Maternal Mortality Crisis Solution - DoulaID: an identity app

[GENERAL] Name and surname of main applicant

Lance Byrd

[GENERAL] Are you delivering this project as an individual or as an entity (whether formally incorporated or not)

Entity (Incorporated)

[GENERAL] Co-proposers and additional applicants

The core team on this project is:

• Annie Byrd - Talent Acquisition Specialist & Community Leader, UMBC and Co-founder of DoulaID
• Ana Rodney - Executive Director, MOMCares
• Micknai Arefaine - Leadership Team Member, Baltimore Doula Project (BDP)
• Lance Byrd - RootsID CEO, Co-founder, and software developer, RootsID
• Rodolfo Miranda - RootsID CTO, Co-founder, and software developer, Roots

[GENERAL] Please specify how many months you expect your project to last (from 2-12 months)

4

[GENERAL] Please indicate if your proposal has been auto-translated into English from another language

No

[GENERAL] Summarize your solution to the problem (200-character limit including spaces)

DoulaID is a RootsID identity built on Cardano that addresses the maternal mortality crisis in Baltimore City. The app helps doula organizations enroll culturally congruent doulas with Medicaid.

[GENERAL] Does your project have any dependencies on other organizations, technical or otherwise?

Yes

[GENERAL] If YES, please describe what the dependency is and why you believe it is essential for your project’s delivery. If NO, please write “No dependencies.”

The DoulaID app will leverage the Cardano Foundation open source identity wallet in order to manage Doula's identities on Cardano using the KERI standards for identifiers and digital credentials.

The app will also leverage the RootsID Cardano Super-Watcher funded in Catalyst F11.

[GENERAL] Will your project’s output/s be fully open source?

No

[GENERAL] Please provide here more information on the open source status of your project outputs

The DoulaID app will be leveraging and contributing to many open source projects including:

• The Cardano Foundation identity wallet
• The RootsID Super Watcher on Cardano
• The WebOfTrust suite of KERI related repos
• And several others!

[METADATA] SDG rating

Target3.1

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

Target3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

[SOLUTION] Please describe your proposed solution

What is a Doula?

Doulas are non-traditional learners who may enter birth work through apprenticeship or shadowing. Most doulas are trained and certified, but there is not one standard training/certifying body. Each doula training organization teaches core competencies that are necessary to provide appropriate doula support. When a doula learner downloads the app, they are guided through introductory material about doulas, doula organizations, and becoming a doula. If they choose to begin the doula learning journey, DoulaID will connect them with certifying doula education organizations. As the doula learner completes courses and milestones they are given digitally verifiable credentials that can be used to assess their ideal placement as birth workers. Based on this assessment, learners can apply for jobs, register with Medicaid, and unlock new opportunities in the app. DoulaID will enable culturally congruent doulas to connect with the clients who need them the most.

What is DoulaID?

DoulaID is a RootsID app and grassroots organization that is helping address the maternal mortality disparity crisis in Baltimore. Over the last 2 years DoulaID has teamed with community doula organizations to manually enroll culturally congruent doulas with Medicaid. In collaboration with the Maryland health department, we are identifying how to improve successful enrollment of doulas. This effort is strengthening the doula network in Baltimore with Medicaid registered doulas who can access sustainable income while helping the clients who need them the most.

As the parent company of DoulaID, RootsID is leveraging our digital identity ecosystem to power the DoulaID app. DoulaID helps doulas navigate the complexities of a healthcare system that was built for doctors including; training, enrollment, scheduling, and payment. DoulaID allows users to focus on what really matters, healthy mothers and babies.

DoulaID is a RootsID app that invests in human potential by empowering doula learners and workers to engage with underserved clients, connect with sources of sustainable income, and access other vital resources. DoulaID guides users through the education, certification, networking, and payment process. DoulaID also helps birthing individuals connect with culturally congruent doulas. The DoulaID app is one part of the greater vision for doulas in underserved communities. We have partnered on a government proposal to build a learning collective hub for doulas, similar to what has been successful in Oregon and New Jersey. The hub is an environment where doulas receive training and certification and are provided support to be successful in the larger birth ecosystem. The doula hub would advocate for a thriving doula community, equitable compensation, ease of Medicaid reimbursement, and sustainable doula careers. DoulaID would be an integral part of the doula learning hub.

