frontlines of treating COVID-19 patients. Because of this, the U.S. telehealth market is expected to reach around $10 billion by the end of 2020 with an 80 percent year-over-year growth due to the COVID-19 pandemic, according to recent reports.
Video and other forms of technology are increasingly being used in hospitals. In 2017, three quarters of hospitals in the U.S. were connecting with patients and other practitioners in this way, more than double the percentage in 2010. The total Global number of televisits per year is approaching 10 million. But…is telemedicine cost effective, is it time saving…and most importantly is it as effective as an inpatient visit…and where do we place the boundaries around this emerging field. Some policy makers define telehealth as using technology so medical providers and patients can work together to improve health. Perhaps that is a little broader than saying “telehealth is the use of technology to deliver care to a patient without the physical presence of the treating physician”.
It makes sense that when doctors and patients are more connected in real-time and patients become more engaged in their healthcare decision-making process there can likely be better care outcomes, less return visits to the hospital, happier patients, and more profitable medical organizations. So…how do we separate the hype from the hope? Well obviously, we talk to a real expert, and not a virtual expert…we talk to Dr. Jay Sanders
Known to many as the “Father of Telemedicine”, our guest on this episode, Dr. Jay Sanders was responsible for developing the first State-wide telemedicine system, the first Correctional telemedicine program, the first Tele-homecare technology, called “The Electronic House Call”, and the first Telemedicine kiosk. His consulting activities have included NASA, DOD, HHS, the VA, the FCC, State Governments, the Southern Governors Association, WHO, academic institutions, investment firms, Fortune 500 companies, and International Governments. In 1994, he introduced telemedicine’s capability to the Assistant Secretary of Defense that culminated in the initiation of the use of this technology within DOD. He was subsequently asked to serve as the sole civilian representative on the DOD Telemedicine Board of Directors with the Surgeon Generals of the Army, Navy and Air Force. During the Clinton Administration he represented the USA to the G8 nations for telemedicine, and was appointed by former HHS Secretary Leavitt, to the Chronic Care Workgroup.
Dr. Jay H. Sanders, is the CEO of The Global Telemedicine Group and Professor of Medicine (Adjunct) at Johns Hopkins School of Medicine.
As the world holds it collective breath and faces the fear and uncertainty of a “silent enemy” that has turned the world upside down, companies have had no choice but to develop work-from-home structures to keep their organizations running and support employees as they follow social distancing guidelines. Over half of U.S. employees (75 million workers) hold jobs and have responsibilities that could be performed, at least in part, from home. Most of us would never have said we could function alone in our living room…but it turns out that we can. We keep hearing the phrase, “no one ever thought this could happen”…but of course people have been thinking of these things for a long time.
Before the pandemic and subsequent government requirements mandated us to be at home, only 4% of the workforce actually worked from home. And before the devastating pandemic, although 70% of employers would offer work at home options to some employees, only 7% offered it most of their employees. Likely, now that the world has been working from home in mass, things are going to change. We are not as convinced that we need to sit together to be effective. There is something incredibly scary about that realization…particularly if it is true!
Folks that have been thinking about whether working at home is functional are as shocked as we are that around the globe, within just a few months, over a billion people have functioned from home…running businesses, doing their jobs, ordering food…basically every facet of life, it turns out, is accessible from home… once the misery is over…will this be a tipping point? A new normal? Are the futurists who dreamed of these days ready for the reality?
The only way to successfully drag ourselves out of this disaster is with courage. The courage to lead when we know how, the courage to follow the right leaders and the courage to persevere. Courage will define whether we are successful. The new normal is also going to require us to become even more innovative. The only business culture that will have even a chance of survival shift will demand a commitment to creating a culture where individuals are more empowered to contribute to the overall mission of the organization by speaking up and being heard.
If ever someone skated to the puck and wrote about the tools and ideas for tomorrow’s challenge, without actually knowing that tomorrow would become today overnight, it is this episode’s guests. Karin Hurt and David Dye have written about their approach to organizational success: A Courageous Culture. According to Karin and David, there is a breakdown in organizations that stifles innovation. Employees have ideas and leadership is interested in these ideas but somehow, there is a disconnect. Karin and David believe that the collective effect of thousands of small opportunities missed because employees didn’t speak up when they realized something wasn’t working or didn’t share an idea because they worried that it might not be a good one, creates opportunities for failure. They believe that eliminating the safe silence that results from not speaking up and not contributing to the mission of the organization can help organizations thrive and innovate. Perhaps working from home will empower the silent innovators into active participation?
