Chris Moore at AcuitasGov: “In my previous blog post I wrote about a desire to see our Governments transform to be part of the 21st century. I saw a recent reference to how governments across Canada have lost their global leadership, how government in Canada at all levels is providing analog services to a digital society. I couldn’t agree more. I have been thinking lately about some practical ways that Mayors and City Managers could innovate in their communities. I realize that there are a number of municipal elections happening this fall across Canada, a time when leadership changes and new ideas emerge. So this blog is also for Mayoral candidates who have a sense that technology and innovation have a role to play in their city and in their administration.
I thought I would identify 15 initiatives that cities could pursue as part of their Civic Innovation Strategy. For the last 50 years technology in local government in Canada has been viewed as an expense, as a necessary evil, not always understood by elected officials and senior administrators. Information and Technology is part of every aspect of a city, it is critical in delivering services. It is time to not just think of this as an expense but as an investment, as a way to innovate, reduce costs, enhance citizen service delivery and transform government operations.
Here are my top 15 ways to bring Civic Innovation to your city:
1. Build 21st Century Digital Infrastructure like the Chattanooga Gig City Project.
2. Build WiFi networks like the City of Edmonton on your own and in partnership with others.
3. Provide technology and internet to children and youth in need like the City of Toronto.
4. Connect to a national Education and Research network like Cybera in Alberta and CANARIE.
5. Create a Mayors Task-force on Innovation and Technology leveraging your city’s resources.
6. Run a hackathon or two or three like the City of Glasgow or maybe host a hacking health event like the City of Vancouver.
7. Launch a Startup incubator like Startup Edmonton or take it to the next level and create a civic lab like the City of Barcelona.
8. Develop an Open Government Strategy, I like to the Open City Strategy from Edmonton.
9. If Open Government is too much then just start with Open Data, Edmonton has one of the best.
10. Build a Citizen Dashboard to showcase your cities services and commitment to the public.
11. Put your Crime data online like the Edmonton Police Service.
12. Consider a pilot project with sensor technology for parking like the City of Nice or for waste management like the City of Barcelona.
13. Embrace Car2Go, Modo and UBER as ways to move people in your city.
14. Consider turning your IT department into the Innovation and Technology Department like they did at the City of Chicago.
15. Partner with other near by local governments to create a shared Innovation and Technology agency.
Now more than ever before cities need to find ways to innovate, to transform and to create a foundation that is sustainable. Now is the time for both courage and innovations in government. What is your city doing to move into the 21st Century?”
Index: The Networked Public
The Living Library Index – inspired by the Harper’s Index – provides important statistics and highlights global trends in governance innovation. This installment focuses on the networked public and was originally published in 2014.
Global Overview
- The proportion of global population who use the Internet in 2013: 38.8%, up 3 percentage points from 2012
- Increase in average global broadband speeds from 2012 to 2013: 17%
- Percent of internet users surveyed globally that access the internet at least once a day in 2012: 96
- Hours spent online in 2012 each month across the globe: 35 billion
- Country with the highest online population, as a percent of total population in 2012: United Kingdom (85%)
- Country with the lowest online population, as a percent of total population in 2012: India (8%)
- Trend with the highest growth rate in 2012: Location-based services (27%)
- Years to reach 50 million users: telephone (75), radio (38), TV (13), internet (4)
Growth Rates in 2014
- Rate at which the total number of Internet users is growing: less than 10% a year
- Worldwide annual smartphone growth: 20%
- Tablet growth: 52%
- Mobile phone growth: 81%
- Percentage of all mobile users who are now smartphone users: 30%
- Amount of all web usage in 2013 accounted for by mobile: 14%
- Amount of all web usage in 2014 accounted for by mobile: 25%
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Percentage of money spent on mobile used for app purchases: 68%
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Growth of BitCoin wallet between 2013 and 2014: 8 times increase
- Number of listings on AirBnB in 2014: 550k, 83% growth year on year
- How many buyers are on Alibaba in 2014: 231MM buyers, 44% growth year on year
Social Media
- Number of Whatsapp messages on average sent per day: 50 billion
- Number sent per day on Snapchat: 1.2 billion
- How many restaurants are registered on GrubHub in 2014: 29,000
- Amount the sale of digital songs fell in 2013: 6%
- How much song streaming grew in 2013: 32%
- Number of photos uploaded and shared every day on Flickr, Snapchat, Instagram, Facebook and Whatsapp combined in 2014: 1.8 billion
- How many online adults in the U.S. use a social networking site of some kind: 73%
- Those who use multiple social networking sites: 42%
- Dominant social networking platform: Facebook, with 71% of online adults
- Number of Facebook users in 2004, its founding year: 1 million
- Number of monthly active users on Facebook in September 2013: 1.19 billion, an 18% increase year-over-year
- How many Facebook users log in to the site daily: 63%
- Instagram users who log into the service daily: 57%
- Twitter users who are daily visitors: 46%
- Number of photos uploaded to Facebook every minute: over 243,000, up 16% from 2012
- How much of the global internet population is actively using Twitter every month: 21%
- Number of tweets per minute: 350,000, up 250% from 2012
- Fastest growing demographic on Twitter: 55-64 year age bracket, up 79% from 2012
- Fastest growing demographic on Facebook: 45-54 year age bracket, up 46% from 2012
- How many LinkedIn accounts are created every minute: 120, up 20% from 2012
- The number of Google searches in 2013: 3.5 million, up 75% from 2012
- Percent of internet users surveyed globally that use social media in 2012: 90
- Percent of internet users surveyed globally that use social media daily: 60
- Time spent social networking, the most popular online activity: 22%, followed by searches (21%), reading content (20%), and emails/communication (19%)
- The average age at which a child acquires an online presence through their parents in 10 mostly Western countries: six months
- Number of children in those countries who have a digital footprint by age 2: 81%
- How many new American marriages between 2005-2012 began by meeting online, according to a nationally representative study: more than one-third
