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The builder's path

Five steps from a problem to its solution.

For: People heading to the St. John's ER can't see how long they will wait.

“Some things are under our control, while others are not under our control.”
Epictetus · Enchiridion 1 (tr. W. A. Oldfather)

Routes to a solution

Six ways to take this forward

Each route is a different kind of journey, with real people and organisations to contact at each step, starting with those in Newfoundland and Labrador.

  1. Step 1

    Join an impact incubator

    Shape a model that pays for itself without excluding the people who need it.

    • Genesis ↗

      Newfoundland and Labrador's startup incubator: programmes, mentors and community.

    • Futurpreneur ↗

      Startup loans and mentoring for founders aged 18 to 39.

    • DataKind ↗

      Volunteer data scientists working with social-sector organisations.

    • Fast Forward ↗

      Accelerator for tech nonprofits.

  2. Step 2

    Raise patient capital

    Impact funds and fellowships for enterprises serving low-income communities.

What this problem needs

Ideas, sources and tools for this problem, from first interviews to funding.

  • Open data
  • Privacy
  • Analytics
  • Web

Ideas to explore

  • Idea 1Where to go insteadA short guide that helps someone decide between the ER, 811 and other care, using only public information, so non-urgent patients have a choice before they sit for hours.
  • Idea 2Patient-reported wait logLet patients anonymously log when they arrived and when they were seen at the HSC ER, and show a rough recent range, clearly labelled as unofficial, to test whether people want this data.
  • Idea 3Wait figures over timeCollect the published wait figures and left-without-being-seen rates into one table and chart, so the case for live wait data is easy to see.

Specific to this problem

Talk to first

Starter prompt

Built from this problem's brief. Paste it into Claude or any AI assistant.

Help me design and build a first working prototype for this problem in St. John's.

Problem: People heading to the St. John's ER can't see how long they will wait.
Who it hurts: Emergency patients on the Avalon going to the Health Sciences Centre ER.
The moment it hurts: Waits run for hours, and a growing share of patients leave without being seen.
Why it is still unsolved: The province publishes no live wait data.
What solved looks like: A patient can see the current expected wait at the HSC ER before they leave home.
Where: St. John's

First, list what you would need to learn from the people affected before building, as interview questions.
Then propose the simplest version that would help, the screens or messages it needs, and the data it would use.
Keep it cheap to run, accessible, and respectful of people's privacy. Flag anything you are unsure about instead of guessing.
  1. Understand it

    Talk to the people who live it before you build.

    “In the fields of observation chance favours only the prepared mind.”

    Dans les champs de l'observation le hasard ne favorise que les esprits préparés.

    Louis Pasteur · lecture at the University of Lille, 7 December 1854
  2. Prototype with AI

    Get a working version in front of people fast.

    Using AI is not cheating. Every tool carries the work of the people who made it, and using it well is how knowledge has always moved forward. The thinking, the care for the people who live the problem, and the judgement are still yours.

    “The Analytical Engine weaves algebraical patterns just as the Jacquard-loom weaves flowers and leaves.”
    Ada Lovelace · Notes on Menabrea's Sketch of the Analytical Engine, Note A (1843)
  3. Find the data

    Open data that fits this problem.

    “When you know a thing, to hold that you know it; and when you do not know a thing, to allow that you do not know it: this is knowledge.”
    Confucius · Analects 2.17 (tr. J. Legge)
  4. Build it

    Tools matched to what this problem needs.

    “Life is short, and Art long; the crisis fleeting; experience perilous, and decision difficult.”

    ὁ βίος βραχύς, ἡ δὲ τέχνη μακρή

    Hippocrates · Aphorisms 1.1 (tr. F. Adams)
  5. Launch and get support

    Ship it responsibly, and find help and funding.

    “Give me a place to stand, and I will move the earth.”

    δός μοι πᾶ στῶ καὶ τὰν γᾶν κινάσω

    Archimedes · as reported by Pappus of Alexandria

Kit written for this problem from its brief; every link was checked. Links go to each provider's own site. Zetema is not paid for any listing.