Just before the CIVID-19 pandemic paralyzed the world, Innovation Unleashed had the opportunity to sit down with Kristen Finne, the Director of the Department of Health and Human Services, emPOWER Program in the Office of the Assistant Secretary for Preparedness and Response. At that time, we were not yet talking about this specific disease outbreak but we were talking about Kristen’s work as one of the dedicated public servants who work around the clock to ensure that, for example, our health care system can respond to a sudden tidal wave of need. Preparing for how such events might impact the old, frail, and disabled communities. She is one of the people that we rely on in an emergency, but who we hope we never need.
The relevancy of what was discussed with Kristen, on that day, has certainly taken on new meaning and significance for all of us as we are sheltered at home deciding about the right timing for returning to work and life with COVID-19 as part of our new normal.
Health officials, health care providers, emergency managers, and first responders have always worried that they did not have access to enough accurate information that could help them respond to the needs of at-risk populations in their communities. So, just a few years ago in the US the Office of the Assistant Secretary for Preparedness and Response was established by the Federal Government to make sure we were ready. The emPOWER Program was launched to get the data to the right people at the right time. And we are talking about a lot of data and the skills to understand what it means before and after a disaster. Public health stakeholders can now use the program’s national, data-driven tools to support targeted emergency preparedness, response, recovery, and mitigation activities for more than 4.1 million at-risk Medicare beneficiaries.
This kind of massive data mining and essential information delivery does not just happen. The need was urgent for a long time before the innovations necessary to respond effectively. What were the challenges in gathering the information? How did politics impact the data science? Where were the biggest gaps in knowledge? What can be learned from the barriers to progress to speed responses in the future? One of the best ways to get answers to those and other compelling questions would be to go right to the top.
In this episode, Kristen describes how she spends her days assessing disaster-induced stress on the health care system and develops interventions to mitigate health system surge and adverse health outcomes for at-risk populations. Kristen leverages federal health and innovation technologies to provide Medicare data, maps, tools, training and products to inform and support federal-to-community level emergency preparedness, response, recovery and mitigation activities for electricity and healthcare dependent beneficiaries that live independently and may be adversely impacted by a disaster.
It is an understandably frightening time for all of us because nothing like this has happened in our lifetime.
The measures we are taking are unprecedented in recent history - -hospitals are overwhelmed, businesses are being categorized as life-sustaining/essential businesses or non-essential businesses, people are quarantined, schools are closed, sports teams aren’t playing, vacations are canceled, family gatherings rescheduled. Businesses and individuals are being faced with the decision to weigh risk based on personal harm and the greater good.
It is a time where we need trusted leadership. Yet at a time when we need to have trust we don’t. The 2020 Edelman Trust Barometer reveals that despite a strong global economy and near full employment before the pandemic, none of the four societal institutions that the study measures—government, business, NGOs and media—is trusted. Government, more than any institution, is seen as least fair; 57 percent of the general population say government serves the interest of only the few, while only 30 percent say government serves the interests of everyone. Edelman explains that the cause of this paradox can be found in people’s fears about the future and their role in it, which are a wake-up call for our institutions to embrace a new way of effectively building trust: balancing competence with ethical behavior.
The guest on today’s episode is Dr. Jessica Foster. She’s a Partner with RHR International and serves as Global Leader for the company’s Executive Bench practice area. She is an expert at recognizing, developing and positioning executives for leadership roles.
Jessica is an industrial psychologist and previously served as a professor of industrial and organizational psychology at Purdue University. Her research, teaching, and speaking engagements are focused in the areas of employment testing, gender and leadership, executive performance and emotional regulation, and work-life balance. Jessica received her doctorate in industrial and organizational psychology from Rice University in Houston, and she holds a bachelor’s degree in psychology from Davidson College in North Carolina.
With global population on track to reach 10 billion within a few decades, and with travel and trade steadily intensifying across the world, the spread of many types of infectious disease (like the Flu and worse) is a real and increasing threat to global health.
Rapidly detecting, reporting, and responding to infectious disease occurrence is required to contain small outbreaks before they have the opportunity to spread into a regional epidemic or become a global pandemic threat. The Flu is the most likely infectious disease to cause a severe pandemic. The chances of a devastating outbreak may seem slim, but the level of devastation if it occurred is almost unimaginable. Every year there is about a 1% chance that an influenza pandemic could emerge…and that if it did it would cause more than 6 million pneumonia and influenza deaths globally. Flu pandemics have happened before…we are just waiting for the next one to arrive. But fortunately, some innovators are solidly focused on how to detect the problem so that the impact could be controlled.
Our safety and the rapid detection of infectious disease depends on effective disease surveillance systems gathering data from multiple sources and places. Equally important is how fast a system can detect a threat of disease to prompt earlier response and the best chances for protecting all of us from the spread of illness and potential death.
On this episode, Kevin Hutchinson, will share how he has spent his career gathering and analyzing data and working alongside health organizations to monitor and identify possible health threats.