- How many of the world’s 505 leaders are on Twitter: 3/4
- Combined Twitter followers: of 505 world leaders: 106 million
- Combined Twitter followers of Justin Bieber, Katy Perry, and Lady Gaga: 122 million
- How many times all Wikipedias are viewed per month: nearly 22 billion times
- How many hits per second: more than 8,000
- English Wikipedia’s share of total page views: 47%
- Number of articles in the English Wikipedia in December 2013: over 4,395,320
- Platform that reaches more U.S. adults between ages 18-34 than any cable network: YouTube
- Number of unique users who visit YouTube each month: more than 1 billion
- How many hours of video are watched on YouTube each month: over 6 billion, 50% more than 2012
- Proportion of YouTube traffic that comes from outside the U.S.: 80%
- Most common activity online, based on an analysis of over 10 million web users: social media
- People on Twitter who recommend products in their tweets: 53%
- People who trust online recommendations from people they know: 90%
Mobile and the Internet of Things
- Number of global smartphone users in 2013: 1.5 billion
- Number of global mobile phone users in 2013: over 5 billion
- Percent of U.S. adults that have a cell phone in 2013: 91
- Number of which are a smartphone: almost two thirds
- Mobile Facebook users in March 2013: 751 million, 54% increase since 2012
- Growth rate of global mobile traffic as a percentage of global internet traffic as of May 2013: 15%, up from .9% in 2009
- How many smartphone owners ages 18–44 “keep their phone with them for all but two hours of their waking day”: 79%
- Those who reach for their smartphone immediately upon waking up: 62%
- Those who couldn’t recall a time their phone wasn’t within reach or in the same room: 1 in 4
- Facebook users who access the service via a mobile device: 73.44%
- Those who are “mobile only”: 189 million
- Amount of YouTube’s global watch time that is on mobile devices: almost 40%
- Number of objects connected globally in the “internet of things” in 2012: 8.7 billion
- Number of connected objects so far in 2013: over 10 billion
- Years from tablet introduction for tables to surpass desktop PC and notebook shipments: less than 3 (over 55 million global units shipped in 2013, vs. 45 million notebooks and 35 million desktop PCs)
- Number of wearable devices estimated to have been shipped worldwide in 2011: 14 million
- Projected number of wearable devices in 2016: between 39-171 million
- How much of the wearable technology market is in the healthcare and medical sector in 2012: 35.1%
- How many devices in the wearable tech market are fitness or activity trackers: 61%
- The value of the global wearable technology market in 2012: $750 million
- The forecasted value of the market in 2018: $5.8 billion
- How many Americans are aware of wearable tech devices in 2013: 52%
- Devices that have the highest level of awareness: wearable fitness trackers,
- Level of awareness for wearable fitness trackers amongst American consumers: 1 in 3 consumers
- Value of digital fitness category in 2013: $330 million
- How many American consumers surveyed are aware of smart glasses: 29%
- Smart watch awareness amongst those surveyed: 36%
Access
- How much of the developed world has mobile broadband subscriptions in 2013: 3/4
- How much of the developing world has broadband subscription in 2013: 1/5
- Percent of U.S. adults that had a laptop in 2012: 57
- How many American adults did not use the internet at home, at work, or via mobile device in 2013: one in five
- Amount President Obama initiated spending in 2009 in an effort to expand access: $7 billion
- Number of Americans potentially shut off from jobs, government services, health care and education, among other opportunities due to digital inequality: 60 million
- American adults with a high-speed broadband connection at home as of May 2013: 7 out of 10
- Americans aged 18-29 vs. 65+ with a high-speed broadband connection at home as of May 2013: 80% vs. 43
- American adults with college education (or more) vs. adults with no high school diploma that have a high-speed broadband connection at home as of May 2013: 89% vs. 37%
- Percent of U.S. adults with college education (or more) that use the internet in 2011: 94
- Those with no high school diploma that used the internet in 2011: 43
- Percent of white American households that used the internet in 2013: 67
- Black American households that used the internet in 2013: 57
- States with lowest internet use rates in 2013: Mississippi, Alabama and Arkansas
- How many American households have only wireless telephones as of the second half of 2012: nearly two in five
- States with the highest prevalence of wireless-only adults according to predictive modeling estimates: Idaho (52.3%), Mississippi (49.4%), Arkansas (49%)
- Those with the lowest prevalence of wireless-only adults: New Jersey (19.4%), Connecticut (20.6%), Delaware (23.3%) and New York (23.5%)
Sources
- “A Focus on Efficiency: A whitepaper from Facebook, Ericsson and Qualcomm,” internet.org, September 16, 2013.
- “Always Connected: How Smartphones And Social Keep Us Engaged,” IDC Research Report, 2013.
- Blumberg, Stephen J., Nadarajasundaram Ganesh, Julian V. Luke, and Gilbert Gonzales. “Wireless Substitution: State-level Estimates From the National Health Interview Survey, 2012,” National Health Statistics Reports, Number 70, December 18, 2013.
- Cacioppo, John T., Stephanie Cacioppo, Gian C. Gonzaga, Elizabeth L. Ogburn, and Tyler J. VanderWeele. “Marital satisfaction and break-ups differ across on-line and off-line meeting venues,” Proceedings of the National Academy of Sciences 110, no. 25 (2013): 10135-10140.
- “Connections Counter: The Internet of Everything in Motion,” Cisco, July 29, 2013.
- Cooper, Belle Beth. “10 Surprising social media statistics that might make you rethink your social strategy,” Buffer, July 16, 2013.
- Duggan, Maeve and Aaron Smith. “Social Media Update 2013” Pew Research Center, January 2014.
- “Facebook Quarterly Earnings Slides,” Q1 2013, Facebook.
- Hachman, Mark. “Facebook Used by Half of the World’s Internet Users, Save Asia,” PC Mag, February 2012.
- Hanun, Marya. “Klout,” Foreign Policy, August 9, 2013
- Howle, Cynthia, Glenny Brock, and Alan Blinder. “Most of U.S. is Wired but Millions Aren’t Plugged In,” The New York Times, August 18, 2013.
- “Key ICT indicators for developed and developing countries and the world (totals and penetration rates)”, International Telecommunications Unions (ITU), Geneva, February 27, 2013.
- “Global Internet User Survey Sumary Reports,” The Internet Society, 2012, Accessed on August 13, 2013.
- Goldsmith, Belinda. “Porn passed over as Web users become social: author,” Reuters, September 2008.
- Meeker, Mary. “Internet Trends 2013,” KPCB, presented at D11 Conference, Rancho Palos,Verdes, California, May 28-30, 2013.
- Meeker, Mary. “2014 Internet Trends,” KPCB, May 28, 2014.
- Mirani, Leo. “A snapshot of one minute on the internet, today and in 2012,” Quartz, November 26, 2013.
