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Innovation in Government
How do we make government adaptive?
June 19, 2012
Agenda

~5 minutes – Context of project
 • Jayson to describe the context of the Chief of Staff conference and our role in the process

~35 minutes – The importance of disruptive innovation to government
 • Clay / Max / Nikhil to discuss current project, observations, and assertions about
   opportunities for innovation in government services and policy

~20 minutes – Discussion of next steps
 • Open discussion of next steps




                                    the forum for growth and innovation                          1
Enabling disruptive innovation in government




                        the forum for growth and innovation   2
Enabling disruptive innovation in government


The United States - and much of the developed world - face unprecedented budget crises

Innovation has been touted as one of the mechanisms to address current problems
 • Lack of silver bullet requires government to become more efficient, spur growth of tax receipts,
   and cut excessive services
 • Innovation is seen as one of the keys to government efficiency and improvement

The key to doing more with less lies in a specific type of innovation: disruptive innovation
 • Unfortunately, government innovation tends to focus on sustaining instead of disrupting
   existing models of service delivery
 • Government intervention in markets can often, itself, lead to a lack of disruption



                    How can we enable disruption in markets where
                           public intervention is necessary?



                                     the forum for growth and innovation                         3
Our research agenda


What we hope to develop…                               What we are not developing…

• A framework to understand what is                    • A critique of governance models – the
  causing disruptive innovation to not                   implementation of policy
  occur in situations of government
  intervention

• Guidelines on what policy                            • Comprehensive policy
  prescriptions can help enable                          recommendations on specific issues
  disruptive innovation in various
  circumstances

• A best practice approach for objective               • Opinions on subjective market issues
  market issues such as public goods                     such as intra-generational transfers



                                 the forum for growth and innovation                          4
What is innovation?
    Innovation is more diverse than most practitioners acknowledge

                Categorization of tech innovation                               Categorization of competitive innovation
                Incremental improvements to existing                                          Innovations that integrate with the profit
                technologies                                                                  models of incumbent firms
Continuous




                                                                                 Sustaining
                Integrate seamlessly with legacy formats                                      Can be derived from either continuous or
                                                                                              discontinuous innovation

                Example:                                                                      Example:
                 • A traditional engine that generates 20%                                     • A solar engine integrated into a Ford
                   more horsepower than its predecessor                                          coupe and priced at a premium


                Technological innovation that bypass the                                      Innovations that do not integrate with profit
                existing paradigm; often cited as a step-                                     models of incumbent firms
Discontinuous




                change



                                                                                 Disruptive
                                                                                              Often lower quality to existing products, but
                Can or cannot integrate with legacy formats                                   cheaper and more accessible

                Example:                                                                      Example:
                 • An solar engine that generates 20% more                                     • An solar engine used to power a cheap,
                   horsepower than its gasoline predecessor                                      around-town bicycle for city commuters



                                                       the forum for growth and innovation                                                    5
Disruption, illustrated



                                Incumbents nearly always win
    Product Performance




                                                              Entrants nearly always win

                          Disruptive technologies




                                                                                           Time




                                                    the forum for growth and innovation           6
Why disruptive innovation

What is allows firms to do                                 The industrial impact

• Gain access to markets with new                          • Drives down cost in the market
  technology and business models
                                                           • Increases access for consumers
• Avoid competition during early
  growth                                                   • Opens budget for investment in
                                                             other activities
• Identify the optimal customers for
  the product




   “                                                                                          ”
          This process of Creative Destruction is the essential fact about capitalism.
                                                        - Joseph Schumpeter




                                   the forum for growth and innovation                            7
Disruptive innovations transform industries

            Disruptive innovation                                                                                Description                        Before       After

             Personal computing                                        • In the late 1970‟s, companies arose to                                   ~$120-160K1   ~$1.3K2
                                                                         manufacture computers using existing,
                                                                         modular, technical components, thereby
                                                                         decreasing cost of production


             Retail health clinics                                     • Over the past 2 decades, retail health clinics                              $5603       $1103
                                                                         have emerged to offer basic healthcare
                                                                         services w/out expensive overhead of primary
                                                                         care offices


             Mobile digital learning                                   • Educational platforms being developed to                                 100M w/out     N/A
                                                                         provide access to the more than 100M children                             access to
                                                                         that do not attend school across the globe                                education




                                                              Disruption brings services to more customers by
                                                           dramatically reducing costs and increasing accessibility
1) DEC VAX 11/780 Computer Specifications. ed-thelen.org/comp-hist/vax-11-750. Accessed 6/15/2012
2) The Encyclopedia of Consoles, Handhelds, & Home Computers, pg. 19                                        the forum for growth and innovation                           8
3) Comparing Costs and Quality of Care at Retail Clinics… Annals of Internal Medicine, Sept 2009, pg. 324
Why does this matter for the government?

