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Team Panacea
Original Problem Statement:
Develop criteria for determining
“best practices” within the
Veterans Health Administration.
Final Problem Statement:
Equip Innovation Specialists with
tools to more effectively promote
innovative practices in the
Veterans Health Administration
Nestor Walters
B.S. Math, 2021
Joel Johnson
B.S. SymSys, 2021
Alfred Mohammed
B.A. History, 2020
Foster Karmon
B.S. STS, 2021
Arvind Subramanian
B.S. Comp. Sci., 2021
108
Interviews
The VA is huge
- $220 billion budget
- 320,000+ employees
- 172 Medical Centers
- 21 Service Networks
We first sought to define “best practice”
Practitioners
“How do you define a best
practice?”
“Who determines what is
best?”
Week
2 4 6 8 101 3 5 7 9
“Best” is subjective to circumstance
and is not universal
Week
2 4 6 8 101 3 5 7 9
We tried to improve data by
standardizing documentation
Practitioners
Administrators
“If you don’t know what
you’re doing, you can’t
do it better.”
“This is very much a problem of data
collection”
-Former VA Quality Assurance
Consultant
Week
2 4 6 8 101 3 5 7 9
Following the data, we reached a dead end
“You’re trying to boil the ocean
with a match.” -Former VA
Quality Assurance Consultant
Week
“You won’t actually have access to this
system” - Chief Informatics Officer
2 4 6 8 101 3 5 7 9
Teaching Team busted out the defibrillator!
The team re-approached our
sponsor with new questions
Week
2 4 6 8 101 3 5 7 9
It’s about new innovations,
not existing practices
“The Innovation
Ecosystem…
...champions of
disruptive
breakthroughs”
Week
“Who would used
this and how?
2 4 6 8 101 3 5 7 9
PIVOT!
Met Five Innovation Specialists
at a VA Event in Boston
Week
2 4 6 8 101 3 5 7 9
The VA Innovation Ecosystem is tiny
- 32 Participant Medical Centers
(vs 172 total)
- ~40 Innovation Specialists
(vs 320,000+ total employees)
- Program Age: 3 years
Week
2 4 6 8 101 3 5 7 9
Turns out our problem statement…
was a solution statement
“Bottom line: would you use a
tool that would sort practices as
“best?”
Week
2 4 6 8 101 3 5 7 9
“No one really
decides what’s best.”
Our solution isn’t about sorting
Samantha Sissel
Innovation Specialist
Boston VA
Our solution is about providing support
Week
“We have all these ideas people are
passionate about,
but there is no infrastructure
within VA to support them.”
2 4 6 8 101 3 5 7 9
Beth Ripley
Innovation Specialist
Puget Sound VA
Our revised Mission Model Canvas now
accounts for our new Primary Beneficiary
Our proposed tool would provide:
- Knowledge repository: video and lesson database
- Centralized project management portal
- Network mapping tools; who is working on what
Our Final Product
Week
2 4 6 8 101 3 5 7 9
PROJECT MANAGERKNOWLEDGE
REPOSITORY
INN SPEC MAP
The term 3D printing covers a variety of
processes in which material is joined or
solidified under computer control to create
a three-dimensional object,[1] with
material being added together (such as
liquid molecules or powder grains being
fused together), typically layer by layer. In
the1990s, 3Dprinting techniques were
considered suitableonly for theproduction
of functional or aesthetical prototypesand
a more appropriateterm was rapid
prototyping. Today, theprecision,
repeatability and material range have
increased to thepoint thatsome3D
printing processes areconsidered viableas
an industrial production
Get StartedAbout Contact
VA Innovation Resource Center
Results-Driven Health Care Innovation Begins Here
Carolyn Clancy
VHA Deputy Under Secretary
Michael Quinn
VA IT Director
We showed our final MVP around
and they love it!
Us: How badly do you want this?
Top Innovation Specialist: “Please, please, please make this”
Our Sponsor: “I would kick you in the *expletive*,
take it, and run off with it”
Top Innovation Specialist: “This would be a game changer.”
Week
2 4 6 8 101 3 5 7 9
Team Panacea will continue to work with the VA
Innovation Ecosystem and Innovation Specialists.
All members intend to move on to pursue funding for the
development of the Innovation Resource Center.
The Road Ahead: What’s Our Plan-acea?
Thanks to those who made all of this possible
Kristopher Teague, Problem Sponsor
Mark Clapper, Course Mentor
Lt. Col. Todd Mahar, DoD Mentor
Aidan McCarty, TA
Teaching Team, for the great questions they ask
Interviewees, for their time and countless insights