- Piombino, Kristin. “How Internet Users Worldwide Spend Time Online,” May 17, 2012.
- Qualman, Erik. “Social Media Revolution,” YouTube, March 21, 2013.
- “Statistics,” YouTube, Accessed December 6, 2013.
- Sullivan, Danny. “Google: 100 billion Searches Per month, Search to integrate Gmail, Launching Enhanced Search App for iOS,” Search Engine Land, August 8, 2012.
- “Twitter Now The Fastest Growing Social Platform In The World” Global Web Index, January 28 , 2013.
- “Wearable Tech Device Awareness Surpasses 50 Percent Among US Consumers, According to NPD,” NPD Group, January 2014.
- “Wearable Technology Market – Global Scenario, Trends, Industry Analysis, Size, Share and Forecast, 2012- 2018,” Transparency Market Research, 2013.
- “Wikimedia Report Card” Wikimedia Labs, December 2013.
- “World Market for Wearable Technology – A Quantitative Market Assessment – 2012,” IMS Research, 2012.
- “Would you want a digital footprint from birth?” AVG Blogs, October 6, 2010.
- Zickuhr, Kathryn and Aaron Smith. “Digital Differences,” Pew Internet & American Life Project, April 13, 2012
- Zickuhr, Kathryn and Aaron Smith. “Home Broadband 2013,” Pew Internet & American Life Project, August 26, 2013.
Transparency, legitimacy and trust
John Kamensky at Federal Times: “The Open Government movement has captured the imagination of many around the world as a way of increasing transparency, participation, and accountability. In the US, many of the federal, state, and local Open Government initiatives have been demonstrated to achieve positive results for citizens here and abroad. In fact, the White House’s science advisors released a refreshed Open Government plan in early June.
However, a recent study in Sweden says the benefits of transparency may vary, and may have little impact on citizens’ perception of legitimacy and trust in government. This research suggests important lessons on how public managers should approach the design of transparency strategies, and how they work in various conditions.
Jenny de Fine Licht, a scholar at the University of Gothenberg in Sweden, offers a more nuanced view of the influence of transparency in political decision making on public legitimacy and trust, in a paper that appears in the current issue of “Public Administration Review.” Her research challenges the assumption of many in the Open Government movement that greater transparency necessarily leads to greater citizen trust in government.
Her conclusion, based on an experiment involving over 1,000 participants, was that the type and degree of transparency “has different effects in different policy areas.” She found that “transparency is less effective in policy decisions that involve trade-offs related to questions of human life and death or well-being.”
The background
Licht says there are some policy decisions that involve what are called “taboo tradeoffs.” A taboo tradeoff, for example, would be making budget tradeoffs in policy areas such as health care and environmental quality, where human life or well-being is at stake. In cases where more money is an implicit solution, the author notes, “increased transparency in these policy areas might provoke feeling of taboo, and, accordingly, decreased perceived legitimacy.”
Other scholars, such as Harvard’s Jane Mansbridge,contend that “full transparency may not always be the best practice in policy making.” Full transparency in decision-making processes would include, for example, open appropriation committee meetings. Instead, she recommends “transparency in rationale – in procedures, information, reasons, and the facts on which the reasons are based.” That is, provide a full explanation after-the-fact.
Licht tested the hypothesis that full transparency of the decision-making process vs. partial transparency via providing after-the-fact rationales for decisions may create different results, depending on the policy arena involved…
Open Government advocates have generally assumed that full and open transparency is always better. Licht’s conclusion is that “greater transparency” does not necessarily increase citizen legitimacy and trust. Instead, the strategy of encouraging a high degree of transparency requires a more nuanced application in its use. While the she cautions about generalizing from her experiment, the potential implications for government decision-makers could be significant.
To date, many of the various Open Government initiatives across the country have assumed a “one size fits all” approach, across the board. Licht’s conclusions, however, help explain why the results of various initiatives have been divergent in terms of citizen acceptance of open decision processes.
Her experiment seems to suggest that citizen engagement is more likely to create a greater citizen sense of legitimacy and trust in areas involving “routine” decisions, such as parks, recreation, and library services. But that “taboo” decisions in policy areas involving tradeoffs of human life, safety, and well-being may not necessarily result in greater trust as a result of the use of full and open transparency of decision-making processes.
While she says that transparency – whether full or partial – is always better than no transparency, her experiment at least shows that policy makers will, at a minimum, know that the end result may not be greater legitimacy and trust. In any case, her research should engender a more nuanced conversation among Open Government advocates at all levels of government. In order to increase citizens’ perceptions of legitimacy and trust in government, it will take more than just advocating for Open Data!”
Crowdsourcing moving beyond the fringe
Bob Brown in Networked World: ” Depending up on how you look at it, crowdsourcing is all the rage these days — think Wikipedia, X Prize and Kickstarter — or at the other extreme, greatly underused.
To the team behind the new “insight network” Yegii, crowdsourcing has not nearly reached its potential despite having its roots as far back as the early 1700s and a famous case of the British Government seeking a solution to “The Longitude Problem” in order to make sailing less life threatening. (I get the impression that mention of this example is obligatory at any crowdsourcing event.)
This angel-funded startup, headed by an MIT Sloan School of Management senior lecturer and operating from a Boston suburb, is looking to exploit crowdsourcing’s potential through a service that connects financial, healthcare, technology and other organizations seeking knowledge with experts who can provide it – and fairly fast. To CEO Trond Undheim, crowdsourcing is “no longer for fringe freelance work,” and the goal is to get more organizations and smart individuals involved.
“Yegii is essentially a network of networks, connecting people, organizations, and knowledge in new ways,” says Undheim, who explains that the name Yegii is Korean for “talk” or “discussion”. “Our focus is laser sharp: we only rank and rate knowledge that says something essential about what I see as the four forces of industry disruption: technology, policy, user dynamics and business models. We tackle challenging business issues across domains, from life sciences to energy to finance. The point is that today’s industry classification is falling apart. We need more specific insight than in-house strategizing or generalist consulting advice.”
Undheim attempted to drum up interest in the new business last week at an event at Babson College during which a handful of crowdsourcing experts spoke. Harvard Business School adjunct professor Alan MacCormack discussed the X Prize, Netflix Prize and other examples of spurring competition through crowdsourcing. MIT’s Peter Gloor extolled the virtue of collaborative and smart swarms of people vs. stupid crowds (such as football hooligans). A couple of advertising/marketing execs shared stories of how clients and other brands are increasingly tapping into their customer base and the general public for new ideas from slogans to products, figuring that potential new customers are more likely to trust their peers than corporate ads. Another speaker dove into more details about how to run a crowdsourcing challenge, which includes identifying motivation that goes beyond money.