                      At all levels, the public sector in the United States face increasing budgetary limitations

                            2nd Debt Ceiling Hit                                   Outstanding US Debt                    Federal Unfunded Liabilities
      Federal




                          Q4 2012                                                       $15.8t                                   $211t
                          California State Debt                                      Illinois 2012 Deficit              NY Pension Unfunded Liabilities1
      State




                                 $392b                                                    ~$6b                                  $120b
                        Detroit Municipal Debt                                   Defaults through March „12              O.C., CA Unfunded Liabilities2
      Municipal




                           B2 & B3                                                 21 muni‟s                                      $20b

                                                                        Government must learn to do more with less
1)   Teachers and Local Workers unions – Empire Center projections
2)   Orange County Register, http://bit.ly/MvECvS, Accessed 6/14/2012             the forum for growth and innovation                                      9
Municipal debt has grown by 17% in past 5 years

                                                                                      Municipal Securities (1996-2011)
                                                4,000.0                                                                                                         300

                                                                                                                                                                280
                                                3,500.0
                                                                                                                                                                260




                                                                                                                                                                      Municipal Tax Receipt Growth
                                                3,000.0




                                                                                                                                                                        (Indexed to 100 in 2000)
                         Outstanding Value $B




                                                                                                                                                                240
                                                2,500.0
                                                                                                                                                                220

                                                2,000.0                                                                                                         200

                                                                                                                                                                180
                                                1,500.0
                                                                                                                                                                160
                                                1,000.0
                                                                                                                                                                140
                                                 500.0
                                                                                                                                                                120

                                                    0.0                                                                                                         100
                                                          1996 1997 1998 1999 2000 2001 2002 2003 2004* 2005 2006 2007 2008 2009 2010 2011

                                                                              Individuals                    Mutual Funds                Banking Institutions
                                                                              Insurance Companies            Other                       Municipal Tax Growth




Source: SIFMA Estimates, Holders of Municipal Securities. Accessed 6/14/2012. Tax receipt growth
         estimated by US Census Bureau based on fourth quarter growth in property taxes            the forum for growth and innovation                                                               10
Despite burning platform, government tends to sustain

                Case 1: The President’s Save Awards                                            Case 2: Health Data Initiative
              President Obama instituted the President’s SAVE                     Starting in 2010, the Health Data Initiative aims to
              award for federal employees that present cost cutting               release data to the public or qualified entities
Background




              ideas                                                                 • Through “Datapaloozas,” government got external
                • SAVE has successfully generated over 56,000                         constituents to engage in creating new products and
                  employee submissions related to cost cutting                        services using the data
                  opportunities within the federal government                       • In 2010, 20 apps and services debuted; in 2011, 50;
                    • Leveraging Eric Von Hippel and Karim Lakhani‟s                  and this year, 230 companies are set to debut products
                      work on crowd-sourced innovation



              However, the SAVE awards generate sustaining                        Products and apps debuting though are sustaining to
              recommendations                                                     government institutions
                • Primarily identify excessive spending within existing            • Data is primarily information, such as managing
In practice




                  operations                                                         asthma and quality of hospitals
                • Past examples include                                                • Provides consumers with better information
                   • Wasted medicine in Veterans‟ Hospitals                            • Puts pressure on providers through transparency
                   • Duplicative purchases within NASA
                                                                                  Data initiatives can enable disruption in the private
              Does not reward employees for rethinking systems                    sector, but will have minimal impact driving near term
              from the ground up (too impractical)                                cost out of public services



                                While valuable, sustaining innovations will not solve our
                                                 fiscal crises in isolation
                                                         the forum for growth and innovation                                            11
Why disruption doesn’t occur naturally




                        the forum for growth and innovation   12
Government intervention, itself, can stifle disruption
    Government intervention, while necessary to solve various market failures, often stifles disruptive
    innovation in the process
                • This interference can be intentional, but often an undesirable byproduct of specific solutions


