WoW Woman in Health Tech – Laura Yecies, CEO and Board Member of Bone Health Technologies

This post appeared on the Women of Wearables blog on July 12.

Tell us a bit about your background and your projects so far.

I’ve been fortunate to get to work on a wide range of products in my career, ranging from large-scale industrial-scale corporate databases (Informix) and internet security systems (Check Point) to leading the efforts on personal and team productivity tools such as the Netscape browser, Yahoo Mail, SugarSync and Catch. These latter products reflected deep insight into how people manage their work and personal tasks and careful, iterative design to optimize usability for literally hundreds of millions of people (not to mention hosting and processing petabytes of data). It was always thrilling to me to know that through our products, we were touching millions of people with products that could help with the tasks of their daily life. 

You can continue reading here.

Accuracy is the New Speed

Second post as part of my work at Fabric Genomics

By Martin Reese & Laura Yecies

When caring for a critically ill child, two simultaneous thoughts are competing – the urgent need for a diagnosis to optimize treatment and the need for thoroughness – to carefully review all the possibilities.  Don’t jump to a conclusion but don’t get lost in the weeds keeping the patient, and the others behind them, in limbo.  We commonly see accuracy and speed as a dichotomy.  This has certainly been true in the past in genomics – how many variants to review? Review variants from less likely parts of the genome? Use a more restrictive filtering rule?

We had been operating in a world where deciding to use some of the heuristic shortcuts or to time limit review meant settling for less than optimal accuracy. Time-saving techniques left some diagnoses on the cutting room floor.  These simple Pareto prioritizations that are highly effective in dealing with everyday clinical situations are inherently problematic in the rare disease world.  We cannot eliminate the zebras when we know it’s unlikely to be a horse

Read more on the Fabric website here 

Delivering Better Care at a Lower Cost – a Case Study of Project Baby Bear at Rady’s Children’s Hospital

My first post as part of my work with http://www.FabricGenomics.com

By Martin Reese & Laura Yecies

The power and cost-effectiveness of AI are calling into question many of our assumptions about healthcare.  The most important dichotomy proving to be false is that providing the latest and most thorough diagnostic technology to optimize clinical outcomes is more expensive.  When we use AI to more comprehensively analyze cases we benefit from Moore’s law rapidly and continuously reducing costs.  By contrast, hospital-based care, especially when in an intensive setting such as the NICU is continuously increasing in cost. It is not surprising that when more extensive testing produces clinically actionable results that actually decrease hospital days we can accomplish the holy grail — better care and less expensive simultaneously…

Read more on the Fabric website here

 

A Different Kind of Sync

I have had the good fortune to enjoy over 25 years of building a range of software businesses – enterprise and consumer – big companies and startups.   I loved the challenge and am proud of the positive impact of these products which have touched millions (SugarSync, Catch) and in some cases hundreds of millions (Netscape, Yahoo) of people.  As I looked toward my professional goals for the next 25 years, however, I felt there was a void I had not filled.  Perhaps it was my family values – growing up surrounded by doctors (both parents, father-in-law, multiple siblings, aunts, uncle, cousins) and having two sons and two daughters-in-law in healthcare (3 as MD’s and one PhD in cancer research, I’ve always wanted to be doing more to improve people’s lives in a more humanistic and direct way.

Many of the software products I worked on democratize access – bringing the proprietary big company technology to small businesses or consumers (e.g.SugarSync, ZoneAlarm).  Although the healthcare industry has traditionally been a late adopter, with the advent of cloud and mobile technologies and increasingly VR and AR – we are at a tipping point and I knew that using technology to drive this type of healthcare democratization and the potentially large associated businesses was what I wanted to work on next.

Through a confluence of fortunate events and connections I met the team at SyncThink and was immediately impressed by both the science (based on years of D.O.D. funded research) and the potential impact of its technology.  SyncThink has developed innovative eye-tracking technology analytics, delivered in customized Samsung VR headsets, that provide objective metrics for visual attention and dynamic orientation. It turns out that these metrics provide critical information about brain health by measuring our orientation and ability to pay attention to our environment.  Eye-tracking analytics can show patterns that correlate with such serious issues as concussion, ADHD, dementia, marijuana impairment and sleep deprivation.  The first application in sports in concussion and performance management but there is an even bigger potential impact in these other fields as well as occupational safety.

