Practices to reflect on the 4th revolution 

Practice: Working in the future
– Exponential knowledge production
– New context promoted by digital technology
– 4th Revolution. Convergence: Digital + Physical + Biological
– Humanized robots, augmented humans and collective intelligence

Practice: Designing the human

Collective Intelligence at HCist17*

If we put participation as the extreme of an axis, the other extreme of the axis could be marginality. So, it’s like saying participate or die. It may sound radical but that’s probably the right way to see it. Health participation has another axis: between professionals and patients.
Participation is a complex multidimensional matter, from one hand, it’s becoming a citizen’s right, and for the other it’s like a new scale relative to the citizen involvement in everyday personal life. + [Slides]
International Conference on Health and Social Care Information Systems and Technologies HCist17

Critical lab results consensus

It was hard to believe, but there is no consensus about what values should be informed as critical results, neither in the labs of the same organitsacion (ICS). So, a real-time Delphi, methodology “health consensus” (HC), with motivating and participative questions was applied. The physician was expected to choose a numeric value within a scale designed for each analyte. The medians of critical results obtained represent the consensus on critical results for outpatient and inpatient care. [Paper]


El curs PINNTS promou l’Aprenentatge pràctic de la innovació. Tots els conceptes i models que es proposen al curs s’apliquen d’una banda a entendre casos reals d’innovació i de l’altra a desenvolupar el projecte d’innovació triat i proposat des del propi entorn professional dels participants.  El curs PINNTS aplica les tècniques de coLearning, classe inversa i aprenentatge basat en projectes, entre d’altres. [Programa]

Health Consensus 2012-2017

[p] J.M. Monguet, A. Trejo, T. Martí, J. Escarrabill. Health Consensus: A Digital Adapted Delphi for Healthcare. (2017). International Journal of User-Driven Healthcare V.7 (1)

During 5 years, a prototype of Health Consensus, has been gradually improved through its application to a large number of real cases. The digitally adapted Delphi, supported by the various capabilities of Internet, is a useful and expandable tool for participative processes. Internet, definetly provides several opportunities to overcome many of the limitations of conventional Delphi, as well as improving the final studies with new functionalities. + [Paper]

Innovation barriers in healthcare

A study to identify the innovation barriers in the health area, reveals that professionals are quite aware of the limitations in relation to innovation in the healthcare system. In a scale from 1 to 6 the level perceived of healthcare innovation was of 2.61, it is to say a ‘relatively poor’ level.
The first step of the study has consisted on a consensus panel with 16 experts, from the region of Catalonia, that has allowed to test and improve de model. Next stride is to consensus the strategies to go over difficulties and limitations.

+ [Conclusions] (Cat.) .
Participation in the initial trial still open in +[PINNTS/HealthConsensus] (Cat.)

Current participants in the project:  UPC, CKC, Onsanity.
Other institutions willing to participate are welcome.

To be continued

Multidisciplinary research on sex

[p] A Multidisciplinary Approach to Sexual Behavior Profiles: The SEX360 Model
García-Cruz, E., Monguet, JMª, Marre, D., González, M., Peraza, M. F., Sánchez, C. & Alcaraz, A.  Sexuality & Culture, 1-11.

Real-time Delphi dynamics was used to develop a multidisciplinary questionnaire for defining individual sexual behavior profiles. The questionnaire was developed by a panel of experts with research experience in the fields of urology, gynecology, psychology, anthropology, and sexology. A specific approach was applied to assign a bias to each question, shifting the center of gravity of each 6-point scale, depending on the relevance of each question for the diverse variables of the model. The resulting bias was translated to a factor to be applied to the score. + [Paper]

Health planning with Geo-CI

[cp] Geospatial collective intelligence for health planning: A case study for screening tests in the city of Esmeraldas, Ecuador.
Vélez, A. F. J., Fierro, J. M. M., & Terán, L. (2017, April). . In eDemocracy & eGovernment (ICEDEG), 2017 Fourth International Conference on (pp. 167-172). IEEE.
A spatial Delphi is applied to improve the territorial distribution of health services. A geospatial collective intelligence approach, allows selecting suitable areas for the allocation of equipment, supplies, and services of health-screening tests for pregnant women in Esmeraldas (Ecuador). + [Paper]

Opnion Survey in Health Research

Level V: Opinion: Survey Design and Execution
Principles and practice of surgical research. Vall d’Hebron Hospital. 23 Junio 2017, [Program]
Delphi Online Opinion Surveys (DOOS) has a great future in the design of research projects in the field of surgical research. The combination of participatory methodologies allows constructing a solid base from which to beguin research. + [Slides]