                         Why it would occur…                                                    …Example in action

                  To build industry and serve public            Airline industry
                                                                 • From 1938-1978 the Civil Aeronautics Agency heavily regulated US air
Intentional




                  interest, government occasionally
                                                                    travel, limiting competition and access to routes
                  limits competition intentionally
                                                                 • In the years following deregulation, hundreds of new airlines emerged
                                                                 • New airlines engaged in various forms of business model innovation
                                                                 • New activity also prompted a modernization of air traffic control systems



                  In intervening to address correct             Legal Accreditation (The American Bar Association)
                                                                 • To ensure that stated lawyers can appropriately represent their
Unintentional




                  market failures and protect
                                                                   clients, the United States has required legal certification for hundreds of
                  consumer interests, government
                                                                   years
                  often distorts the competitive                 • However, to overcome these asymmetries of information, the United
                  pressures that enable disruption                 States has recently relied on ABA accredited schools to screen students
                  unintentionally                                • The lack of competition for ABA accredited schools and the single tier of
                                                                   certification is partially to blame for the lack of innovation in legal services

                                      The question becomes, what is required for disruption
                                        within public services and regulated industries?
                                                          the forum for growth and innovation                                                 13
To promote disruption, services and regulation
 must ensure eight conditions are satisfied

Structure                         Producer (Gov. /private)                 Consumer (Gov. /Taxpayer)

1. Ability to start a business    3. Incentive to start a                  6. Ability to switch
                                     business
2. Ability to sunset a                                                     7. Benefit evaluation
   business                       4. Incentive to progress up-
                                     market                                8. Benefit internalization

                                  5. Ability to progress up-
                                     market




        The fulfillment of these eight constructs creates an environment where…
        • Consumer purchasing habits deliver product and service feedback
        • Suppliers have an incentive to improve both technology and efficiency over time
        • Businesses are naturally born, mature, and become obsolete over time

                                     the forum for growth and innovation                                14
Private industry adapts through feedback loops;
government services lack such information

Lack of “Opt-out”   • At the federal level, public has no option to opt-out of government
from citizenship    • At state and municipal level, there is threat of moving, though a certain amount of
                      stickiness creates a no opt-out effect
                    • Difficult to voice discontent through non-consumption


Minimal access to   • Government interventions do not do a good job of establishing feedback loops to
customer              adjust policies over time
feedback            • Lack of CRM systems and incentive for customer learning



Low customer        • With the taxpayer paying one lump sum, it is not possible to create accountability for
visibility into       each spent dollar on a program by the public
service costs       • Current tax system also hides the value of subsidies in the form of deductions



Singular issues     • Votes, theoretically, represent feedback into policy and progress
cloud voting        • However, singular issues tend to cloud feedback into service quality
decisions

                  Difficult to discern what is “good enough” service at any
                                 level of cost given these issues
                                      the forum for growth and innovation                                   15
Policy decisions can interfere with
ability to test new service models

                           Policy tends to interfere with disruption in
                                     two distinct manners




   Interferes with disruptive
   entrants ability to enter                                         Interferes with the ability of
   new markets                                                       disruptive innovators to
    • RFP policy, certifications,                                    progress up market
      requirements, etc. can create                                   • Process requirements can
      barriers to innovative thinking                                   eliminate disruptive services
      in gov‟t                                                          from further progression

    • Ex: Reimbursement for                                              • Ex: Automation of legal
      disease management vs.                                               services
      drug sales




                                   the forum for growth and innovation                                  16
Examples of how we can enable adaptive government

Best practice       What does it mean                                                     Example
Outcome-based       • Process-based legislation makes assumptions about market            • Fuel efficiency
legislation           dynamics that must continue to hold                                   requirements
                    • Outcome-based legislation focuses on the creation of feedback       • Hospital
                      loops that allow for variation within methods for implementation      readmissions

Process for         • Legislation does a poor job of sun-setting itself when it has run   • California water
sun-setting           its course, leading sometimes to situations of hindrance              supply
                    • Government agencies are often re-purposed instead of sun-set
                      after they become obsolete

Allow duplicative   • Reliance on a legacy infrastructure prevents forward progress       • Charter schools
infrastructure      • The creation of duplicative infrastructure allows more efficient    • Accreditation of
                      methods of product and service delivery to be developed               online schools