I was personally excited about the immediate term market – we are focusing on bringing our brain health platform to college and professional sports as well as the clinics who serve them.  As the mother of 3 sons who played Lacrosse, Rugby and Football in college and a daughter who played high school Lacrosse I resonated with that need recalling how I held my breath on the sidelines watching some serious and aggressive “contact”.   There are thousands of athletes whose health we can protect and improve with SyncThink.  I am thrilled to see SyncThink being deployed in universities such as the Pac-12 and beyond and love knowing that our home town champion Golden State Warriors are using SyncThink at the next level to both protect their players as well as measure and enhance their performance.

Of course with Sync in the name I knew it was “beshert” (destined) for me to join and was excited to get started.  We have lots of new tech and programs in the works – stay tuned for more to come!

 

 

 

The Technology That Time Forgot

Humans are social beings. We thrive in social groups and get work done more effectively when we team up with others. Good communication is key to the success of any group, and therefore it’s no wonder that tremendous technology investment and innovation has risen around fostering good communication. On the business side, team communication (aka Slack, Yammer, FaceBook for Work, Microsoft Teams) have evolved rapidly. Casual, personal messaging platforms have exploded with new tools, and a quick search of the Apple App Store yields multiple results—many of them with an attractive modern UI, thoughtful workflow, and clever feature set.

Unfortunately, not all of the tools on the market have evolved to foster and support the many different ways we work together and communicate to reach our goals.

What about Google Groups, Yahoo Groups and Listserv?

Log in to Google Groups or Yahoo Groups (or any ListServ in use by your organization) and you will enter a time machine transporting you back to the distant technology past, circa 1986, when ListServ was invented. Google and Yahoo entered the mix by 2001 with the acquisitions of E-Group and Deja News which combined list mailing with newsgroups and threaded discussions. It is interesting that these products were not even built in-house, and I know from my personal experience, as General Manager of Yahoo Mail, that Yahoo Groups received minimal investment.Screen-Shot-2017-02-27-at-11.11.16-AMThe widespread use of these groups cannot be overstated; estimates from internal sources reveal that there are more than one billion active groups with hundreds, and sometimes even thousands, of members. Furthermore, these groups are far from being graveyards or time capsules. While the last product update was over three years ago, billions of messages continue to be shared in these groups each month. As is often the case with big companies, Google and Yahoo focus on other products with much larger revenue. Older products that generate less revenue, such as Google Groups, ultimately get ignored and become abandonware.

Group Communication Grows Beyond Google Groups

While some exciting new products rise from emerging markets, another fertile ground for startups is revolutionizing the technologies with large user bases that have become abandonware. By staying laser focused on solving customer problems, these startups can fill a long-sought need among users who feel the frustration of being stuck with free tools that cost too much in time in efficiency to be worth the cost. Professional group and network communication is no exception and that huge opportunity led to the founding of Mobilize.

The founders of Mobilize, Sharon Savariego and Arthur Vainer, observed that many of these groups are of critical importance to their leaders, and the companies or organizations they support. These leaders need modern tools: a powerful, easy to use member database and an all-in-one solution for email, SMS, events with build-in-analytics.

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The Future of Network Communications

Our observation and thesis was validated by dozens of brand name customers such as Prezi, Looker, Etsy and Docker who transitioned off of Google and Yahoo groups to Mobilize to manage their thousands of global partners. For many years, these leaders had suffered from lack of efficiency—piecing together Google Groups, Meetup, Eventbrite, Excel and Doodle. With Mobilize, they finally had an integrated, efficient, professional system they could leverage to dramatically grow their groups and increase engagement. What’s more, Mobilize makes it super easy to convert existing Google and Yahoo Groups to the robust functionality of Mobilize Groups. After using the import wizard, leaders have at their fingertips a robust database of their members, powerful communication tools including email, SMS, polls and events and powerful analytics. Learning from our customers’ successes, a positive feedback loop ensued with Mobilize making improvements and adding features that attracted new customers.

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Clearly Google and Yahoo saw their Groups product as simply a consumer tool with limited revenue opportunity and put their priorities elsewhere. At Mobilize, we recognize the huge need for professional group communication with a well designed platform. The rapid adoption of Mobilize by over 150 leading brands is proof of this unmet need. In the new economy, organizations increasingly rely on large groups and networks outside their organization to achieve their missions—groups have become business-critical. More than 5,000 group leaders are using Mobilize to communicate with over 250,000 group members, and the platform is flexible enough to support groups as diverse as brand ambassadors, developers, marketplace sellers, resellers, product beta testers and many more. We estimate the professional group communication market to be valued at $65 billion. It’s growing quickly—driven by the increasing importance of network-driven businesses which require a robust platform. For that reason, it’s an exciting space to be working in, and one I’m thrilled to be supporting.