Collective Spatial Analysis

4[p] Collection and Integration of Local Knowledge and Experience through a Collective Spatial Analysis.
Castillo-Rosas, J. D., Diez-Rodríguez, J. J., Jiménez-Vélez, A. F., Núñez-Andrés, M. A., & Monguet-Fierro, J. M. (2017). ISPRS International Journal of Geo-Information, 6(2), 33.
A prototype of a WEB-GSDSS allows a group of people to participate anonymously and asynchronously in a decision-making process to locate goods, services, or events through the convergence of their views. Two case studies for planning services in districts of Ecuador and Italy were carried out + [Paper]

[cp] Geospatial model e-health planning collective intelligence
Vélez, A. F. J., Rosas, J. D. C., & Fierro, J. M. M. (2016, March).
In eDemocracy & eGovernment (ICEDEG), 2016 Third International Conference on (pp. 121-125). IEEE.
A collective intelligence spatial model allowing creation of geospatial patterns on the territorial allocation of equipment and health services considering the needs of population. + [Paper]

Practicing collective innovation

This site presents a set of practices, designed throughout innovation projects shared with people and institutions from the healthcare area. ‘Collective Innovation’ competencies is a main cornerstone in professional development, as well as the secret behind the success of many organisations.

Practices are structured in 7 chapters:

  • Team Building strong and efficient innovative teams
  • Ideas Understand how ideas are created and managed
  • Collective Managing  collective contribution to innovation
  • Thinking Applying thinking strategies to innovation
  • Process  Innovation management.
  • Future Anticipating innovation
  • Knowledge Using research as an innovation strategy

How is your network?

leadersPhil Willburn proposes 3 Key Network Principles for  High Performing Leaders and proposes a method:  Leader Network Diagnostic 

Structural Diversity (or open)  

Good networks are open. Open networks are those where the people you know are not all connected to each other. This creates what is called “structural diversity” of a leader’s network. Leaders with open networks are more likely to hear new information before others and are better able to merge dissimilar ideas and capitalize on opportunities that require this integration. They tend perform better, are promoted more rapidly, enjoy greater career mobility, and adapt to change more effectively

Cross Critical Boundaries (or diverse)

Good networks are diverse. Connections that cross critical boundaries in the organization provide additional diversity – and many of the same advantages of open networks. Much of the work of leadership involves working across vertical, horizontal, stakeholder, demographic, and geographic boundaries for group and organizational success. Individual leader’s network connections form the bridges that span these boundaries and allow for collective action. 

Quality Relationships  (or deep)

Good networks are deep. Leaders who build deep, quality relationships with others are able to exchange information, resources, and skills with individuals from different backgrounds. These deep relationships provide valuable perspective and resources, including social support and camaraderie in the workplace. Building high-quality relationships with others is estimated to be four times the predictor of performance than other network predictors.

Critical skills for innovative jobs

According with the work Educating higher education students for innovative economies: what international data tell us, the critical skills for the most innovative jobs are:

1. Come with news ideas/solutions
2. Willingness to question ideas
3. Present ideas in audience
4. Alertness to opportunities
5. Analytical thinking
6. Coordinate activities
7. Acquire new knowledge
8. Mobilise capacities of others
9. Make your meaning clear
10. Master of your own field

“Design thinking has inspired various tertiary education institutions and programmes in the world, be they degree-granting or not. Examples include the d.school at Stanford University (United States), the design factory at Aalto University (Finland), the i-school at Tokyo University (Japan), or the Master’s in innovation, design, entrepreneurship and arts (IDEA) at EMLyon business school and Ecole Centrale de Lyon (France), the Srishti School of Art, Design and Technology in Bangalore (India). Numerous other innovative initiatives try to develop all sets of skills for innovation by rethinking their teaching and make sure that students can get deeper and broader learning.”
“Given these developments and the skills needs of economies driven by innovation, a research agenda for the higher education community is to evaluate whether these programmes actually manage to develop a broader mix of skills for innovation and whether their graduates end up in highly innovative jobs….”
“… While the Bologna process has already led to a certain shift towards more skills-based approaches to higher education programmes, a new challenge is to remould the disciplinary culture of the faculties that remains predominant in higher education into a skillsbased culture.”

Team | Bibliography

[B] Collective genius: The art and practice of leading innovation
Hill, L. A., Brandeau, G., Truelove, E., & Lineback, K. (2014). HBR Press.
Good teams know how to work collaboratively in solving problems, they know how to do guided learning through discovery, and they know how to integrate decision making in the process… + [TED]

[B] Monster Under the Bed
Davis, S. (2011). Simon and Schuster.
A consequence of the fact that knowledge grows non-stop is the need to reformulate the learning models. A good part of the skills and knowledge we use, particularly the digital one, has not been learned at school, but at home and at work. + [Res.]