Encourage           • Rapid iteration and continuous deployment during projects           • Lean government
experimentation       development maximizes feedback, minimizes wasted investment           projects
                                                                                          • Chinese SEZs




                                       the forum for growth and innovation                              17
For disruption to take hold, success of programs
must be appropriately defined

Discussion of objectives in policy often spurs charged, political, debate
 • Issues surrounding wealth transfers, optimal scope of government, and safety nets generate emotionally
   charged reactions
 • Reactions can draw attention away from the benefits of disruption “in a vacuum”

To overcome this issue, we believe it is important to distinguish between objective responsibilities of
government and subjective responsibilities
 • Legislators and executives can derive the benefit of disruption from objective examples



Objective responsibilities                                     Subjective responsibilities

Government is objectively responsible for                      Government’s role is subjective where private
correcting private market failures where                       markets have not failed
possible (within capitalist countries)
                                                                 • These subjective responsibilities vary from
 • Private market failures occur where economic                    nation to nation and are heavily derived from
   assumptions of competition fail                                 cultural or historic expectation
    • i.e., Informational                                             • i.e., unemployment benefits, universal
      asymmetries, monopolies, negative                                 healthcare, public education, etc.
      externalities, etc.
                                         the forum for growth and innovation                                       18
How you get it done?

                                                                                                           5
                                                                                                               Balance costs
                                                                                4                              and benefits
                                                                                    Evaluate against           • For remaining
                                                      3                             criteria for                 options, compar
                                                          Develop                   innovation                   e costs and
                            2                             spectrum of               • Eliminate                  benefits to
                                Identify unit of          solutions                   solutions which            narrow list of
1                               customer                  • List out various          fail to address            policy options
    Define the                  analysis                    solutions on the          the failed
    problem                     • Identify the              spectrum of               conditions for
                                  smallest unit of          government                innovation
    • Evaluate the key                                      intervention, fro
                                  measure at
      market failure(s)                                     m no                    • Eliminate
                                  which customers
      requiring                                             intervention to           solutions which
                                  can evaluate
      government                                            complete                  cause other
                                  products
      intervention                                          takeover of the           conditions for
                                • Ensure                    market                    innovation to fail
    • Identify the failed
                                  producers and
      conditions for
                                  can identify with
      innovation
                                  this unit of
                                  measure


                                                  the forum for growth and innovation                                              19
Next steps


• Complete additional interviews of public servants, contractors, and constituents

• Prepare case studies on stifled and successful innovation at all levels of US
  government

• Further develop framework for enabling disruption in policy and public services

• Meet with policymakers and academics to challenge findings




                                 the forum for growth and innovation                 20
Appendix 1: Research methodology to date




                       the forum for growth and innovation   21
Research to date

Interviews with thought leaders and public servants (including)
 • Erika Poethig --         Deputy Secretary of Housing and Urban Development
 • Mike Dimatta --          Former Deputy Director, OMB
 • Roger LaRouche --        Former Deputy IG at Department of Interior
 • Neil Kleiman --          NYU, Former Policy Director at Living Cities
 • Neil Khare --            Director of Policy, Office of the Cook County Board President

Journal & literature research
 • Industrial development theory
 • Contract / Privatization theory
 • RFP policy surveys
 • Regulatory best practices

Survey of public facing innovation initiatives and competitions
 • SAVE
 • SC2
 • Bloomberg innovation teams
 • City Bid system
 • Etc.


                                     the forum for growth and innovation                    22
Research goals

Conduct further review of innovation efforts within branches of government
 • Review instances of successful and unsuccessful disruptive innovation in regulation / policy
 • Review instances of successful and unsuccessful disruptive innovation in public services

Complete additional interviews
 • Interviews with academics and public servants to collect additional information
       • Notable candidates include: Larry Lessig, David Moss, Joseph Stiglitz, Tom Friedman
 • Follow up with initial interviewees to discuss findings, frameworks, and recommendations

Develop framework and complete article for circulation
 • Goal of “HBR style” article for practitioners
 • Additional academic publication where relevant




                                    the forum for growth and innovation                           23
Unused slides




                the forum for growth and innovation   24
More than 1/5th of US industry fails to benefit from disruption