This post was originally published at http://blog.mobilize.io/google-groups-yahoo-groups-listserv/

Communication and Productivity

I’ve had the good fortune of being able to spend the majority of my career helping to build and market products with a core mission of helping people improve their productivity as it relates to communication. Netscape Communicator, ICQ, AIM, Yahoo! Mail, SugarSync and Catch – these products served slightly different purposes at different points in our internet and mobile journey but our goal was always the same – improvement of connectivity – not of infrastructure, but human connectivity. Our most basic instincts as humans are to communicate with others through any means possible – words, touch, pictures, sound. Communication is one of the most basic functions in business and it’s not always easy to do it well.

When I was working at Netscape, I had a conversation with Jim Barksdale that has stuck with me. He said that making things happen in business is about writing it down. You can discuss things all you want but it is the leader’s job to put the plans into writing and confirm that they are understood and acted upon. Pre-internet that meant a memo written on paper with the associated headaches of duplication and distribution. The beauty of email is that you have the power of the written word with the convenience and ease of our new technologies. Email is such a powerful tool that it survives as the default written communication tool and – despite its many flaws and forecasts of its demise – it persists.

With new technologies, we are enabling effective action through writing by optimizing the communication app for particular settings. For instance, multiple styles of chat apps for various demographics and types of groups – friends, family and work teams.

But, what if different people in the same stream of communication have different preferences in tools? What if you are trying to recruit or incent these different people who are not your employees and mandating a particular tool were a turn-off? There has been a need for a communication platform that has a lighter touch – that gives recipients greater control, while remaining effective. Initiators can encourage participation and lead particular actions. These initiators, the group leaders, are constantly recruiting and incentivizing their members and they need a tool that supports them, so their companies and missions can scale effectively.

In Mobilize (www.mobilize.io), I saw just such a platform. Some of the design points are subtle and some are very concrete but it is an incredibly thoughtful way to communicate with groups, particularly those that are not within company walls. After being introduced by my business associate, Ajay Chopra, and meeting with the cofounders, Sharon Savariego and Arthur Vainer, I was convinced that we shared a vision for a new type of communication method, in fact a new category of communication platform, designed expressly to support group communication and help leaders mobilize action. That action can be anything from brand advocacy to software development advances to product sales to volunteering to give blood. I am thrilled they invited me to join the company as COO three weeks ago and look forward to working to scale this exciting idea for so many more groups and companies globally.

P.S. We’re hiring in both San Francisco and Tel Aviv – marketing, sales and engineering positions.  Check them out at http://www.mobilize.io/jobs.html

 

 

 

What’s different about Computer Science

Among the most vexing issues on the topic of lack of women in tech is why is it different from other fields that have gone from being male dominated to gender balanced. After all, it wasn’t that long ago that virtually all doctors and lawyers were men. This disturbing chart in this story on NPR makes the point quite dramatically.chart women percentage

Starting in the early ‘70’s, simultaneous with the rise of the feminist movement, women began making steady gains entering the professional and scientific fields. Over the course of the 30 years between 1970 and 2000 women went from about 10 percent to nearly 50 percent of the class at US Medical and Law schools.   Even physical science graduate programs made strong gains. Computer science was on a similar trajectory then turned sharply down. Why?

As I dug into the numbers it gets even more discouraging. Not only are there fewer women computer science majors on a percentage basis, during a time when the field has experienced dramatic growth, the absolute number has been cut in half.

The downturn started in 1984 which happens to correlate with the introduction of personal computers. The hypothesis posed is that the early personal computers were marketed to men and parents of boys. An example of this is this early Apple ad.   Potentially these marketing strategies fostered a societal view that computers were for boys.

This was reinforced throughout popular culture. While we saw women doctors and lawyers on TV and in the movies, the movies that show programmers have nearly all male protagonists – everything from Revenge of the Nerds and War Games to Firewall and The Social Network.

It’s easy to follow the trajectory forward.  Boys have more access to computers and programming experience growing up.  Girls arrive at college with less experience then their male peers because they haven’t been programming on their own and are therefore at a disadvantage in the introductory C.S. classes. Even if they understand the theory the lack of hours of experience will be hard to quickly overcome. It is natural for students, their peers, families and professors to mistake this lack of experience with lack of aptitude. This was the finding of Jane Margolis, one of the foremost experts on disparities by race and gender in computer science, in her research at Carnegie Mellon.

Some colleges such as Harvey Mudd and Carnegie Mellon are proactively dealing with this issue. They are making real progress – at Carnegie Mellon women in the class of 2014 comprise 40% of their CS majors. These programs at Harvey Mudd and Carnegie Mellon can and should be replicated. Making CS part of a core required high school curriculum could level the playing field. While discouraging for computer science, the chart above shows that change is possible.  Like any major sociological change, though, there are not quick fixes. As parents, technology marketers and educators we need to step up.