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Panacea H4D Stanford 2019

  • 1. Team Panacea Original Problem Statement: Develop criteria for determining “best practices” within the Veterans Health Administration. Final Problem Statement: Equip Innovation Specialists with tools to more effectively promote innovative practices in the Veterans Health Administration Nestor Walters B.S. Math, 2021 Joel Johnson B.S. SymSys, 2021 Alfred Mohammed B.A. History, 2020 Foster Karmon B.S. STS, 2021 Arvind Subramanian B.S. Comp. Sci., 2021 108 Interviews
  • 2. The VA is huge - $220 billion budget - 320,000+ employees - 172 Medical Centers - 21 Service Networks
  • 3. We first sought to define “best practice” Practitioners “How do you define a best practice?” “Who determines what is best?” Week 2 4 6 8 101 3 5 7 9
  • 4. “Best” is subjective to circumstance and is not universal Week 2 4 6 8 101 3 5 7 9
  • 5. We tried to improve data by standardizing documentation Practitioners Administrators “If you don’t know what you’re doing, you can’t do it better.” “This is very much a problem of data collection” -Former VA Quality Assurance Consultant Week 2 4 6 8 101 3 5 7 9
  • 6. Following the data, we reached a dead end “You’re trying to boil the ocean with a match.” -Former VA Quality Assurance Consultant Week “You won’t actually have access to this system” - Chief Informatics Officer 2 4 6 8 101 3 5 7 9
  • 7. Teaching Team busted out the defibrillator! The team re-approached our sponsor with new questions Week 2 4 6 8 101 3 5 7 9
  • 8. It’s about new innovations, not existing practices “The Innovation Ecosystem… ...champions of disruptive breakthroughs” Week “Who would used this and how? 2 4 6 8 101 3 5 7 9 PIVOT!
  • 9. Met Five Innovation Specialists at a VA Event in Boston Week 2 4 6 8 101 3 5 7 9
  • 10. The VA Innovation Ecosystem is tiny - 32 Participant Medical Centers (vs 172 total) - ~40 Innovation Specialists (vs 320,000+ total employees) - Program Age: 3 years Week 2 4 6 8 101 3 5 7 9
  • 11. Turns out our problem statement… was a solution statement “Bottom line: would you use a tool that would sort practices as “best?” Week 2 4 6 8 101 3 5 7 9 “No one really decides what’s best.” Our solution isn’t about sorting Samantha Sissel Innovation Specialist Boston VA
  • 12. Our solution is about providing support Week “We have all these ideas people are passionate about, but there is no infrastructure within VA to support them.” 2 4 6 8 101 3 5 7 9 Beth Ripley Innovation Specialist Puget Sound VA
  • 13. Our revised Mission Model Canvas now accounts for our new Primary Beneficiary
  • 14. Our proposed tool would provide: - Knowledge repository: video and lesson database - Centralized project management portal - Network mapping tools; who is working on what Our Final Product Week 2 4 6 8 101 3 5 7 9
  • 15. PROJECT MANAGERKNOWLEDGE REPOSITORY INN SPEC MAP The term 3D printing covers a variety of processes in which material is joined or solidified under computer control to create a three-dimensional object,[1] with material being added together (such as liquid molecules or powder grains being fused together), typically layer by layer. In the1990s, 3Dprinting techniques were considered suitableonly for theproduction of functional or aesthetical prototypesand a more appropriateterm was rapid prototyping. Today, theprecision, repeatability and material range have increased to thepoint thatsome3D printing processes areconsidered viableas an industrial production Get StartedAbout Contact VA Innovation Resource Center Results-Driven Health Care Innovation Begins Here
  • 16. Carolyn Clancy VHA Deputy Under Secretary Michael Quinn VA IT Director We showed our final MVP around and they love it! Us: How badly do you want this? Top Innovation Specialist: “Please, please, please make this” Our Sponsor: “I would kick you in the *expletive*, take it, and run off with it” Top Innovation Specialist: “This would be a game changer.” Week 2 4 6 8 101 3 5 7 9
  • 17. Team Panacea will continue to work with the VA Innovation Ecosystem and Innovation Specialists. All members intend to move on to pursue funding for the development of the Innovation Resource Center. The Road Ahead: What’s Our Plan-acea?
  • 18. Thanks to those who made all of this possible Kristopher Teague, Problem Sponsor Mark Clapper, Course Mentor Lt. Col. Todd Mahar, DoD Mentor Aidan McCarty, TA Teaching Team, for the great questions they ask Interviewees, for their time and countless insights

Notas do Editor

  1. Jeff: Great first slide. Overall, you guys have made great progress. You still have a little way to go, especially with the slide headings
  2. Jeff: what does “by the way” add to the heading?
  3. Jeff: Headings should be declarative.
  4. Jeff: heading needs work. What is the main point of the slide? Sorting requires making comparisons...maybe that shoudl be the heading??? Get rid of question mark, at least
  5. What’s with the question marks in the headings?? Short declarative headings that capture the thesis/argument that the slide is making. Again, what point are you trying to make here? “Sorting requires data” but even that heading is missing somethinig
  6. Jeff: Jesus you’re killing me with the “...” and question marks. Consider building this slide. It’s too damn busy. I don’t know where to look first. My eyes always go down to the weekly emoticon first which takes away from the actual content of the slide. Tom is the expert so I’ll defer to him but maybe have an emoticon on every other slide or every several slides?? Also, I still can’t read your MVP and neither will the audience
  7. Jeff: this slide confuses me. I understand what you are going for but you don’t capture it. Text box is too wordy. Get rid of black flag of attack. Can you find a better GIF?
  8. Jeff: Hold on. Your dead then alive...but with what? Add in to the previous slide that you are now focusing on InnSpecs and it would see that your sponsor revived you based on the slide content
  9. Jeff: “Meeting Five innovation…” Have you stacked these headings to determine if they logically flow? From my side of the fence, they don’t provide a snapshot of your overall narrative.
  10. Jeff: This heading is much much better. Play with the formatting. Some words are caps others not. Why? Also doesn’t jive with formatting of other headings. Is there a typo in the quote? “It” is unnecessary
  11. Maybe bump this slide up to 13 to explain how/why you arrived at your MVP.
  12. Jeff: add a heading indicating that this is your MVP. I’m also struggling to understand how what you have just told me results in this solution.
  13. Jeff: can you build the MVP slide to include these quotes? They are untethered to the MVP I saw two slides ago.
  14. Checks next to quotes would be better. Voice over Product market fit and early buy-in. Reword: “Team P will continue to work with…” and “The team is pursuing funding to develop Inno resource center”