                                                                                                                      Federal Spending
                  3500                                                                                                                                                                                                                                                                       60%


                  3000
                                                                                                                                                                                                                                                                                             50%


                  2500




                                                                                                                                                                                                                                                                                                   Spending as a % of GDP
                                                                                                                                                                                                                                                                                             40%
 Spending in $B




                  2000
                                                                                                                                                                                                                                                                                             30%
                  1500

                                                                                                                                                                                                                                                                                             20%
                  1000


                                                                                                                                                                                                                                                                                             10%
                   500


                     0                                                                                                                                                                                                                                                                       0%
                                                                                                                    1939




                                                                                                                                                 1951




                                                                                                                                                                             1963




                                                                                                                                                                                                         1975




                                                                                                                                                                                                                                     1987
                         1900
                                1903
                                       1906
                                              1909
                                                     1912
                                                            1915
                                                                   1918
                                                                          1921
                                                                                 1924
                                                                                        1927
                                                                                               1930
                                                                                                      1933
                                                                                                             1936


                                                                                                                           1942
                                                                                                                                   1945
                                                                                                                                          1948


                                                                                                                                                        1954
                                                                                                                                                               1957
                                                                                                                                                                      1960


                                                                                                                                                                                    1966
                                                                                                                                                                                           1969
                                                                                                                                                                                                  1972


                                                                                                                                                                                                                1978
                                                                                                                                                                                                                       1981
                                                                                                                                                                                                                              1984


                                                                                                                                                                                                                                            1990
                                                                                                                                                                                                                                                   1993
                                                                                                                                                                                                                                                          1996
                                                                                                                                                                                                                                                                 1999
                                                                                                                                                                                                                                                                        2002
                                                                                                                                                                                                                                                                               2005
                                                                                                                                                                                                                                                                                      2008
                                                                      Education-fed $ billion                                     Welfare-fed $ billion                                    Transportation-fed $ billion
                                                                      Defense-fed $ billion                                       Health Care-fed $ billion                                Protection-fed $ billion
                                                                      Pensions-fed $ billion                                      Other                                                    Government as % of GDP


                                                                                                                    the forum for growth and innovation                                                                                                                                                                     25

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Enabling Disruptive Innovation in Government