Aligning Incentives

One of the most important things you can do to optimize the chance of getting a positive or successful outcome is to align incentives at the beginning. We think of this often at a micro level when designing compensation such as commission plans or bonus plans but it is true at a macro level in general organizational design and even for marketing and business strategy. The aligned incentives need to be inherent and structural to the strategy and organization. When you get it right it’s like biking downhill – everything takes less effort. When incentives are not aligned there is a resultant continual management overhead dealing with the consequences.

My experience managing both advertising-based businesses such as Yahoo Mail as well as subscription businesses such as SugarSync and Catch taught me that aligned incentives between company and customer make it so much easier to manage day-to-day implementation against strategy. At Yahoo mail we were constantly trying to balance competing interests – we needed a large enough volume of advertising impressions and impression formats that were aggressive enough to yield clicks but not too many or to obstructive so as to detract from the user experience beyond the point where it would reduce usage. There was no science behind this balance leading to endless organizational thrash and, arguably, poor decisions and eventual loss of market share.

A freemium business model approach such as the one SugarSync took while I was CEO from 2009-2013 had the opposite dynamic. The more our customers used the product, the more data they would store, the more likely they were to run out of storage and upgrade from free to paid or to a higher paid plan. The marketing tactic in this situation was simple – improve usability and/or add features such that people will want to use it more. Unlike the ad supported example, usability and revenue are tightly aligned. Day-to-day decisions were therefore more straightforward and easier to delegate. Other freemium businesses have experienced this same phenomenon, certainly it was true for Catch.com and for Evernote as explained here by Phil Liblin’s.

If you find yourself as a constant arbiter of small decisions and prioritization questions ask yourself where incentives or goals might be misaligned.

Just as organizations can be misaligned I believe that same misalignment can apply to the inherent design of products. We have seen it frequently in particular in apps that focus on anonymous communication. I read an interesting article about the army of labor being employed to fight bullying and other harmful behaviors on the various anonymous apps (Secret, Whisper etc).  They simply can’t keep up with the volume of the problematic behaviors that are rife in these apps. While of course there are many well-intentioned posts, anonymous apps are a draw to those who want to harm. Almost any application will suffer from abuse and the app provider will need to come up with some method, usually a combination of automated and manual intervention, to manage it. But the situation described by Gigaom shows, in my view, that the incentives built into the app actually encourage abuse. It is, as the underwriters say, a form of adverse selection. Sick people are quicker to buy health insurance and the bullies are quicker to join apps and troll on sites that allow them to abuse with impunity.

Recent examples have only served to heighten my concern about the harm caused by anonymous apps and anonymous commenting by trolls. People who are obviously vulnerable and suffering such as Zelda Williams just after the death of her father are attacked. In fact any public figure is likely to suffer at the hand of internet trolls. But you don’t even need to be famous to be a victim of trolls. We are witnessing a dramatic chilling effect – misogynistic trolls have silenced many serious articulate female voices.

Does anonymity encourage bad behavior? Psychologists and sociologists have long observed that we restrain ourselves from self-interested bad behavior based on two systems – our internal conscience or “superego” as designated by Freud as well as societal pressure and feedback. Our relationships, commitments, values, norms, and beliefs and desire to participate fully in society encourage us to meet societal behavioral norms. Take away the societal element through anonymity and we’re left with only our individual consciences. For most people our conscience and empathy is enough to keep us following the “golden rule” but the internet is so vast that a small percentage of the population can make things miserable for many people.

Yes, there are some excellent reasons to allow anonymity (as described by the EFF here  and further discussed here by Fred Wilson). But the harm from anonymity enabled trolling and messaging is a very real, even deadly problem.

I suppose that any technology that can be used for good can be used for harm.  Twitter is a great example of this. There has been harm, as in the Zelda Williams example, but also very important and positive social benefits have occurred where the cloak of anonymity has protected the vulnerable. But we must not stand behind the shield of the legitimate benefits of anonymity when there are some technologies and settings that seem to be at worst, designed for harm or, at best, designed in such a way that the ratio of harm to good is negatively balanced.

It does not have to be this way.  I find it amazing that smart application design and community standards can make seemingly scary things like selling valuable goods over the internet or renting your guest room to strangers surprisingly secure while poor design can make you the “go to” app for cyberbullies. If your app requires an army of labor in the Philippines to police user behavior its time to question what are you really trying to do. It comes down to aligning incentives.

