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The death of RSS (Real Simple Syndication) has made the Web less fluid. This is not a good thing. The good thing is that American cities are uniquely positioned to make a dent in this trend.

The popularity of this recent tweet by my colleague Harper Reed is a good indication of yearning for a generic subscription system for content updates:

i miss @google reader

— harper (@harper) February 8, 2015

Alongside the demise of RSS is the rise of proprietary timeline systems like Facebook and Twitter. This is a poor substitute because 1/ the systems are not universal and 2/ those systems are closed to aggregation, remixing, and analysis.

Cities can be at the center of part of a solution. 81% of people in the United States live in cities & surrounding suburbs, and this number continues to grow. This approaches some level of universality of experience, since interaction with businesses in these places make up a large percentage of the American experience. This includes every school, restaurant, coffee shop, parking spot, store. It covers nearly every review on Yelp, every check-in on Foursquare, any post of Facebook that relates to a business or organization located in a specific place.

Each municipality has rules, regulations, and processes governing the creation and maintenance of businesses. More importantly, each municipality has issued each business a unique ID (a “handle”) to which it can be referred, but never is. Whether it is a building permit, a liquor license, or a certificate of occupancy, there are amazingly detailed records on every business in every city of size.

These handles could be used as a trusted reference point for all other services. The overall repository of these numbers can then serve as a central, trusted repository for all other services to reference.

What if every review on Yelp, every Google Places page, every Facebook post that referenced a business, had this unique ID embedded in it in some way? And if all of these systems allowed for all of this disparate data to be aggregated into a complete view of the place? What if you could reference a location when making a service request? “The snow in front of Business 127 hasn’t been shoveled in three days”. Or, as a private business, you could lookup everything a city knows about a place. If it could be integrated with existing services like Open Table (“new tomatoes delivered to Restaurant 77. That means that the Fried Green Tomatoes special is on the menu”.) Unlimited.

It could be the trusted external source, not owned by any proprietary system. And it could be a platform upon which cities can start using their public data stores in more meaningful ways.

We have a number of health programs here at Smart Chicago, all of which are run by my colleague, Kyla Williams. In working on these projects, I’ve come across a number of intriguing concepts, just like one would in any sub-speciality. Chief of these concepts, for me, is “patient-centered”.

To me, a phrase like this is a tell. Any time an industry, company, or organization starts talking about “user-driven”, “customer-focused”, or “patient-centered” strategies, it is an indication that they’ve not been driven, focused, or centered in that direction in the past.

I’ve spent the majority of my career in the world of developing Web sites. In that sub-specialty, the idea of being focused on users is pretty much all there is. If you don’t have users, if you’re not making something that appeals to them and serves their needs, you’ve got nothing.

I don’t have any particular insight into the healthcare industry, since I’ve never worked in it. I can tell you from personal experience as a consumer of healthcare and as a general observer of pop culture, however, that I’ve never felt that patients were at the center of the experience.

Patient portals seem designed to deliver as little information as possible and optimize for medical professionals. Exporting information to give to other caregivers is cumbersome. Integration with email is weak— you have to log in to the system to get even the most innocuous information, like the details of a visit you just scheduled over the phone.

In 2015, we are embarking on and expanding a number of initiatives designed to get us deeper into the patient-centered trend. Our CUTGroup methodology is a recognized as a leading way to gather and act on the feedback of regular residents. The Smart Health Centers model, where we help place trained health information specialists in clinics to assist patients in connecting to their own medical records and find reliable information about their own conditions, is deeply patient-centered. Our Health Data Liberation Meetup Group is at the conceptual forefront for patient control

We think we have a lot to offer, and we’re excited about the work to come.

Toward a Municipal Ping Service

Smart Chicago and the Concept of “Patient Centered”