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VA Companion - Hacking for Defense - Stanford 2017

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mission model, mission model canvas, customer development, Hacking for Defense, lean startup, stanford, startup, steve blank, Pete Newell, Joe Felter, minimum viable product

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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
  4. Our Emotional Trajectory Time (weeks) Emotions 0 105
  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
  6. Easy-scheduling for TBI Veterans MVP #1 1. Clinicians want feedback.
  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
  8. “ Hypothesis #2 Include live data feedback to the clinicians
  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!
  16. Live Alerts and Active Metrics It’s actually implemented
  17. Beneficiary Acquisition and Retention KeepGet Grow
  18. Lessons we learnt Understand beneficiaries Right-sized care Simpler is better
  19. Our Next Steps 06/17 08/17 Testing proof of concept; Deployment Customize dashboard and users 01/18
  20. Thanks! Any questions?
  21. Backup slides Presentation template: ▷ by SlidesCarnival ▷ Photographs by Unsplash
  22. ““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
  23. 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
  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
  25. 320,000+ US Troops diagnosed with TBI From 2010 to 2015
  26. Primary Beneficiary: TBI Veteran Mild Moderate Severe TBI Scale Post Traumatic Stress Disorder or Amputation or Blindness etc. Polytrauma
  27. 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
  28. For Caregivers For TBI Veterans For Clinicians MVP #1
  29. Discovery #1 It already exists! Clinicians want data feedback.
  30. Discovery #2 TBI is a wide spectrum! An app is not for all TBI veterans
  31. Discovery #3 Need live alerts and active metrics Narrow down metrics

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