2008–2009: Tauzin's bridge to Boston, Christensen's recognition, and the $8 million grant that Hare calls the Unified Trust Model's true genesis (S-101).
Tauzin's bridge to Boston, Christensen's recognition that the architecture bypassed his own Dilemma, and the $8 million AHRQ grant Hare calls the true genesis of the Unified Trust Model. Vignette 19 of S-101, near-verbatim.
Because the Unified Trust Model — the mechanism patented, named and carried through every company since — was first funded here, by an agency persuaded to buy shared infrastructure instead of silos.
Christensen saw that the architecture bypassed his own Innovator's Dilemma and introduced the SMART team; Hare's advocacy with Carolyn Clancy and Jonathan White at AHRQ produced the shared-infrastructure RFI — and Resilient anchored a winning $8M UCSD-led proposal.
The trail exists so that people who were there can reconstruct their own memories, recognize what they helped incubate, and add to or correct the record — or forward the few pages that belong to someone they know.
Following my integration into the Intel/Dossia ecosystem, Congressman Billy Tauzin — then heading PhRMA — facilitated a critical bridge to the academic and healthcare power structures of Boston. I met with Clayton Christensen and David Yoffie at Harvard Business School. Christensen immediately recognized that Resilient's architecture bypassed the Innovator's Dilemma, and he introduced me to Isaac (Zak) Kohane, Ken Mandl and Josh Mandel, who were driving the SMART health IT platform.
While I deeply supported the Boston team's SMART project, I recognized a fatal flaw in the broader federal strategy: ARRA funding was being trapped in academic silos rather than funding true interoperability. Working directly with Dr. Carolyn Clancy, then head of AHRQ, and her deputy Dr. Jonathan White, I successfully advocated for an RFI focused on shared infrastructure.
That advocacy resulted in Resilient anchoring one of the winning proposals for an $8 million grant led by UC San Diego, with participation from Harvard, Vanderbilt and others. The AHRQ victory served as the true genesis of the Unified Trust Model.
The record marks the lineage precisely: the mechanism later patented, named and carried through every subsequent company was first funded here — by an agency persuaded to buy infrastructure instead of silos.
Episodes are building blocks. The same material appears in more than one where it belongs in more than one, and every claim traces back to a primary source.
The PhRMA head and board member who backed the coalition — and bridged Hare to Harvard's healthcare power structure
Open →In the graphThe Innovator's Dilemma author, met at HBS via Tauzin — who sent Hare straight to the SMART team
Open →In the graphThe AHRQ head (with deputy Jonathan White) whose RFI produced the $8M win — the true genesis of the Unified Trust Model
Open →In the graphThe trust network, and the intelligence years
Open →In the graphThe class Hare got stuck in, which changed everything
Open →In the graphIntel, Walmart, AT&T, Cardinal Health, BP — Craig Barrett's employer consortium for portable lifelong personal health records
Open →The record and the architecture are not separate arguments. Each of these mechanisms exists because of something in this episode, and each is what the episode turned out to require.
The episode is the story. The explainers are the mechanism — what problem it solves, how, and where it would fail.
The mechanism in full, with the condition that would defeat it.
Open the explainer →Consilient Innovators NetworkThe mechanism in full, with the condition that would defeat it.
Open the explainer →Quantum Adaptive Systems TheoryThe mechanism in full, with the condition that would defeat it.
Open the explainer →