  • 1. Innovation in Government How do we make government adaptive? June 19, 2012
  • 2. Agenda ~5 minutes – Context of project • Jayson to describe the context of the Chief of Staff conference and our role in the process ~35 minutes – The importance of disruptive innovation to government • Clay / Max / Nikhil to discuss current project, observations, and assertions about opportunities for innovation in government services and policy ~20 minutes – Discussion of next steps • Open discussion of next steps the forum for growth and innovation 1
  • 3. Enabling disruptive innovation in government the forum for growth and innovation 2
  • 4. Enabling disruptive innovation in government The United States - and much of the developed world - face unprecedented budget crises Innovation has been touted as one of the mechanisms to address current problems • Lack of silver bullet requires government to become more efficient, spur growth of tax receipts, and cut excessive services • Innovation is seen as one of the keys to government efficiency and improvement The key to doing more with less lies in a specific type of innovation: disruptive innovation • Unfortunately, government innovation tends to focus on sustaining instead of disrupting existing models of service delivery • Government intervention in markets can often, itself, lead to a lack of disruption How can we enable disruption in markets where public intervention is necessary? the forum for growth and innovation 3
  • 5. Our research agenda What we hope to develop… What we are not developing… • A framework to understand what is • A critique of governance models – the causing disruptive innovation to not implementation of policy occur in situations of government intervention • Guidelines on what policy • Comprehensive policy prescriptions can help enable recommendations on specific issues disruptive innovation in various circumstances • A best practice approach for objective • Opinions on subjective market issues market issues such as public goods such as intra-generational transfers the forum for growth and innovation 4
  • 6. What is innovation? Innovation is more diverse than most practitioners acknowledge Categorization of tech innovation Categorization of competitive innovation Incremental improvements to existing Innovations that integrate with the profit technologies models of incumbent firms Continuous Sustaining Integrate seamlessly with legacy formats Can be derived from either continuous or discontinuous innovation Example: Example: • A traditional engine that generates 20% • A solar engine integrated into a Ford more horsepower than its predecessor coupe and priced at a premium Technological innovation that bypass the Innovations that do not integrate with profit existing paradigm; often cited as a step- models of incumbent firms Discontinuous change Disruptive Often lower quality to existing products, but Can or cannot integrate with legacy formats cheaper and more accessible Example: Example: • An solar engine that generates 20% more • An solar engine used to power a cheap, horsepower than its gasoline predecessor around-town bicycle for city commuters the forum for growth and innovation 5
  • 7. Disruption, illustrated Incumbents nearly always win Product Performance Entrants nearly always win Disruptive technologies Time the forum for growth and innovation 6
  • 8. Why disruptive innovation What is allows firms to do The industrial impact • Gain access to markets with new • Drives down cost in the market technology and business models • Increases access for consumers • Avoid competition during early growth • Opens budget for investment in other activities • Identify the optimal customers for the product “ ” This process of Creative Destruction is the essential fact about capitalism. - Joseph Schumpeter the forum for growth and innovation 7
  • 9. Disruptive innovations transform industries Disruptive innovation Description Before After Personal computing • In the late 1970‟s, companies arose to ~$120-160K1 ~$1.3K2 manufacture computers using existing, modular, technical components, thereby decreasing cost of production Retail health clinics • Over the past 2 decades, retail health clinics $5603 $1103 have emerged to offer basic healthcare services w/out expensive overhead of primary care offices Mobile digital learning • Educational platforms being developed to 100M w/out N/A provide access to the more than 100M children access to that do not attend school across the globe education Disruption brings services to more customers by dramatically reducing costs and increasing accessibility 1) DEC VAX 11/780 Computer Specifications. ed-thelen.org/comp-hist/vax-11-750. Accessed 6/15/2012 2) The Encyclopedia of Consoles, Handhelds, & Home Computers, pg. 19 the forum for growth and innovation 8 3) Comparing Costs and Quality of Care at Retail Clinics… Annals of Internal Medicine, Sept 2009, pg. 324
  • 10. Why does this matter for the government? At all levels, the public sector in the United States face increasing budgetary limitations 2nd Debt Ceiling Hit Outstanding US Debt Federal Unfunded Liabilities Federal Q4 2012 $15.8t $211t California State Debt Illinois 2012 Deficit NY Pension Unfunded Liabilities1 State $392b ~$6b $120b Detroit Municipal Debt Defaults through March „12 O.C., CA Unfunded Liabilities2 Municipal B2 & B3 21 muni‟s $20b Government must learn to do more with less 1) Teachers and Local Workers unions – Empire Center projections 2) Orange County Register, http://bit.ly/MvECvS, Accessed 6/14/2012 the forum for growth and innovation 9
  • 11. Municipal debt has grown by 17% in past 5 years Municipal Securities (1996-2011) 4,000.0 300 280 3,500.0 260 Municipal Tax Receipt Growth 3,000.0 (Indexed to 100 in 2000) Outstanding Value $B 240 2,500.0 220 2,000.0 200 180 1,500.0 160 1,000.0 140 500.0 120 0.0 100 1996 1997 1998 1999 2000 2001 2002 2003 2004* 2005 2006 2007 2008 2009 2010 2011 Individuals Mutual Funds Banking Institutions Insurance Companies Other Municipal Tax Growth Source: SIFMA Estimates, Holders of Municipal Securities. Accessed 6/14/2012. Tax receipt growth estimated by US Census Bureau based on fourth quarter growth in property taxes the forum for growth and innovation 10