 

 

Thoughts on Privacy

Privacy has always been an important topic but has taken on increased attention in the last year. But first – what do we mean by privacy?  I think a good definition is that privacy is the ability to be free from being observed or bothered and to determine whether, if, and how information isto be revealed.  Privacy is a broad concept and ranges from the physical to information about us to our thoughts and ideas and can be related to both individuals and groups or organizations.

Our society sees privacy not just as a desirable state but as a basic human right.  The right to privacy, while actually not explicitly stated, is thought to be clearly implied in the Bill of Rights and later constitutional amendments via their protection of beliefs (1st), home (3rd), person (4th), information (5th) and basic liberties (14th).  Similar protections exist in other free countries.

Psychological research has shown what is intuitively obvious – privacy is a basic human need, perhaps not at the level of our physical or security needs but a strong need nonetheless. It is natural to want and to protect a private space.  We lower the blinds on our windows and seek out places in nature to be alone.  Young children have very little privacy, they gain more as they mature.  Privacy affirms our dignity and makes us feel respected.  The founders of our nation recognized this need and protected it. They also recognized the risk and tendency of government to overreach and drew a protective line.

The importance of this need and subsequent right to privacy leads to the tremendous anxiety we feel when this right is violated.  Learning that our online account is hacked is the modern day equivalent of the enemy tribe invading our territory or a robber entering our home.  It is not surprising that emotions run high when this happens as many women shared in this SheByShe survey.

Despite its importance, we willingly and frequently make compromises around privacy.  At a personal level, sharing private thoughts and feelings leads to intimacy – intimacy cannot be achieved without relinquishing some privacy – and our intimate relationships are precious.  We compromise privacy to enable others such as doctors to help us.  More commonly, we compromise privacy for convenience.  There are innumerable benefits we reap when we use modern technologies to manage our lives.  But we make those compromises based on the promises of the companies whose products we are using. And they are our compromises to specifically make.

When we give up some of our privacy to loved ones, professionals or organizations we are trusting them with something precious. When our government crosses the privacy line or the promises of a company we relied on were not kept, it is our human nature to react viscerally. We go beyond the intellectual and feel it in our gut.  It is a violation.  There is even more sensitivity to this topic in places where those violations were systematic in the past.  The Orwellian state so well depicted in “The Life of Others” actually happened.  It is no wonder that Europe has led the US in advocating for privacy protections.

Modern internet businesses have tremendous responsibility.  The most sensitive of information can be in our online accounts and too often those responsibilities have been breached.  To make matters worse, those breaches have often not been accompanied by adequate acknowledgement of or remorse for the breach. I am amazed by the lackadaisical and casual attitude from Facebook on their most recent “research” project.

Not surprisingly, I am in favor of stronger privacy protections from our government.  At the moment it seems as if we have the “fox watching the chicken coop” and both political parties are guilty (something about absolute power corrupting absolutely).  Stronger oversight and privacy advocacy is needed.  Stricter rules for company privacy and consequences for violations are important as well. If they care about this topic, consumers need to vote with their feet and patronize companies that better respect and value privacy.

In the case of services dominated by large near-monopolies such as Google and Facebook, however, that vote becomes impractical. The tremendous economies of scale in search have meant that solutions offering enhanced privacy such as DuckDuckGo are less robust and the tremendous network effects in social networking have made it incredibly difficult to create a real alternative to Facebook.

When facing difficult problems I often think of this phrase by John Sloan Dickey, which I first heard at Dartmouth.   “The world’s troubles are your troubles … and there is nothing wrong with the world that better human beings cannot fix.”  Humans created this problem so I’m optimistic that “better humans” can solve it. Technology is part of the problem but can also be the solution.

Brilliant humans have invented the many forms of modern cryptography and encryption and the public key architecture that makes it usable at scale.  There is still a tremendous gap, however. These secure encryption solution are not easy enough to use – there are simply too many usability hurdles.  For instance, TrueCrypt and its alternatives can be used in combination with public cloud solutions such as SugarSync and DropBox to ensure data privacy but this is not usable or practical for most people. Secure email solutions and private browsing options such as Tor also lack ease of use.

I’ve written previously to Beware of False Dichotomies.  I’m convinced that security v. usability is ultimately a false dichotomy and the person or company who proves this will enjoy tremendous business opportunity.  You should not need to be a hacker to be able to have confidence that your browsing or communication will remain private.  We can fix the privacy problems we face.

Georgetown MSFS Graduation Speech Video

The video from my speech was posted on the Georgetown site here.  My part starts at about 20 minutes in.