Joe McCannon leads Shared Nation, an online democracy initiative incubated by the Billions Institute. He co-founded the Billions Institute with Becky Margiotta and was CEO from 2014-2017. Before that, Joe was an Obama Administration appointee in the Department of Health and Human Services, as well as Vice President and faculty on large-scale improvement at the Institute for Healthcare Improvement (IHI), where he led the organization’s major domestic initiative to improve patient safety, the 100,000 Lives Campaign, and started its work in Africa. He has supported large-scale transformation in several nations, including Canada, Denmark, England, Japan and South Africa, and consulted on the topic for a number of organizations, including the Bill and Melinda Gates Foundation and the World Health Organization. He has published widely on the science of dissemination and has expertise in many facets of leading large-scale change, including design of innovations for scale, selection of effective spread methods and management of dynamic learning networks.