Before it becomes DC’s grandest Apple Store, it Celebrates LGBTQ Heroes

2017.05.13 #HeroesGala2017 Capital Pride Washington DC, USA 4821
2017.05.13 #HeroesGala2017 Capital Pride Washington DC, USA 4821 (View on

The historic Carnegie Library in Washington, DC, is about to get a very innovative tenant in Apple, Inc – one that celebrates people who change the world. It’s therefore fitting that it was the location for 2017’s Heroes Gala.

2017.05.13 #HeroesGala2017 Capital Pride Washington DC, USA 4734
2017.05.13 #HeroesGala2017 Capital Pride Washington DC, USA 4734 (View on

I attended (and took these photographs) because Kaiser Permanente Mid-Atlantic States (@KPMidAtlantic) is a Platinum Sponsor of 2017 Capital Pride (@CapitalPrideDC) and Capital TransPride (@TransprideDC). And because I am a member of this community. This will be my 5th Capital TransPride, which I’ll post about separately.

Capital Pride’s Heroes Gala, hosted by Historical Society of Washington, D.C., and with Major Event Sponsors Hilton and UPS, honors the unapologetically proud individuals, leaders, and activists who have furthered the causes important to the LGBTQ community in the national capital region and beyond. See:

Being Treated as Lesser, Doing More

I am still working my way through Tim Ferris’ Tools of Titans, and this passage about Ryan Holiday (@RyanHoliday) and Ben Franklin caught my eye:

Greatness comes from humble beginnings; it comes from grunt work. It means you’re the least important person in the room— until you change that with results. There is an old saying, “Say little, do much.” What we really ought to do is update and apply a version of that to our early approach. Be lesser, do more.

Ferriss, Timothy (2016-12-06). Tools of Titans: The Tactics, Routines, and Habits of Billionaires, Icons, and World-Class Performers (pp. 337-338). Houghton Mifflin Harcourt. Kindle Edition.

There’s a key difference here. People in this community don’t have the option of being lesser, it is foisted on them every day.

And yet, the accomplishments are as grand as any that will fill a new store (or 100 of them).

A Flashback to the American Medical Association 1991 – “Let them Die”

Ruby Corado (@CasaRubyDC) reminded us that the street that the Carnegie Library sits on, K Street, NW, in downtown Washington, DC, was, not long ago the place where transgender people were harassed by police and moved to other parts of the city or arrested.

On this night, though, police officers, including officers who are transgender themselves, protected us, so that everyone could enjoy the beauty of the Library and our nation’s capital.

Ruby’s reminder caused me to have a flashback to my own history, when the world was a less loving place.

I was in Chicago last week for the Innovation Learning Network meeting, and our group dinner was held at Buddy Guy’s (@BuddyGuys), which happens to be across the street from the Chicago Hilton and Towers. This is the regular location of the American Medical Association’s annual meeting.

At my very first (and last) annual meeting in Chicago in 1991, the entrance to the hotel was blocked by protesters angry with the American Medical Association because of its stance on persons with HIV. I will never forget to this day what I, as a medical student, heard from the podium from a fellow medical student that day. He said, “A group known as ‘ACT-UP’ or ‘AIDS Coalition to Unleash Power’ is outside. When you walk out of the hotel, take off your badges and do not engage.” What he meant, in doctor speak was “let them die.”

I showed photographs of this time in front of the hotel from my TED talk with Regina Holliday. At the time, it felt like being imprisoned within the profession. However, that didn’t last long. Because that moment created a generation of physicians dedicated to changing everything, and they now are the leaders of those same organizations. As I mentioned in yesterday’s blog post, people should be careful when they work to design against hope…

More to Be Done

I bring this up because this is what’s being created right now in 2017. A society that directly or indirectly designs against hope, life, HIV prevention, employment, freedom from incarceration for the LGBTQ community is creating a generation of super-leaders, who will change everything.

For as much as they say, they do very much more, and as much as the world works to make them lesser, more of the world learns to love better as a result. It’s how the human spirit works.

Rest of the photos below, take a look to see what communities controlling their own destiny looks like 🙂 .