All of this was to frame Yegii’s crowdsourcing plan, which is at the beta stage with about a dozen clients (including Akamai and Santander bank) and is slated for mass production later this year. Yegii’s team consists of five part-timers, plus a few interns, who are building a web-based platform that consists of “knowledge assets,” that is market research, news reports and datasets from free and paid sources. That content – on topics that range from Bitcoin’s impact on banks to telecom bandwidth costs — is reviewed and ranked through a combination of machine learning and human peers. Information seekers would pay Yegii up to hundreds of dollars per month or up to tens of thousands of dollars per project, and then multidisciplinary teams would accept the challenge of answering their questions via customized reports within staged deadlines.
“We are focused on building partnerships with other expert networks and associations that have access to smart people with spare capacity, wherever they are,” Undheim says.
One reason organizations can benefit from crowdsourcing, Undheim says, is because of the “ephemeral nature of expertise in today’s society.” In other words, people within your organization might think of themselves as experts in this or that, but when they really think about it, they might realize their level of expertise has faded. Yegii will strive to narrow down the best sources of information for those looking to come up to speed on a subject over a weekend, whereas hunting for that information across a vast search engine would not be nearly as efficient….”
Big Data, My Data
Jane Sarasohn-Kahn at iHealthBeat: “The routine operation of modern health care systems produces an abundance of electronically stored data on an ongoing basis,” Sebastian Schneeweis writes in a recent New England Journal of Medicine Perspective.
Is this abundance of data a treasure trove for improving patient care and growing knowledge about effective treatments? Is that data trove a Pandora’s black box that can be mined by obscure third parties to benefit for-profit companies without rewarding those whose data are said to be the new currency of the economy? That is, patients themselves?
In this emerging world of data analytics in health care, there’s Big Data and there’s My Data (“small data”). Who most benefits from the use of My Data may not actually be the consumer.
Big focus on Big Data. Several reports published in the first half of 2014 talk about the promise and perils of Big Data in health care. The Federal Trade Commission’s study, titled “Data Brokers: A Call for Transparency and Accountability,” analyzed the business practices of nine “data brokers,” companies that buy and sell consumers’ personal information from a broad array of sources. Data brokers sell consumers’ information to buyers looking to use those data for marketing, managing financial risk or identifying people. There are health implications in all of these activities, and the use of such data generally is not covered by HIPAA. The report discusses the example of a data segment called “Smoker in Household,” which a company selling a new air filter for the home could use to target-market to an individual who might seek such a product. On the downside, without the consumers’ knowledge, the information could be used by a financial services company to identify the consumer as a bad health insurance risk.
“Big Data and Privacy: A Technological Perspective,” a report from the President’s Office of Science and Technology Policy, considers the growth of Big Data’s role in helping inform new ways to treat diseases and presents two scenarios of the “near future” of health care. The first, on personalized medicine, recognizes that not all patients are alike or respond identically to treatments. Data collected from a large number of similar patients (such as digital images, genomic information and granular responses to clinical trials) can be mined to develop a treatment with an optimal outcome for the patients. In this case, patients may have provided their data based on the promise of anonymity but would like to be informed if a useful treatment has been found. In the second scenario, detecting symptoms via mobile devices, people wishing to detect early signs of Alzheimer’s Disease in themselves use a mobile device connecting to a personal couch in the Internet cloud that supports and records activities of daily living: say, gait when walking, notes on conversations and physical navigation instructions. For both of these scenarios, the authors ask, “Can the information about individuals’ health be sold, without additional consent, to third parties? What if this is a stated condition of use of the app? Should information go to the individual’s personal physicians with their initial consent but not a subsequent confirmation?”
The World Privacy Foundation’s report, titled “The Scoring of America: How Secret Consumer Scores Threaten Your Privacy and Your Future,” describes the growing market for developing indices on consumer behavior, identifying over a dozen health-related scores. Health scores include the Affordable Care Act Individual Health Risk Score, the FICO Medication Adherence Score, various frailty scores, personal health scores (from WebMD and OneHealth, whose default sharing setting is based on the user’s sharing setting with the RunKeeper mobile health app), Medicaid Resource Utilization Group Scores, the SF-36 survey on physical and mental health and complexity scores (such as the Aristotle score for congenital heart surgery). WPF presents a history of consumer scoring beginning with the FICO score for personal creditworthiness and recommends regulatory scrutiny on the new consumer scores for fairness, transparency and accessibility to consumers.
At the same time these three reports went to press, scores of news stories emerged discussing the Big Opportunities Big Data present. The June issue of CFO Magazine published a piece called “Big Data: Where the Money Is.” InformationWeek published “Health Care Dives Into Big Data,” Motley Fool wrote about “Big Data’s Big Future in Health Care” and WIRED called “Cloud Computing, Big Data and Health Care” the “trifecta.”
Well-timed on June 5, the Office of the National Coordinator for Health IT’s Roadmap for Interoperability was detailed in a white paper, titled “Connecting Health and Care for the Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure.” The document envisions the long view for the U.S. health IT ecosystem enabling people to share and access health information, ensuring quality and safety in care delivery, managing population health, and leveraging Big Data and analytics. Notably, “Building Block #3” in this vision is ensuring privacy and security protections for health information. ONC will “support developers creating health tools for consumers to encourage responsible privacy and security practices and greater transparency about how they use personal health information.” Looking forward, ONC notes the need for “scaling trust across communities.”
Consumer trust: going, going, gone? In the stakeholder community of U.S. consumers, there is declining trust between people and the companies and government agencies with whom people deal. Only 47% of U.S. adults trust companies with whom they regularly do business to keep their personal information secure, according to a June 6 Gallup poll. Furthermore, 37% of people say this trust has decreased in the past year. Who’s most trusted to keep information secure? Banks and credit card companies come in first place, trusted by 39% of people, and health insurance companies come in second, trusted by 26% of people.