DoulaID on Cardano

There will be many different types of digital interactions that will require support from the Cardano blockchain. This includes strong cryptographically verifiable digital identity, transparent interactions and training/career/financial achievements that are cryptographically verifiable. Cardano and the Catalyst community will benefit from the rise of usage in the Cardano network, all in support for this important and visible human challenge and solution.

DoulaID mocks

https://www.youtube.com/watch?v=_0fse0irwC0

Additional information:

Complimentary proposal:

This proposal is focused on the app and technology of the DoulaID solution. We previously submitted a supporting proposal to fund the human and governance components, in the Products and Integrations challenge of Fund 10.

More about the Maternal Mortality Crisis and Medicaid support:

Black women in Baltimore are 2.25 times more likely to die of pregnancy-related causes than their White counterparts. Medicaid eligible Black mothers are at an ever higher risk for negative birth and postpartum outcomes. Birth work has a long tradition in black communities. Doulas of color are an integral part of the well-being of new families. Doulas have been shown to be especially effective at improving birth outcomes and maternal health in communities with the highest disparity.

Doulas are professional labor assistants and advocates who provide non-medical physical and emotional support during pregnancy, labor, and postpartum. Maryland Medicaid recently added reimbursement for doula services (up to $1427/birth). This funding is a key part of the solution to the maternal mortality inequity.

More about the organizational identity governance framework:

GLEIF, Global Legal Entity Identifier Foundation, was created in the wake of the 2007/08 economic crisis by the G20 countries to help improve financial stability worldwide and make sure counterparties to transactions could be readily revealed. GLEIF issues Legal Entity Identifiers (LEI) that provides key information about businesses, funds and governmental organizations participating in business transactions, including their name, when they were formed and, crucially, their ownership structure. More than 2.3 millions of Legal Identifiers were issued so far to companies around the world, a number that is rapidly increasing over time as the regulation enforces their use.

Recently, the GLEIF began to issue a verifiable credential called vLEI (verifiable LEI) that allows the assertion of delegation chains and the digital proof of correctness of things like signatures in financial reports. The vLEI allows those Legal Entities to participate in the verifiable credential ecosystem.

Those verifiable credentials are based on a fully Decentralized Identity technology called KERI/ACDC that requires supporting witnesses to provide a second source of trust. On Fund 9, rootsID got funded to develop the first Proof of Concept for a KERI witness on a blockchain, a project that was delivered successfully on time. 

RootsID is currently building a Catalyst F10 proposal for the RootsID Cardano Super-Watcher funded in Catalyst F11.

[IMPACT] How does your proposed solution address the challenge and what benefits will this bring to the Cardano ecosystem?

Answer:

DoulaID is a RootsID concept app that connects Doulas to the identity, training, insurance, credentials, accounts, professional experience, etc required to bill Medicaid. DoulaID is solving the business coordination and stakeholder challenge in parallel with the technology implementation effort. DoulaID is a grassroots organization engaging with local doula communities, doula training organizations, doula practices, the Maryland Department of Health and many more stakeholders. The interactions between doulas and their customers, providers, insurers, and more requires a rich set of verifiable credentials. DoulaID will promote a credential ecosystem that is rooted in the vLEI governance framework provided by GLEIF. This framework is the first major implementation of the open standard governance framework specification provided by Trust over IP. RootsID are contributing members of Trust over IP and are developers as well as participants in the GLEIF governance framework. DoulaID simplifies the complex processes for doulas who do not have the infrastructure and support of their medical counterparts like doctors, nurses, midwives, etc. We help them engage with training companies, doula practices, insurers, managed care organizations, and more.

