mission model, mission model canvas, customer development, Hacking for Defense, lean startup, stanford, startup, steve blank, Pete Newell, Joe Felter, minimum viable product
VA Companion - Hacking for Defense - Stanford 2017
1. VA Companion
Sponsor: Veteran Affairs Palo Alto Health Care System
Develop a smart-home
system to enable
independence for
veterans with
polytrauma injuries.
Help clinicians make the
right decision at the
right moment to
enhance TBI veterans’
care and recovery
process.
100 interviews
in 10 weeks
2. Meet the Team
Monica Chan Buvana Dayanandan Kian Katanforoosh Sarah Van Sickle
BS ME;
MA Education
MSx GSB MS MS&E BS EE
Operations / Design Strategy Design / Data Development
Donna Slade
(Industry Mentor)
Jonathan Sills
(Sponsor)
Shelagh Davis
(Sponsor)
Isaac Matthews
(Teaching Assistant)
*****
3. Our Timeline
Week 0 Week 10Week 3 Week 6
Understanding:
● What is TBI /
polytrauma?
● Beneficiaries
Understanding:
● Archetypes
● Veterans’ care &
support system
Understanding:
● Active and passive
cognitive assessment
measures
Interactive
mobile
Application
Data and
Dashboard
5. Weeks 0-3
Week 0 Week 3
What is Traumatic Brain Injury?
How do we define cognitive decline?
Total: 35 interviews
“Remembering a routine is very tough for me. I
devise my own strategies to overcome my
memory issues”
▷ Mild TBI Veteran
7. Weeks 4-6
Week 4 Week 6
Who are the stakeholders?
Who needs to know what to best help TBI veterans?
Total: 65 interviews
“Improving quality of care is paramount to the
VA”
▷ VA Polytrauma Unit Program Director
9. For Caregivers For TBI Veterans For Clinicians
MVP #2: Easy-Scheduling + data feedback
1. TBI is a wide spectrum
2. App is not for all TBI patients
10. Weeks 7-10
Week 7 Week 10
It’s still a data problem!
We have to find a passive way to track data!
Total: 100 interviews
11. Customer Pivot: Narrowing Stakeholders
TBI Veterans
CliniciansTBI Caregivers
The clinicians are the experts who can provide “Clinical
judgement” about the veteran
12. “
Hypothesis #3
Track veterans’ data passively;
Report data to a personalized dashboard for clinicians.
Minimal Viable Product #3
13. John Doe
Messages from John
I’ve got headaches
yesterday...
Schedule appointment with John
He is loosing his routine!
MVP #3
1. What data do clinicians really need?
2. Live alerts and active metrics
14. Current
Minimal Viable Product
Dashboard for Clinicians
that aggregates data from smart tracking devices
“Cognitive decline is best understood through measures such as
sleep, activity-tracking, and assessment scores”
- VA Clinical Psychologist
15. John Doe Messages from John
I’ve got headaches
yesterday...
Schedule appointment with John
He is loosing his routine!
23. ““For the people who typically come
into my office to pitch an idea, it's
typically data, data, data! They
don’t know why it is important and
won’t listen to what data we need.”
- VA Neuropsychologist
24. VA Companion: Mission Model Canvas
- Software Design
- User experiences
- Intercept other
workflows or processes
aiding veterans,
caregivers, and clinical
staff today
- VA Palo Alto Health
Care System
- Veterans with TBI
and polytrauma
injuries
- Other VA medical
centers in the US
Primary:
- TBI Veterans
Secondary:
- Clinicians
(neuropsychologists
and other doctors and
researchers
specializing in
polytrauma)
- Improve long-term
care of veterans: allow
clinicians to quickly
understand veteran’s
needs and routines
- Alert clinicians in real
time if there is any
change in the veterans’
sleep, nutrition,
physical movement,
and sequencing activity
-Clinicians’ dashboard enabling care for a TBI veteran that is
more proactive vs. reactive and further decline in cognitive
impairment
- Decline in device abandonment
- Pilot project with
veterans in apartments in
the VA center
- Deploy to these patients
in their homes after they
leave the VA
- Deploy to veterans
across the United States
Fixed:
- Software design & engineering
-Hardware devices
- Helpdesk/support functions
Variable:
- Customer acquisition/sales
- Security and Health
Clearance
- Palo Alto VA Health Care
System
- Historical data on TBI
veterans
- Access to VA secure
patient message systems
- Need implementation by
VA Palo Alto Health Care
System and veterans
- Talk to Veterans directly to
convince to use/trust
devices
- Convince clinical staff to
use and train veterans to
use during rehabilitation
Beneficiaries
Mission AchievementMission Budget/Costs
Buy-In/Support
Deployment
Value
Proposition
Key Activities
Key Resources
Key Partners
Mission Model Canvas
Summary of Key Partners, Beneficiaries, Deployment