Trust is a basic requirement for health engagement. Health researchers need patients to share personal data to drive insights, knowledge and treatments back to the people who need them. PatientsLikeMe, the online social network, launched the Data for Good project to inspire people to share personal health information imploring people to “Donate your data for You. For Others. For Good.” For 10 years, patients have been sharing personal health information on the PatientsLikeMe site, which has developed trusted relationships with more than 250,000 community members…”
Selected Readings on Crowdsourcing Tasks and Peer Production
The Living Library’s Selected Readings series seeks to build a knowledge base on innovative approaches for improving the effectiveness and legitimacy of governance. This curated and annotated collection of recommended works on the topic of crowdsourcing was originally published in 2014.
Technological advances are creating a new paradigm by which institutions and organizations are increasingly outsourcing tasks to an open community, allocating specific needs to a flexible, willing and dispersed workforce. “Microtasking” platforms like Amazon’s Mechanical Turk are a burgeoning source of income for individuals who contribute their time, skills and knowledge on a per-task basis. In parallel, citizen science projects – task-based initiatives in which citizens of any background can help contribute to scientific research – like Galaxy Zoo are demonstrating the ability of lay and expert citizens alike to make small, useful contributions to aid large, complex undertakings. As governing institutions seek to do more with less, looking to the success of citizen science and microtasking initiatives could provide a blueprint for engaging citizens to help accomplish difficult, time-consuming objectives at little cost. Moreover, the incredible success of peer-production projects – best exemplified by Wikipedia – instills optimism regarding the public’s willingness and ability to complete relatively small tasks that feed into a greater whole and benefit the public good. You can learn more about this new wave of “collective intelligence” by following the MIT Center for Collective Intelligence and their annual Collective Intelligence Conference.
Selected Reading List (in alphabetical order)
- Yochai Benkler — The Wealth of Networks: How Social Production Transforms Markets and Freedom — a book on the ways commons-based peer-production is transforming modern society.
- Daren C. Brabham — Using Crowdsourcing in Government — a report describing the diversity of methods crowdsourcing could be greater utilized by governments, including through the leveraging of micro-tasking platforms.
- Kevin J. Boudreau, Patrick Gaule, Karim Lakhani, Christoph Reidl, Anita Williams Woolley – From Crowds to Collaborators: Initiating Effort & Catalyzing Interactions Among Online Creative Workers – a working paper exploring the conditions,
- including incentives, that affect online collaboration.
- Chiara Franzoni and Henry Sauermann — Crowd Science: The Organization of Scientific Research in Open Collaborative Projects — a paper describing the potential advantages of deploying crowd science in a variety of contexts.
- Aniket Kittur, Ed H. Chi and Bongwon Suh — Crowdsourcing User Studies with Mechanical Turk — a paper proposing potential benefits beyond simple task completion for microtasking platforms like Mechanical Turk.
- Aniket Kittur, Jeffrey V. Nickerson, Michael S. Bernstein, Elizabeth M. Gerber, Aaron Shaw, John Zimmerman, Matthew Lease, and John J. Horton — The Future of Crowd Work — a paper describing the promise of increased and evolved crowd work’s effects on the global economy.
- Michael J. Madison — Commons at the Intersection of Peer Production, Citizen Science, and Big Data: Galaxy Zoo — an in-depth case study of the Galaxy Zoo containing insights regarding the importance of clear objectives and institutional and/or professional collaboration in citizen science initiatives.
- Thomas W. Malone, Robert Laubacher and Chrysanthos Dellarocas – Harnessing Crowds: Mapping the Genome of Collective Intelligence – an article proposing a framework for understanding collective intelligence efforts.
- Geoff Mulgan – True Collective Intelligence? A Sketch of a Possible New Field – a paper proposing theoretical building blocks and an experimental and research agenda around the field of collective intelligence.
- Henry Sauermann and Chiara Franzoni – Participation Dynamics in Crowd-Based Knowledge Production: The Scope and Sustainability of Interest-Based Motivation – a paper exploring the role of interest-based motivation in collaborative knowledge production.
- Catherine E. Schmitt-Sands and Richard J. Smith – Prospects for Online Crowdsourcing of Social Science Research Tasks: A Case Study Using Amazon Mechanical Turk – an article describing an experiment using Mechanical Turk to crowdsource public policy research microtasks.
- Clay Shirky — Here Comes Everybody: The Power of Organizing Without Organizations — a book exploring the ways largely unstructured collaboration is remaking practically all sectors of modern life.
- Jonathan Silvertown — A New Dawn for Citizen Science — a paper examining the diverse factors influencing the emerging paradigm of “science by the people.”
- Katarzyna Szkuta, Roberto Pizzicannella, David Osimo – Collaborative approaches to public sector innovation: A scoping study – an article studying success factors and incentives around the collaborative delivery of online public services.
Annotated Selected Reading List (in alphabetical order)
Benkler, Yochai. The Wealth of Networks: How Social Production Transforms Markets and Freedom. Yale University Press, 2006. http://bit.ly/1aaU7Yb.
- In this book, Benkler “describes how patterns of information, knowledge, and cultural production are changing – and shows that the way information and knowledge are made available can either limit or enlarge the ways people can create and express themselves.”
- In his discussion on Wikipedia – one of many paradigmatic examples of people collaborating without financial reward – he calls attention to the notable ongoing cooperation taking place among a diversity of individuals. He argues that, “The important point is that Wikipedia requires not only mechanical cooperation among people, but a commitment to a particular style of writing and describing concepts that is far from intuitive or natural to people. It requires self-discipline. It enforces the behavior it requires primarily through appeal to the common enterprise that the participants are engaged in…”
Brabham, Daren C. Using Crowdsourcing in Government. Collaborating Across Boundaries Series. IBM Center for The Business of Government, 2013. http://bit.ly/17gzBTA.
- In this report, Brabham categorizes government crowdsourcing cases into a “four-part, problem-based typology, encouraging government leaders and public administrators to consider these open problem-solving techniques as a way to engage the public and tackle difficult policy and administrative tasks more effectively and efficiently using online communities.”
