Day 52 of VaccinateCA.com and I have the update baton.

It's been a busy few days, but we still did the same thing we do every day: call hundreds of medical professionals to confirm ground truth about the availability of the covid-19 vaccines.

Lots of work starting:
The state has announced a major change in eligibility criteria (broadening of vaccine availability, including prominently to individuals with pre-existing conditions, who are at high-risk if they contract covid-19) on March 15th.

We are sprinting to get ready for this.
This is going to include:

1) Needing to understand and model how the healthcare system(s) understand pre-existing conditions
2) Assisting in communicating that message to our end-users and those of community-focused organizations
3) Rearchitecting to capture on-the-ground truth
We're quickly doing research projects, adjusting call scripts, scaling call capacity (including adding two call centers), rearchitecting our backend (new version in Django, after Airtable has served us well the last 2 months), and similar to get ready for a more complex operation
We've also hired a full-time PM, to help us with the increasingly complicated interplay between our internal operations, product surfaces, and partners.

In addition to our public API, we have been backing a few large publishers, and are continuing to work on more. More later.
We're up to 2,077 locations with the vaccine available in California.

The rapid increase in the last few days is partially a reflection of ground truth and partially us expanding our calling footprint to include some data sources we recently got access to.
The next few weeks are going to be all-hands-on-deck here as we deal with this stage of the response. It would be a high leverage time to make some calls, particularly next weekend and week.

If you'd like to help, please register interest at vaccinateca.com/volunteer

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More from @patio11

4 Mar
I was watching Margin Call last night, as one does, and have almost never heard as much characterization and commentary as implied by the following dialogue:

Situation: X reports they cannot find Y, a recently fired employee.

CEO: "Carmelo, get me Y."
Carmelo: "It is done."
I think that is literally Carmelo's only line in the movie.

Everyone who has ever worked in a high-performing company knows *immediately* who Carmelo is.
Carmelo isn't a title. Carmelo isn't a role. Carmelo isn't a position on an org chart. Carmelo may not even be on the org chart.

Carmelo is... Carmelo.
Read 4 tweets
4 Mar
One of the weird things about modern software operations, inclusive of VaccinateCA, is that you're both building a machine while operating a machine, and if you over-rotate on either side of that, you can be surprised how much changes while you're not looking.

Case in point:
Me: "Wait when did we get up to 1,900 locations!?"
Ops: "You know we still call hundreds of places a day, right."
Me: "Yes but I took my eye off that ball to do $OTHER_STUFF for like three days."
Ops: "Again, you know we still call hundreds of places a day, right."
Apropos of nothing, the VaccinateCA experience has increased my credence in a long-held belief:

"Operations" is due for a massive increase in internal status/pay/career prospects within the software industry, like the sysadmin to DevOps transition before it.
Read 7 tweets
3 Mar
So true that I'd like to underline it for emphasis:

Nothing I ever did in my consulting career was rocket science. I wouldn't be the smartest or most diligent person working at any of my clients if I had had an employee badge there.
I was selling, very directly, "If you could staff a talented engineer on this problem, you would not have this problem. But you do have this problem. For $30k a week, you very predictably won't have this problem anymore. It costs you a truly stupid amount of money."
"But I have many talented engineers working for me."

"Cool show me the project plan which is going to rework your purchasing funnel." "VPE laughed in my face." "Do you hear me laughing? No. I am willing to do this boring scutwork. For $30k a week. For two weeks."
Read 6 tweets
2 Mar
A great line from a shoeshine shop owner, who shined 20k pairs of shoes in 3 years:

Interviewer: “Is it alright if I show the secret?”
Owner: “Of course. If [competition] tried to imitate it they’d never duplicate it.”

at about 12:30
In addition to being the right sort of way for most businesses to think about process knowledge, this is a guy who understands deeply that he’s not just selling shiny shoes, he’s selling the shine as an experience, and he’s the only one you can get exactly that experience from.
“What’s the experience?” The storefront as an outpost of refined style, the presentation of the operator, the patter about the shoeshine process itself, the “We stole our techniques from the best shoeshine artists in Japan... and now do things entirely differently”, etc.
Read 7 tweets
1 Mar
One of the greatest disconnects between people writing vaccination plans and the general public, not yet really corrected by consistent public messaging:

Pharmacies are expected to be a major vaccination channel but are often not tied to the central administration locally.
This is generally for structural reasons, often as simple as "Well we have no way to get data from their systems into our systems at the moment" or "Their supply chain doesn't talk to our supply chain."
The upshot of this is, because public messaging tends to feature public health departments and their websites very heavily, those get crushed under demand, have no remaining appointments, appointments get taken in minutes, etc.

Meanwhile pharmacies comparatively underused.
Read 6 tweets
28 Feb
I remember 768 MB of RAM on my college computer feeling like obscene decadence.

The extra sticks were also the first important thing I ever bought from the Internet and I was unsure whether somebody was just going to take all my money and not ship the RAM.
“What were you buying back-alley dark net RAM or something?”

No that’s just what we all thought about e-commerce in the late nineties. Sure it looked like a reputable shop and everything but who could really tell on the Internet.
(We underestimate how much better the world has gotten in the last twenty years!)
Read 4 tweets

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