  • 12. Despite burning platform, government tends to sustain Case 1: The President’s Save Awards Case 2: Health Data Initiative President Obama instituted the President’s SAVE Starting in 2010, the Health Data Initiative aims to award for federal employees that present cost cutting release data to the public or qualified entities Background ideas • Through “Datapaloozas,” government got external • SAVE has successfully generated over 56,000 constituents to engage in creating new products and employee submissions related to cost cutting services using the data opportunities within the federal government • In 2010, 20 apps and services debuted; in 2011, 50; • Leveraging Eric Von Hippel and Karim Lakhani‟s and this year, 230 companies are set to debut products work on crowd-sourced innovation However, the SAVE awards generate sustaining Products and apps debuting though are sustaining to recommendations government institutions • Primarily identify excessive spending within existing • Data is primarily information, such as managing In practice operations asthma and quality of hospitals • Past examples include • Provides consumers with better information • Wasted medicine in Veterans‟ Hospitals • Puts pressure on providers through transparency • Duplicative purchases within NASA Data initiatives can enable disruption in the private Does not reward employees for rethinking systems sector, but will have minimal impact driving near term from the ground up (too impractical) cost out of public services While valuable, sustaining innovations will not solve our fiscal crises in isolation the forum for growth and innovation 11
  • 13. Why disruption doesn’t occur naturally the forum for growth and innovation 12
  • 14. Government intervention, itself, can stifle disruption Government intervention, while necessary to solve various market failures, often stifles disruptive innovation in the process • This interference can be intentional, but often an undesirable byproduct of specific solutions Why it would occur… …Example in action To build industry and serve public Airline industry • From 1938-1978 the Civil Aeronautics Agency heavily regulated US air Intentional interest, government occasionally travel, limiting competition and access to routes limits competition intentionally • In the years following deregulation, hundreds of new airlines emerged • New airlines engaged in various forms of business model innovation • New activity also prompted a modernization of air traffic control systems In intervening to address correct Legal Accreditation (The American Bar Association) • To ensure that stated lawyers can appropriately represent their Unintentional market failures and protect clients, the United States has required legal certification for hundreds of consumer interests, government years often distorts the competitive • However, to overcome these asymmetries of information, the United pressures that enable disruption States has recently relied on ABA accredited schools to screen students unintentionally • The lack of competition for ABA accredited schools and the single tier of certification is partially to blame for the lack of innovation in legal services The question becomes, what is required for disruption within public services and regulated industries? the forum for growth and innovation 13
  • 15. To promote disruption, services and regulation must ensure eight conditions are satisfied Structure Producer (Gov. /private) Consumer (Gov. /Taxpayer) 1. Ability to start a business 3. Incentive to start a 6. Ability to switch business 2. Ability to sunset a 7. Benefit evaluation business 4. Incentive to progress up- market 8. Benefit internalization 5. Ability to progress up- market The fulfillment of these eight constructs creates an environment where… • Consumer purchasing habits deliver product and service feedback • Suppliers have an incentive to improve both technology and efficiency over time • Businesses are naturally born, mature, and become obsolete over time the forum for growth and innovation 14
  • 16. Private industry adapts through feedback loops; government services lack such information Lack of “Opt-out” • At the federal level, public has no option to opt-out of government from citizenship • At state and municipal level, there is threat of moving, though a certain amount of stickiness creates a no opt-out effect • Difficult to voice discontent through non-consumption Minimal access to • Government interventions do not do a good job of establishing feedback loops to customer adjust policies over time feedback • Lack of CRM systems and incentive for customer learning Low customer • With the taxpayer paying one lump sum, it is not possible to create accountability for visibility into each spent dollar on a program by the public service costs • Current tax system also hides the value of subsidies in the form of deductions Singular issues • Votes, theoretically, represent feedback into policy and progress cloud voting • However, singular issues tend to cloud feedback into service quality decisions Difficult to discern what is “good enough” service at any level of cost given these issues the forum for growth and innovation 15
  • 17. Policy decisions can interfere with ability to test new service models Policy tends to interfere with disruption in two distinct manners Interferes with disruptive entrants ability to enter Interferes with the ability of new markets disruptive innovators to • RFP policy, certifications, progress up market requirements, etc. can create • Process requirements can barriers to innovative thinking eliminate disruptive services in gov‟t from further progression • Ex: Reimbursement for • Ex: Automation of legal disease management vs. services drug sales the forum for growth and innovation 16