- The proposed four-part typology describes the following types of crowdsourcing in government:
- Knowledge Discovery and Management
- Distributed Human Intelligence Tasking
- Broadcast Search
- Peer-Vetted Creative Production
- In his discussion on Distributed Human Intelligence Tasking, Brabham argues that Amazon’s Mechanical Turk and other microtasking platforms could be useful in a number of governance scenarios, including:
- Governments and scholars transcribing historical document scans
- Public health departments translating health campaign materials into foreign languages to benefit constituents who do not speak the native language
- Governments translating tax documents, school enrollment and immunization brochures, and other important materials into minority languages
- Helping governments predict citizens’ behavior, “such as for predicting their use of public transit or other services or for predicting behaviors that could inform public health practitioners and environmental policy makers”
Boudreau, Kevin J., Patrick Gaule, Karim Lakhani, Christoph Reidl, Anita Williams Woolley. “From Crowds to Collaborators: Initiating Effort & Catalyzing Interactions Among Online Creative Workers.” Harvard Business School Technology & Operations Mgt. Unit Working Paper No. 14-060. January 23, 2014. https://bit.ly/2QVmGUu.
- In this working paper, the authors explore the “conditions necessary for eliciting effort from those affecting the quality of interdependent teamwork” and “consider the the role of incentives versus social processes in catalyzing collaboration.”
- The paper’s findings are based on an experiment involving 260 individuals randomly assigned to 52 teams working toward solutions to a complex problem.
- The authors determined the level of effort in such collaborative undertakings are sensitive to cash incentives. However, collaboration among teams was driven more by the active participation of teammates, rather than any monetary reward.
Franzoni, Chiara, and Henry Sauermann. “Crowd Science: The Organization of Scientific Research in Open Collaborative Projects.” Research Policy (August 14, 2013). http://bit.ly/HihFyj.
- In this paper, the authors explore the concept of crowd science, which they define based on two important features: “participation in a project is open to a wide base of potential contributors, and intermediate inputs such as data or problem solving algorithms are made openly available.” The rationale for their study and conceptual framework is the “growing attention from the scientific community, but also policy makers, funding agencies and managers who seek to evaluate its potential benefits and challenges. Based on the experiences of early crowd science projects, the opportunities are considerable.”
- Based on the study of a number of crowd science projects – including governance-related initiatives like Patients Like Me – the authors identify a number of potential benefits in the following categories:
- Knowledge-related benefits
- Benefits from open participation
- Benefits from the open disclosure of intermediate inputs
- Motivational benefits
- The authors also identify a number of challenges:
- Organizational challenges
- Matching projects and people
- Division of labor and integration of contributions
- Project leadership
- Motivational challenges
- Sustaining contributor involvement
- Supporting a broader set of motivations
- Reconciling conflicting motivations
Kittur, Aniket, Ed H. Chi, and Bongwon Suh. “Crowdsourcing User Studies with Mechanical Turk.” In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 453–456. CHI ’08. New York, NY, USA: ACM, 2008. http://bit.ly/1a3Op48.
- In this paper, the authors examine “[m]icro-task markets, such as Amazon’s Mechanical Turk, [which] offer a potential paradigm for engaging a large number of users for low time and monetary costs. [They] investigate the utility of a micro-task market for collecting user measurements, and discuss design considerations for developing remote micro user evaluation tasks.”
- The authors conclude that in addition to providing a means for crowdsourcing small, clearly defined, often non-skill-intensive tasks, “Micro-task markets such as Amazon’s Mechanical Turk are promising platforms for conducting a variety of user study tasks, ranging from surveys to rapid prototyping to quantitative measures. Hundreds of users can be recruited for highly interactive tasks for marginal costs within a timeframe of days or even minutes. However, special care must be taken in the design of the task, especially for user measurements that are subjective or qualitative.”
Kittur, Aniket, Jeffrey V. Nickerson, Michael S. Bernstein, Elizabeth M. Gerber, Aaron Shaw, John Zimmerman, Matthew Lease, and John J. Horton. “The Future of Crowd Work.” In 16th ACM Conference on Computer Supported Cooperative Work (CSCW 2013), 2012. http://bit.ly/1c1GJD3.
- In this paper, the authors discuss paid crowd work, which “offers remarkable opportunities for improving productivity, social mobility, and the global economy by engaging a geographically distributed workforce to complete complex tasks on demand and at scale.” However, they caution that, “it is also possible that crowd work will fail to achieve its potential, focusing on assembly-line piecework.”
- The authors argue that seven key challenges must be met to ensure that crowd work processes evolve and reach their full potential:
- Designing workflows
- Assigning tasks
- Supporting hierarchical structure
- Enabling real-time crowd work
- Supporting synchronous collaboration
- Controlling quality
Madison, Michael J. “Commons at the Intersection of Peer Production, Citizen Science, and Big Data: Galaxy Zoo.” In Convening Cultural Commons, 2013. http://bit.ly/1ih9Xzm.
- This paper explores a “case of commons governance grounded in research in modern astronomy. The case, Galaxy Zoo, is a leading example of at least three different contemporary phenomena. In the first place, Galaxy Zoo is a global citizen science project, in which volunteer non-scientists have been recruited to participate in large-scale data analysis on the Internet. In the second place, Galaxy Zoo is a highly successful example of peer production, some times known as crowdsourcing…In the third place, is a highly visible example of data-intensive science, sometimes referred to as e-science or Big Data science, by which scientific researchers develop methods to grapple with the massive volumes of digital data now available to them via modern sensing and imaging technologies.”
- Madison concludes that the success of Galaxy Zoo has not been the result of the “character of its information resources (scientific data) and rules regarding their usage,” but rather, the fact that the “community was guided from the outset by a vision of a specific organizational solution to a specific research problem in astronomy, initiated and governed, over time, by professional astronomers in collaboration with their expanding universe of volunteers.”
Malone, Thomas W., Robert Laubacher and Chrysanthos Dellarocas. “Harnessing Crowds: Mapping the Genome of Collective Intelligence.” MIT Sloan Research Paper. February 3, 2009. https://bit.ly/2SPjxTP.
- In this article, the authors describe and map the phenomenon of collective intelligence – also referred to as “radical decentralization, crowd-sourcing, wisdom of crowds, peer production, and wikinomics – which they broadly define as “groups of individuals doing things collectively that seem intelligent.”
- The article is derived from the authors’ work at MIT’s Center for Collective Intelligence, where they gathered nearly 250 examples of Web-enabled collective intelligence. To map the building blocks or “genes” of collective intelligence, the authors used two pairs of related questions:
- Who is performing the task? Why are they doing it?
- What is being accomplished? How is it being done?
- The authors concede that much work remains to be done “to identify all the different genes for collective intelligence, the conditions under which these genes are useful, and the constraints governing how they can be combined,” but they believe that their framework provides a useful start and gives managers and other institutional decisionmakers looking to take advantage of collective intelligence activities the ability to “systematically consider many possible combinations of answers to questions about Who, Why, What, and How.”
