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: NASCAR, Health Care and Hendrick Motorsports

We were allowed to take this one… (View on

I come for the innovation safaris… and to meet new amazing friends….

As part of Innovation Learning Network’s (@HealthcareILN) in person meeting, I visited Hendrick Motorsports (@TeamHendrick) with colleagues, who have very little experience with NASCAR, and now that we’ve visited, we have a healthy appreciation, as can be seen from the Wikipedia entry about them:

All Hendrick race cars are constructed start-to-finish at the 100-plus acre Hendrick Motorsports complex in Concord, North Carolina. More than 550 engines are built or re-built on-site each year, with the team leasing some of those to other NASCAR outfits. Hendrick Motorsports employs over 500 people that perform many day-to-day activities. In 2009, Hendrick Motorsports made history by having three out of the five drivers finish in the top three places in the point standings (Johnson, Martin, and Gordon).

That’s just to orient people who are not familiar with who Hendrick Motorsports is. 312,000 twitter followers are 🙂 .

Lots of takeaways:

  • The concept of team – the pit crew are the athletes here. They are on a regular workout program, monitored for their fitness, in a pretty complete gym on site.
  • The concept of accountability – we watched as precision parts were stamped with the initials of the staff who created/worked on them. Everything is traceable back to the person. When there are problems, human error is easier to manage than a problem that’s systemic to an automobile part.
  • Respect for the customer – in this case, the sponsors – the vehicle haulers are immaculate and great care / attention is given to supporting the sponsors image and reputation (you could say the analogy is the employer who sponsors an employee’s health insurance)
  • Quality control and winning – there’s a prize (a win) that results when everything is done right – a goal that makes people want to innovate and incrementalize as much as possible
  • Innovation through constraint – there are things about the NASCAR cars that are specified and must meet specification. There’s a process that is gone through to change this spec. For example, 2015 will be the first year where digital gauges will be in the cars. Right now they are analog, and there are very few allowable sensor technologies. There are 2 3D printers on site as well….

We were not allowed to take photographs in any of the production areas so we’ll just record this with our minds. The facilities were clean, orderly, and showed to my eyes a respect for the job at hand.

As usual, I saw many analogies to health care…Thanks Hendrick Motorsports for the tour and the ability to imagine how the discipline here could be applied to health care.

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!

It’s Here! Innovation Learning Network Insights, Volume 8 (2014)

The annual Innovation learning Network (@HealthcareILN) insights issue is a great quick way to catch up with the thinking of the people powering the 30+ health systems and other organizations that are part of theInnovation Learning Network. I didn’t write a piece this year (Now Writing: Seven Visual Insights of Social Determinants and Behavior Change – ILN INSIGHTS 2013 | Ted Eytan, MD), but my CEO, Jack Cochran, MD, did. It’s clipped out below.

Although I didn’t write a piece, I am in a piece, that’s also clipped below, which covers a very interesting “pitch session” (that’s with a “p” not a “b”) that was hosted at ILN13 in Boston. My/our pitch was with Paul Tarini (@PaulTarini) and Marilyn Chow (@InnovationChow) and it was called “Carbon War Room” (changed to “Carbon Green Room” – get it?)) see: The Innovation Learning Network Carbon Green Room – putting the ME in AwesoME | Ted Eytan, MD.

Curiously, I much prefer to have someone do the writing than me, even though I write this blog. I’ll need to understand that some time… :). Enjoy and check out the other articles!

Designing the future of work to be collaborative, and healthy: National Public Radio’s New Headquarters, Washington, DC USA

In the newsroom, with Marty Garrison, Vice President of Technology Operations, Distribution, and Broadcast Engineering for NPR (View on

The headquarters for the iconic National Public Radio (@npr) recently (March, 2013) moved in to the same neighborhood in Washington, DC, that the Center for Total Health (@kptotalhealth) inhabits, NoMa (North of Mass), and when I found out from Vanessa Garrison (@GirlTrek) that it was engineered for health, I asked to get a tour. Not just for myself, but for the Innovation Learning Network, whose 2014 in person meeting will be hosted by the Center for Total Health, Military Health System (@healthdotmil), and Medstar Institute for Innovation (@MI2Innovation).

I am scouting locations for the innovation safari experience, where people in health care can learn about innovation in unexpected places. And…I found it here.

On a tour given by Marty Garrison, Stephanie Clifford, and Pam Dorsey, I learned about a lot of innovative changes made when NPR moved from its old home to the new.


Marty told me he’s built several newsrooms, and this one has special features, such as a master control that’s embedded rather than located far away from the news desk. Studios have directors positioned next to engineers instead of behind them. And engineers face the talent instead of seeing them in their left peripheral view. Note that the studio allows natural light in, not an easy thing for a sound-controlled environment.


Pam and Stephanie showed me many things new to the new NPR. There’s an on site primary care clinic staffed by a nurse practitioner who provides primary care with an emphasis on prevention. There’s a full fitness center. The food service is being transitioned to a healthy menu with nutrition labeling. And the bike racks – there are many. There are health messages throughout the building, and excercise happens everywhere – the spin bikes have been located on the 7th floor offices, where the view is the best. The stair landings (located in the center of the building), also house exercise sessions with trainers.

The building is LEED Gold certified, and employs a landfill diversion strategy, including composting. This is leading edge for DC, which I have learned does not have good composting infrastructure (that’s my next field trip).

None of these things in isolation seem out of the ordinary for an innovative employer. Except that Pam and Stephanie are not doctors, or even clinicians. I think what this shows me is that people know what health is, and there will never be enough doctors, nurses, pedometers, or apps, to equal what can be done with leadership and an environment that supports health instead of getting in the way of it.

As I have said previously on this blog, our cities are changing. The place we work are, too.

Photos of the building and the neighborhood around it are below. Click to enlarge. Thanks for taking me on a tour of the workplace of the future. In the present. In the best city and neighborhood around.

I’m looking forward to going to take another look with the Innovation Learning Network (@healthcareILN)

Health Care Leaders Think Big on a Small Budget | BU Today | Boston University

Health Care Leaders Think Big on a Small Budget | BU Today | Boston University.

Nice article in Boston University’s BU Today (@BUToday) about the Innovation Learning Network (@HealthcareILN) and the loads of learning and frugal innovation we experienced at ILN13, hosted by Boston University.

The article includes a mention of the now famous hug timer, pioneered at the Center for Total Health see: The Hug Timer : A respectful way to guide and show gratitude during discussions, as well as the very exciting ILN Carbon Green Room – which is about bringing 35 incredible organizations together to collectively innovate to improve health wherever people are (see: The Innovation Learning Network Carbon Green Room – putting the ME in AwesoME)