Design for Hope – #ILN Day 2-3 (Innovation learning Network)

ILN14 - Day 3 - National Defense University 42383
Jackie Lynton, ILN 2014 – Day 3 – National Defense University 42383 (View on

this is the second of two blog posts about the Innovation Learning Network 2017 In Person meeting in Chicago Illinois, hosted by Northwestern Medicine (@NorthwesternMed) and Salesforce (@Salesforce)

The end of an Innovation Learning Network (@ILNMuse) in person meeting is often more dramatic than the beginning. There’s the customary thank you and robe ceremony (this year, it’s in 360 degrees):

The robe ceremony. #ILN @ILNMuse w @DrLyleMD @McCarthyChris at Northwestern Medicine #theta360 – Spherical Image – RICOH THETA

Next time in the Netherlands

I knew the next meeting was going to be in the Netherlands, but I didn’t know would be at the I’ve-always-wanted-to-go-to REshape Center for Innovation at Radboud University Medical Centre in Nijmegen, Netherlands (@reshape) founded by Lucien Engelen (@lucienengelen). Always-wanted-to-go-to because I’ve liberally copied/tried to keep up with Lucien’s pro-patient innovations, most notably patients included.

Hence the Van Halen on the screen after dramatic bicycle ride through the meeting space with Zayna Khayat (@ZaynaKhayat) and Karen Ruiten (@karenvanruiten). This is the ILN….

2017.05.12 Innovation Learning Network, Chicago, IL USA 4692
2017.05.12 Innovation Learning Network, Chicago, IL USA 4692 (View on

Design for Hope

Chris McCarthy (@McCarthyChris) is now at Hope Lab (@HopeLab) and in his new incarnation spoke of designing for hope.

Design for Hope. #ILN @ILNMuse Innovation Learning Network, Chicago, IL at Northwestern Medicine #theta360 – Spherical Image – RICOH THETA

2017.02.24 Dance Protest Celebrating Trans Youth, Washington, DC USA 01165
Why would anyone want to design against this. Design for it instead. 2017.02.24 Dance Protest Celebrating Trans Youth, Washington, DC USA 01165 (View on

I identify with this concept in so many ways, because wherever I see the future being born (which is everywhere), I always see hope. It’s a key reason I like to take pictures, to capture and remember it (and the human spirit).

I see people attempt to design around hope or try to design it away, and I always ask, “why would you want to oppose something so unstoppable in the human existence?”

Quick tip: Just don’t do it 🙂

Jackie Lynton

Chris then told us about Jackie.

The photograph at the top of this post is of Jackie Lynton (@JackieLynton), in 2014, at the Innovation Learning Network in person meeting in Washington, DC. I believe she asked me to photograph her next to the image of Colin Powell, which is very fitting if you ever met Jackie.

As Chris relayed to us, Jackie is now fighting for her life.

The international movement known as Change Day was developed (not led) by Jackie:

Lynton sees her role as supporting and taking advice from people on the frontline and says it’s unhelpful when people describe her as the leader of Change Day. “We work in a hierarchical organisation,” she says. “Developing a social movement within a hierarchy is challenging enough. For me to then stand up and say I’m the leader of Change Day totally takes away from the fact that it’s a grassroots movement.”Jackie Lynton, The Guardian, 2014

You know it when you see it. Human spirit.

It is an unstoppable force, it’s beautiful, and we’ll forever be drawn to it and the people who harness it to change everything.

ILN14 - Day 3 - National Defense University 42382
ILN14 – Day 3 – National Defense University 42382 (View on

Additional photographs below. Click through to flickr to see the equirectangular shots automagically become photospheres.

How much does it cost to not have a designer? #ILN Day 1-2

2017.05.10 Innovation Learning Network #ILN Chicago IL USA 4625
2017.05.10 Innovation Learning Network #ILN Chicago IL USA 4625 (View on

This was my conclusion based on a question asked by a colleague which was “How much does it cost to have a designer on your team?” at this year’s first Innovation Learning Network in person meeting. With new streamlined hashtag (#ILN) and twitter handle – @ILNMuse

2017.05.10 Innovation Learning Network #ILN Chicago IL USA 4601
The physicians of Innovation Learning Network – organized with care every year by Lyle Berkowitz, MD (@DrLyleMD) 2017.05.10 Innovation Learning Network #ILN Chicago IL USA 4601 (View on

It’s seven years later than the last time I was here, when the space was called Gravity Tank (now it’s part of Salesforce) and my photography was not as evolved – only 7 photos back then. And because of the way-back ness of a blog, it’s all here: Mama knows! A week of innovation thinking at AHRQ and GravityTank (Innovation Learning Network).

It almost appears that ILN was a sideline to a busy week back then, but it was a lot more than that. My blogging has also evolved sinc ethen.

This time, more organizations are seeing the value of design and designers and asking critical questions more about “why not have a designer” rather than “why have a designer / design” as part of innovation.

And…through the work of colleague Christi Zuber, RN, PhD candidate (@czuber) we have an understanding of the characteristics of people who achieve success in innovation, in a way that crosses organizational structure, job titles, etc. Check it out in the photos below.