[b] A Leader’s Network 
Willburn, P., & Cullen, K. (2013). Greensboro: Center for Creative Leadership.
The ability to lead is directly affected by the networks a leader builds, which influence how they share and receive new ideas. + [Note]

[p] Evidence for a Collective Intelligence Factor in the performance of human groups
Woolley, A. W., Chabris, C. F., Pentland, A., Hashmi, N., & Malone, T. W (2010). Science 330.
Researchers found evidence of a general “collective intelligence” factor that explains a group’s performance on a wide variety of tasks. + [Note]

[p] Creativity, clusters and the competitive advantage of cities
Martin, R., Florida, R., Pogue, M., & Mellander, C. (2015). Competitiveness Review, 25(5)
Combining the two lenses, industry and occupation, four major industrial- occupational categories may be identified. + [Note]

[p] Educating higher education students for innovative economies: what international data tell us
Avvisati, F., Jacotin, G., & Vincent-Lancrin, S. (2014). Tuning Journal for Higher Education, 1(1).
Design thinking has inspired various tertiary education institutions and programmes in the world to promote critical skills for the most innovative jobs. + [Note]

[n] Why CI is so important?
Huntingmammoths (2015)
Collective intelligence (CI) is not new, but like many other areas has gained momentum with technology.  + [Note]

Truth, damn truth & open data

Data providers users developers“Evidence of rats or live rats present in facility’s food and/or non-food areas”, this is the exact violation stated in the inspection form of a restaurant in the NY area. Anyone can download a spreadsheet with the nearly 40.000 violations of hygiene listed throughout all NY restaurants (1). It’s very easy to see for instance which kind of restaurants are guilty of each type of violation or simply, before observing a particular one, have a look at the latest inspection from the New York City Department of Health & Mental Hygiene.

Such data will describe how schools or hospitals perform, how restaurants or any other public service accomplish their duties or how mayor candidates spend their campaign budget. This type of data ought to belong to citizens. …more

Knowledge | Bibliography

[B] Social physics: How good ideas spread-the lessons from a new science
Pentland, A. (2014). Penguin.
Social physics deals with the flow of ideas and the way human social networks disseminate ideas and transform them into behaviors. Humans leave a digital trace of such magnitude, that the amount of new information we have about human activity is a bast field of research. +

[B] Research design: Qualitative, quantitative, and mixed methods approaches
Creswell, J. W. (2013). Sage publications.
Es presenten els mètodes de recerca, els aspectes ètics, l’aproximació teòrica i la combinació de mètodes de recerca. +

[p] The knowledge-creating theory revisited: knowledge creation as a synthesizing process
Nonaka, I., & Toyama, R. (2003).  Knowledge management research & practice 1(1)
Knowledge creation can be conceptualized as a dialectical process, in which various contradictions are synthesized through dynamic interactions among individuals, the organization, and the environment. +


[n] Truth, damn truth & open data.
Huntingmammoths (2015)
Anyone can download a spreadsheet with the nearly 40.000 violations of hygiene listed throughout all NY restaurants inspected by the New York City Department of Health & Mental Hygiene. Such data will describe how schools or hospitals perform, how restaurants or any other public service accomplish their duties or how mayor candidates spend their campaign budget. +

[n] Design Research: driver for innovation.
Huntingmammoths (2013)
Design may be an excellent link to connect knowledge production and companies. Difficulties to approach technological research with market are well known and are more significant when the size of the company is not large.  +

‘De-extinctify’ the woolly mammoth

Scientists are on the brink of resurrecting the ancient beast, Vanished 4.000 years ago. Most of the mammoth’s genome sequence has been decoded, which means that a genetic blueprint for making a mammoth is available. Whit this information, and a lot of genetic engineering, is possible to change parts of the elephant genome in order to make a mammoth. It’s a matter of cutting out and replacing specific genes. So, resurrected mammoths no longer seem the stuff of fantasy. The Guardian. Feb 2017.

Blending innovation in healthcare

Blending Innovation modes in healthcareIs there a best innovation mode in healthcare?

Quite often the three modes of innovation – user/producer/collaborative – (1) are seen as substitute instead of complementary strategies. So what should be done according to each innovation mode in the design and provision of a particular product or service? The question is not deciding which is the right mode for our organization but how to manage the blending of the three basic modes of innovation. The convenient interaction among them should maximize the innovation outputs.

Health professionals and patients, despite differences, may be considered individual innovators while the whole health system is in fact a huge collaborative space for innovation. Hospitals and healthcare centres along whit industry behave basically as independent producers in terms of innovation. Read more