  • 18. Examples of how we can enable adaptive government Best practice What does it mean Example Outcome-based • Process-based legislation makes assumptions about market • Fuel efficiency legislation dynamics that must continue to hold requirements • Outcome-based legislation focuses on the creation of feedback • Hospital loops that allow for variation within methods for implementation readmissions Process for • Legislation does a poor job of sun-setting itself when it has run • California water sun-setting its course, leading sometimes to situations of hindrance supply • Government agencies are often re-purposed instead of sun-set after they become obsolete Allow duplicative • Reliance on a legacy infrastructure prevents forward progress • Charter schools infrastructure • The creation of duplicative infrastructure allows more efficient • Accreditation of methods of product and service delivery to be developed online schools Encourage • Rapid iteration and continuous deployment during projects • Lean government experimentation development maximizes feedback, minimizes wasted investment projects • Chinese SEZs the forum for growth and innovation 17
  • 19. For disruption to take hold, success of programs must be appropriately defined Discussion of objectives in policy often spurs charged, political, debate • Issues surrounding wealth transfers, optimal scope of government, and safety nets generate emotionally charged reactions • Reactions can draw attention away from the benefits of disruption “in a vacuum” To overcome this issue, we believe it is important to distinguish between objective responsibilities of government and subjective responsibilities • Legislators and executives can derive the benefit of disruption from objective examples Objective responsibilities Subjective responsibilities Government is objectively responsible for Government’s role is subjective where private correcting private market failures where markets have not failed possible (within capitalist countries) • These subjective responsibilities vary from • Private market failures occur where economic nation to nation and are heavily derived from assumptions of competition fail cultural or historic expectation • i.e., Informational • i.e., unemployment benefits, universal asymmetries, monopolies, negative healthcare, public education, etc. externalities, etc. the forum for growth and innovation 18
  • 20. How you get it done? 5 Balance costs 4 and benefits Evaluate against • For remaining 3 criteria for options, compar Develop innovation e costs and 2 spectrum of • Eliminate benefits to Identify unit of solutions solutions which narrow list of 1 customer • List out various fail to address policy options Define the analysis solutions on the the failed problem • Identify the spectrum of conditions for smallest unit of government innovation • Evaluate the key intervention, fro measure at market failure(s) m no • Eliminate which customers requiring intervention to solutions which can evaluate government complete cause other products intervention takeover of the conditions for • Ensure market innovation to fail • Identify the failed producers and conditions for can identify with innovation this unit of measure the forum for growth and innovation 19
  • 21. Next steps • Complete additional interviews of public servants, contractors, and constituents • Prepare case studies on stifled and successful innovation at all levels of US government • Further develop framework for enabling disruption in policy and public services • Meet with policymakers and academics to challenge findings the forum for growth and innovation 20
  • 22. Appendix 1: Research methodology to date the forum for growth and innovation 21
  • 23. Research to date Interviews with thought leaders and public servants (including) • Erika Poethig -- Deputy Secretary of Housing and Urban Development • Mike Dimatta -- Former Deputy Director, OMB • Roger LaRouche -- Former Deputy IG at Department of Interior • Neil Kleiman -- NYU, Former Policy Director at Living Cities • Neil Khare -- Director of Policy, Office of the Cook County Board President Journal & literature research • Industrial development theory • Contract / Privatization theory • RFP policy surveys • Regulatory best practices Survey of public facing innovation initiatives and competitions • SAVE • SC2 • Bloomberg innovation teams • City Bid system • Etc. the forum for growth and innovation 22
  • 24. Research goals Conduct further review of innovation efforts within branches of government • Review instances of successful and unsuccessful disruptive innovation in regulation / policy • Review instances of successful and unsuccessful disruptive innovation in public services Complete additional interviews • Interviews with academics and public servants to collect additional information • Notable candidates include: Larry Lessig, David Moss, Joseph Stiglitz, Tom Friedman • Follow up with initial interviewees to discuss findings, frameworks, and recommendations Develop framework and complete article for circulation • Goal of “HBR style” article for practitioners • Additional academic publication where relevant the forum for growth and innovation 23
  • 25. Unused slides the forum for growth and innovation 24
  • 26. More than 1/5th of US industry fails to benefit from disruption Federal Spending 3500 60% 3000 50% 2500 Spending as a % of GDP 40% Spending in $B 2000 30% 1500 20% 1000 10% 500 0 0% 1939 1951 1963 1975 1987 1900 1903 1906 1909 1912 1915 1918 1921 1924 1927 1930 1933 1936 1942 1945 1948 1954 1957 1960 1966 1969 1972 1978 1981 1984 1990 1993 1996 1999 2002 2005 2008 Education-fed $ billion Welfare-fed $ billion Transportation-fed $ billion Defense-fed $ billion Health Care-fed $ billion Protection-fed $ billion Pensions-fed $ billion Other Government as % of GDP the forum for growth and innovation 25

Editor's Notes

  1. - It’s dangerous because it leads to disruption.
  2. POLICY / Regulation / and often services fail to provide / entice innovation at the right level. Cognitive limitations often interfere with customers’ abilities to select appropriately from bundles