Mulgan, Geoff. “True Collective Intelligence? A Sketch of a Possible New Field.” Philosophy & Technology 27, no. 1. March 2014. http://bit.ly/1p3YSdd.
- In this paper, Mulgan explores the concept of a collective intelligence, a “much talked about but…very underdeveloped” field.
- With a particular focus on health knowledge, Mulgan “sets out some of the potential theoretical building blocks, suggests an experimental and research agenda, shows how it could be analysed within an organisation or business sector and points to possible intellectual barriers to progress.”
- He concludes that the “central message that comes from observing real intelligence is that intelligence has to be for something,” and that “turning this simple insight – the stuff of so many science fiction stories – into new theories, new technologies and new applications looks set to be one of the most exciting prospects of the next few years and may help give shape to a new discipline that helps us to be collectively intelligent about our own collective intelligence.”
Sauermann, Henry and Chiara Franzoni. “Participation Dynamics in Crowd-Based Knowledge Production: The Scope and Sustainability of Interest-Based Motivation.” SSRN Working Papers Series. November 28, 2013. http://bit.ly/1o6YB7f.
- In this paper, Sauremann and Franzoni explore the issue of interest-based motivation in crowd-based knowledge production – in particular the use of the crowd science platform Zooniverse – by drawing on “research in psychology to discuss important static and dynamic features of interest and deriv[ing] a number of research questions.”
- The authors find that interest-based motivation is often tied to a “particular object (e.g., task, project, topic)” not based on a “general trait of the person or a general characteristic of the object.” As such, they find that “most members of the installed base of users on the platform do not sign up for multiple projects, and most of those who try out a project do not return.”
- They conclude that “interest can be a powerful motivator of individuals’ contributions to crowd-based knowledge production…However, both the scope and sustainability of this interest appear to be rather limited for the large majority of contributors…At the same time, some individuals show a strong and more enduring interest to participate both within and across projects, and these contributors are ultimately responsible for much of what crowd science projects are able to accomplish.”
Schmitt-Sands, Catherine E. and Richard J. Smith. “Prospects for Online Crowdsourcing of Social Science Research Tasks: A Case Study Using Amazon Mechanical Turk.” SSRN Working Papers Series. January 9, 2014. http://bit.ly/1ugaYja.
- In this paper, the authors describe an experiment involving the nascent use of Amazon’s Mechanical Turk as a social science research tool. “While researchers have used crowdsourcing to find research subjects or classify texts, [they] used Mechanical Turk to conduct a policy scan of local government websites.”
- Schmitt-Sands and Smith found that “crowdsourcing worked well for conducting an online policy program and scan.” The microtasked workers were helpful in screening out local governments that either did not have websites or did not have the types of policies and services for which the researchers were looking. However, “if the task is complicated such that it requires ongoing supervision, then crowdsourcing is not the best solution.”
Shirky, Clay. Here Comes Everybody: The Power of Organizing Without Organizations. New York: Penguin Press, 2008. https://bit.ly/2QysNif.
- In this book, Shirky explores our current era in which, “For the first time in history, the tools for cooperating on a global scale are not solely in the hands of governments or institutions. The spread of the Internet and mobile phones are changing how people come together and get things done.”
- Discussing Wikipedia’s “spontaneous division of labor,” Shirky argues that the process is like, “the process is more like creating a coral reef, the sum of millions of individual actions, than creating a car. And the key to creating those individual actions is to hand as much freedom as possible to the average user.”
Silvertown, Jonathan. “A New Dawn for Citizen Science.” Trends in Ecology & Evolution 24, no. 9 (September 2009): 467–471. http://bit.ly/1iha6CR.
- This article discusses the move from “Science for the people,” a slogan adopted by activists in the 1970s to “’Science by the people,’ which is “a more inclusive aim, and is becoming a distinctly 21st century phenomenon.”
- Silvertown identifies three factors that are responsible for the explosion of activity in citizen science, each of which could be similarly related to the crowdsourcing of skills by governing institutions:
- “First is the existence of easily available technical tools for disseminating information about products and gathering data from the public.
- A second factor driving the growth of citizen science is the increasing realisation among professional scientists that the public represent a free source of labour, skills, computational power and even finance.
- Third, citizen science is likely to benefit from the condition that research funders such as the National Science Foundation in the USA and the Natural Environment Research Council in the UK now impose upon every grantholder to undertake project-related science outreach. This is outreach as a form of public accountability.”
Szkuta, Katarzyna, Roberto Pizzicannella, David Osimo. “Collaborative approaches to public sector innovation: A scoping study.” Telecommunications Policy. 2014. http://bit.ly/1oBg9GY.
- In this article, the authors explore cases where government collaboratively delivers online public services, with a focus on success factors and “incentives for services providers, citizens as users and public administration.”
- The authors focus on six types of collaborative governance projects:
- Services initiated by government built on government data;
- Services initiated by government and making use of citizens’ data;
- Services initiated by civil society built on open government data;
- Collaborative e-government services; and
- Services run by civil society and based on citizen data.
- The cases explored “are all designed in the way that effectively harnesses the citizens’ potential. Services susceptible to collaboration are those that require computing efforts, i.e. many non-complicated tasks (e.g. citizen science projects – Zooniverse) or citizens’ free time in general (e.g. time banks). Those services also profit from unique citizens’ skills and their propensity to share their competencies.”
The Field Guide to Data Science
Booz Allen Hamilton: “Data Science is the competitive advantage of the future for organizations interested in turning their data into a product through analytics. Industries from health, to national security, to finance, to energy can be improved by creating better data analytics through Data Science. The winners and the losers in the emerging data economy are going to be determined by their Data Science teams.
Booz Allen Hamilton created The Field Guide to Data Science to help organizations of all types and missions understand how to make use of data as a resource. The text spells out what Data Science is and why it matters to organizations as well as how to create Data Science teams. Along the way, our team of experts provides field-tested approaches, personal tips and tricks, and real-life case studies. Senior leaders will walk away with a deeper understanding of the concepts at the heart of Data Science. Practitioners will add to their toolboxes.
In The Field Guide to Data Science, our Booz Allen experts provide their insights in the following areas:
- Start Here for the Basics provides an introduction to Data Science, including what makes Data Science unique from other analysis approaches. We will help you understand Data Science maturity within an organization and how to create a robust Data Science capability.
