Geeks are a critical driver of America's innovation ecosystem, from the entrepreneurs launching startups in Silicon Valley to the scientists experimenting in university research labs to the whiz kids building gadgets in their parents' garages.

Catalyzed by the Recovery Act, adoption of electronic health records is increasing dramatically.

Our job as leaders is to find those innovators and release their mojo - lean startup-style - to serve the American people better.

I basically apply with my teams the lean startup principles I used in the private sector - go into Silicon Valley mode, work at startup speed, and attack, doing things in short amounts of time with extremely limited resources.

Supported by digital data, new data-driven tools, and payment policies that reward improving the quality and value of care, doctors, hospitals, patients, and entrepreneurs across the nation are demonstrating that smarter, better, more accessible, and more proactive care is the best way to improve quality and control health care costs.