#ILN innovating in nutrition, too. #LCHF in Chicago. #ketogenic #ketogenicdiet #lessinsulin
#ILN innovating in nutrition, too. #LCHF in Chicago. #ketogenic #ketogenicdiet #lessinsulin (View on

Also check out our delicious low carb, high-fat meal (LCHF) at our dinner with strangers. We know a lot more about nutrition than we did seven years ago. Actually, we know now what we were supposed to know about nutrition 7 years ago. Always good to prototype life and ILN is the place to do it.

Check out this group in 360 degrees, doesn’t learning look great on everyone? (Didn’t have one of these cameras 7 years ago)

Innovation Learning Network #ILN #ILN360 @ILNmuse w @SalesforceIgnite @NorthwesternMed #theta360 – Spherical Image – RICOH THETA

Thanks to our hosts Northwestern Medicine (@NorthwesternMed) and Salesforce (@Salesforce) Ignite as well as to Chris McCarthy (@McCarthyChris) and the team from Hope Lab (@HopeLab), who I hope will read this post and tag themselves in the social networks of their choice 🙂 .

PS, Photos, repeat after me, @CreativeCommons licensed, use as you see fit.

Thanks again, ILNX, Austin, TX USA

2016.10.26 ILNX Austin TX, USA 08467
2016.10.26 ILNX Austin TX, USA 08467 (View on

As the title of the post says, thank you people of the Innovation Learning Network (@HealthcareILN) for a truly just-in-time learning experience in Austin, TX, USA.

There is a lot to be gleaned from this group, because of the people, and also because of the way they structure time.

Not everyone needs or wants to be sitting to learn (some do wall sits, though :)) and it seems hard for many conference organizers to think of learners as actual adults. Not so here. The best announcement was made before the meeting, “The venue is two miles away, feel free to walk to it.”

Innovation continues to be difficult, I still don’t know exactly what it is, I just know what I am, and therefore a network serves a great purpose.

Speaking of knowing who I am, I believe every attendee checked themselves with Crystal (@CrystalKnowsMe), AI to the rescue….

Also thanks to the team at Dell Medical School (@DellMedSchool) for hosting us for a tour on the last day, in collaboration with our other hosts Seton Health and Ascension (@setonfamily @Ascensionorg). Photos of our time at Dell Medical School are below.

ILNX: Innovation Is Never Easy

2016.05.12 ILNX Day 2  04773
2016.05.12 ILNX Day 2 04773 (View on

This week is the 10th year of the Innovation Learning Network (@HealthcareILN) and its in person meeting is at the Kaiser Permanente Garfield Innovation Center (@KPGarfield).

I think the theme from interacting with the people here is that innovation is hard, and (not but) there is a lot of passion. It’s really helpful to hear the scripts that organizations use to either support or control (or is it “center”?) innovation. A lot of them sound the same, almost down to the word. To me, that validates the existence of a network like this.

More photos below, enjoy.

ILN14 Day 3 – This is the Military Health System: 20-20-20, 3-3-3

Lt. Gen Douglas J Robb, Director Defense Health Agency , “This is Why” View on

We closed out the Innovation Learning Network (@HealthcareILN) in person meeting with our host Military Health System (@healthdotmil) at the iconic National Defense University (@NDU_EDU) at Ft. McNair in Washington, DC (of course).

As you can see from the video below, Military Health System has made great strides in the care of our defenders. It is also transitioning, like the rest of health care, to become a health oriented as well as a health care oriented system.

Colonel (Dr.) Brian Masterson, a specialist in internal medicine and psychiatry and Chair of Global Health at National Defense University presented a simple set of statistics: 20-20-20, 3-3-3

  • 20: % of GDP spent on health care in the United States
  • 20: % of youth out of high school who are fit for the military today
  • 20: % of the outcomes of health that come from health care

The delta on average between our expenditure on health care and other countries is about 12 %, with which 

  • 3: % of the GDP is spent on defense today
  • 3: % of the GDP would fund every eligible student to attend a state university
  • 3: % of the GDP to make Social Security solvent for every American alive today
  • 3: % left over

The Military Health System is nearly the size of Kaiser Permanente, at about $50 billion per year. It is good and reassuring to know that it is dreaming, as we are, for a healthier society, as we did together on this day, the 50th anniversary of Lyndon B. Johnson’s “Great Society” speech. (see: The Great Society at 50 | The Washington Post) There are a lot of 50-year anniversaries happening these days, what are we going to say about the 50th anniversary of this year, in the decade of the patient?

Last day always includes the official robe ceremony, which was presented to Chief Innovation Officer Rachel Foster. Thank you for the awesome collaboration and connection to an incredible group of people. Thanks a ton to Rebecca Solomon from Deloitte and Stacey Dula also from Deloitte for being part of our awesome ILNdc planning team!