- Take Off the Training Wheels is the practitioners guide to Data Science. We share our established processes, including our approach to decomposing complex Data Science problems, the Fractal Analytic Model. We conclude with the Guide to Analytic Selection to help you select the right analytic techniques to conquer your toughest challenges.
- Life in the Trenches gives a first hand account of life as a Data Scientist. We share insights on a variety of Data Science topics through illustrative case studies. We provide tips and tricks from our own experiences on these real-life analytic challenges.
- Putting it All Together highlights our successes creating Data Science solutions for our clients. It follows several projects from data to insights and see the impact Data Science can have on your organization…”
Can social media make every civil servant an innovator?
Steve Kelman at FCW: “Innovation, particularly in government, can be very hard. Lots of signoffs, lots of naysayers. For many, it’s probably not worth the hassle.
Yet all sorts of examples are surfacing about ways civil servants, non-profits, startups and researchers have thought to use social media — or data mining of government information — to get information that can either help citizens directly or help agencies serve citizens. I want to call attention to examples that I’ve seen just in the past few weeks — partly to recognize the creative people who have come up with these ideas, but partly to make a point about the relationship between these ideas and the general issue of innovation in government. I think that these social media and data-driven experiments are often a much simpler way for civil servants to innovate than many of the changes we typically think of under the heading “innovation in government.” They open the possibility to make innovation in government an activity for the civil service masses.
One example that was reported in The New York Times was about a pilot project at the New York City Department of Health and Mental Hygiene to do rapid keyword searches with phrases such as “vomit” and “diarrhea” associated with 294,000 Yelp restaurant reviews in New York City. The city is using a software program developed at Columbia University. They have now expended the monitoring to occur daily, to get quick information on possible problems at specific restaurants or with specific kinds of food.
A second example, reported in BloombergBusinessWeek, involved — perhaps not surprisingly, given the publication — an Israeli startup called Treato that is applying a similar idea to ferretting out adverse drug reactions before they come in through FDA studies and other systems. The founders are cooperating with researchers at Harvard Medical School and FDA officials, among others. Their software looks through Twitter and Facebook, along with a large number of patient forum sites, to cull out from all the reports of illnesses the incidents that may well reflect an unusual presence of adverse drug reactions.
These examples are fascinating in themselves. But one thing that caught my eye about both is that each seems high on the creativity dimension and low on the need-to-overcome-bureaucracy dimension. Both ideas reflect new and improved ways to do what these organizations do anyway, which is gather information to help inform regulatory and health decisions by government. Neither requires any upheaval in an agency’s existing culture, or steps on somebody’s turf in any serious way. Introducing the changes doesn’t require major changes in an agency’s internal procedures. Compared to many innovations in government, these are easy ones to make happen. (They do all need some funds, however.)
What I hope is that the information woven into social media will unlock a new era of innovation inside government. The limits of innovation are much less determined by difficult-to-change bureaucratic processes and can be much more responsive to an individual civil servant’s creativity…”
A brief history of open data
Article by Luke Fretwell in FCW: “In December 2007, 30 open-data pioneers gathered in Sebastopol, Calif., and penned a set of eight open-government data principles that inaugurated a new era of democratic innovation and economic opportunity.
“The objective…was to find a simple way to express values that a bunch of us think are pretty common, and these are values about how the government could make its data available in a way that enables a wider range of people to help make the government function better,” Harvard Law School Professor Larry Lessig said. “That means more transparency in what the government is doing and more opportunity for people to leverage government data to produce insights or other great business models.”
The eight simple principles — that data should be complete, primary, timely, accessible, machine-processable, nondiscriminatory, nonproprietary and license-free — still serve as the foundation for what has become a burgeoning open-data movement.
In the seven years since those principles were released, governments around the world have adopted open-data initiatives and launched platforms that empower researchers, journalists and entrepreneurs to mine this new raw material and its potential to uncover new discoveries and opportunities. Open data has drawn civic hacker enthusiasts around the world, fueling hackathons, challenges, apps contests, barcamps and “datapaloozas” focused on issues as varied as health, energy, finance, transportation and municipal innovation.
In the United States, the federal government initiated the beginnings of a wide-scale open-data agenda on President Barack Obama’s first day in office in January 2009, when he issued his memorandum on transparency and open government, which declared that “openness will strengthen our democracy and promote efficiency and effectiveness in government.” The president gave federal agencies three months to provide input into an open-government directive that would eventually outline what each agency planned to do with respect to civic transparency, collaboration and participation, including specific objectives related to releasing data to the public.
In May of that year, Data.gov launched with just 47 datasets and a vision to “increase public access to high-value, machine-readable datasets generated by the executive branch of the federal government.”
When the White House issued the final draft of its federal Open Government Directive later that year, the U.S. open-government data movement got its first tangible marching orders, including a 45-day deadline to open previously unreleased data to the public.
Now five years after its launch, Data.gov boasts more than 100,000 datasets from 227 local, state and federal agencies and organizations….”
Blueprint on "The Open Data Era in Health and Social Care"
The GovLab Press Release: NHS England and The Governance Lab at NYU (The GovLab) have today launched a blueprint – The Open Data Era in Health and Social Care – for accelerating the use of open data in health and care settings.
The availability of open data can empower citizens and help care providers, patients and researchers make better decisions, spur new innovations and identify efficiencies. The report was commissioned by NHS England and written by The GovLab, part of New York University and world leaders in the field of open data usage. It puts forward a proposal for how the health and care system can maximise the impact of sharing open data through establishing priorities and clear ways of measuring benefits.
Tim Kelsey, National Director for Patients and Information for NHS England, said:
“There’s an urgent need for the NHS to use better information and evidence to guide decision-making and investment. We know with scientific and medical research, the rate of discovery is accelerated by better access to data. This report will kick off a conversation about how we can use open data in the NHS to build a meaningful evidence base to support better investment in health and care services. Over the coming months, I’m keen to hear the views of colleagues on how we can take this forward and build an evidence base to improve outcomes for patients.”
Stefaan Verhulst, Co-founder and Chief Research and Development Officer of the GovLab:
“The blueprint lays out a detailed plan to start a conversation about how to gather the evidence needed to understand and assess the shape and size of the impact of open health data. It is important to pay a comparable level of attention to an analysis of open data’s potential benefits, as well as potential risks.”
Download the full report: thegovlab.org/nhs