25. VA Companion: Mission Model Canvas
- Software Design
- User experiences
- Intercept other
workflows or processes
aiding veterans,
caregivers, and clinical
staff today
- VA Palo Alto Health
Care System
- Veterans with TBI
and polytrauma
injuries
- Other VA medical
centers in the US
Primary:
- TBI Veterans
Secondary:
- Clinicians
(neuropsychologists
and other doctors and
researchers
specializing in
polytrauma)
- Improve long-term
care of veterans: allow
clinicians to quickly
understand veteran’s
needs and routines
- Alert clinicians in real
time if there is any
change in the veterans’
sleep, nutrition,
physical movement,
and sequencing activity
-Clinicians’ dashboard enabling care for a TBI veteran that is
more proactive vs. reactive and further decline in cognitive
impairment
- Decline in device abandonment
- Pilot project with
veterans in apartments in
the VA center
- Deploy to these patients
in their homes after they
leave the VA
- Deploy to veterans
across the United States
Fixed:
- Software design & engineering
-Hardware devices
- Helpdesk/support functions
Variable:
- Customer acquisition/sales
- Security and Health
Clearance
- Palo Alto VA Health Care
System
- Historical data on TBI
veterans
- Access to VA secure
patient message systems
- Need implementation by
VA Palo Alto Health Care
System and veterans
- Talk to Veterans directly to
convince to use/trust
devices
- Convince clinical staff to
use and train veterans to
use during rehabilitation
Beneficiaries
Mission AchievementMission Budget/Costs
Buy-In/Support
Deployment
Value
Proposition
Key Activities
Key Resources
Key Partners
27. Primary Beneficiary: TBI Veteran
Mild
Moderate
Severe
TBI Scale
Post Traumatic
Stress Disorder
or
Amputation
or
Blindness
etc.
Polytrauma
28. Beneficiary Archetypes
TBI Veterans
Post 9/11: 20-30+ years old
Executive functions affected
due to traumatic event
(memory loss, depression,
anxiety, sleep disruption, etc.)
TBI Caregivers
Typically veteran’s family
members - spouses, parents,
siblings, children (ages vary)
Also have traumatic
experiences and changes in
their lives
Clinicians
Doctors / Psychologists /
Physiotherapists
Unable to quickly detect
cognitive decline if veteran-
patients do not come for
therapy or appointments
ADD: Product is Clinician dashboard / IOT Platform to work with the dashboard (already shown in video)
More significant descriptions about each one of our roles
timeline
MVP 1: App, sensor, wearables combined
Problem is that the caregivers and clinicians were not getting feedback from veteran
Thus, we build an easy-scheduling solution for veterans. … Explain: Veteran has a schedule app that was written by the clinician.
timeline
Andres Lazo
MVP 2: App
timeline
Andres Lazo
We could have: put sensors everywhere in the Veteran’s house to get data from there routine.
But the real question was what kind of data do clinicians need?
Week 10 MVP - demo Django framework
To aggregate data and alerts about TBI veterans’ functional independence and PTSD scores
Get-Keep-Grow Diagram
Get:
Check in regularly with clinicians and veteran-patients
Ensure security of health information, ease of setup and use
Keep costs low and ensure users attain value
Keep:
Update with significant new information or metrics
Inform direct users (clinicians) of specific changes
Continue iterations of prototype to ensure smooth UX
Grow:
Continue adding sensors to the system to aggregate various types of data
Up-sell to VAs across the US
Market to other potential consumers (TBI civilians, dementia, etc.)
Understand beneficiaries: Understanding clearly how our sponsor works with the various beneficiaries in this problem statement was key to iterating prototypes.
Right-sized care: Enhanced ability for clinicians to right-size and customize care for every veteran.
Simpler is Better: Simplifying our MVPs and narrowing our stakeholders was helpful - a good decision we made.
Operational Efficiency: Although our primary beneficiary is the TBI veteran, helping clinicians work more efficiently will improve responsiveness and quality of care for the TBI veterans.
Add dual use aspect?
Crossroads slide: from .edu to .com
Add a small table of prototype development requirements + costs
Backup slides start here
http://www.cohenveteransbioscience.org/traumatic-brain-injury/
This goes in the video
More detail about beneficiaries
MVP 1: App, sensor, wearables combined
Problem is that the caregivers and clinicians were not getting feedback from veteran
Thus, we build an easy-scheduling solution for veterans. … Explain: Veteran has a schedule app that was written by the clinician.