DoulaID provides a platform that uses decentralized identity technology that:

• Incentivizes participation
• No need to manage user accounts
• reduce liability
• reduce IT infrastructure
• increase access
• increase support for multiple sources
• Provides complete cryptographic verifiability of every interaction
• increases speed
• decreases friction
• eliminates fraud
• Non-traditional learners like doulas are empowered with nuanced careers
• all significant interactions are verifiable and can be used to bolster Resume.
• Promotes Interoperability
• Leverages the global network of 2.4M LEIs
• Open Source/Standards identity software
• ISO standards
• Trust over IP
• Unlocks positive impact
• Doulas have been shown to reduce Maternal mortality in the US
• Creates sustainable non-traditional learner jobs
• Better care for low-income mothers
• Streamlines coordination in a decentralized ecosystem
• An extension of the GLEIF governance framework can be extended

The app also helps doulas to:

• Identify, organize, and interact with stakeholders

Our proposal allocates funds for the RootsID developers to converse with these stakeholders to provide the simplest app possible, to handle these complex interactions.

RootsID works closely with the GLEIF governance framework and the ToIP Governance Working Group. We are extending these specifications and frameworks for the Medicaid and doula structured ecosystems.

DoulaID has already published an initial report to the Maryland Department of Health who manages Maryland (Baltimore) Medicaid. The report detailed how to improve their doula registration process. The DoulaID will make this process easier for Doulas to follow and complete. It will include step-by-step instructions and unlock new features as the doula further qualifies as a care provider.

We will continue to publish more reports to Catalyst, the doula community, Maryland department of health, and other stakeholders for how to improve the access of doulas, Medicaid insured mothers, etc.

[IMPACT] Please define the positive impact your project will have on the wider Cardano community

Our core metric is how many doulas have been guided by DoulaID, to register with Medicaid. Medicaid mothers are at the highest risk of negative birth outcomes. Research shows that doulas improve maternal mortality outcomes. Therefore we are focused on brining as many doulas as possible to the highest risk populations. Doulas need funding from Medicaid to sustain their work and so connecting doulas to Medicaid funds and Medicaid covered mothers is our target metric.

As the number of doulas, training institutions, insurers, mothers, etc grows, the Cardano network will benefit from usage and the community and ecosystem will benefit from this high visibility and extremely important human challenge.

We believe our success is very realistic. DoulaID has already helped several doulas and practices to get registered with Medicaid. This proposal builds on that success to provide an app based on previously funded open source Catalyst projects that RootsID completed in previous funds (since Fund 6 through Fund 9). 

DoulaID will be the first production decentralized identity app (and infrastructure) built to use Cardano. RootsID will leverage their previously Catalyst funded open source projects to implement this exceptionally impactful and innovative project. This will help establish the Cardano blockchain as; an important part of our decentralized identity app, an important part of the GLEIF ecosystem, and an important part of the challenge to improve the maternal mortality rates for low-income mothers.

We will provide metrics on the number of doulas guided through medicaid registration, provide reports about the governance framework and provide qualitative responses from users and stakeholders.

We propose the following metrics for this proposal DoulaID app:

• Number of Doula education organizations that have seen DoulaID alpha and are aware of the process and how the issuance of their credentials benefit; them, the doulas, the clients, and the Medicaid system.
• Number of Baltimore City doula organizations that have seen DoulaID alpha and are aware of the process and how the collection of doula credentials benefit; them, the doulas, the clients, and the Medicaid system.
• Number of Baltimore City doulas who have started the training and certification process
• Number of doulas who have started the Medicaid registration process
• Number of DoulaID users

[CAPABILITY & FEASIBILITY] What is your capability to deliver your project with high levels of trust and accountability? How do you intend to validate if your approach is feasible?

The DoulaID team has been working on the community portion of this proposal. Annie has successful registered multiple doulas and a doula practice. She has also documented the barriers in the process and reported the results to the Maryland department of health. Her work was part of her Masters degree in community leadership and now has funding from the Baltimore Field School grant with additional grants applications in process. She is an expert in the doula Medicaid process in Maryland and the US.

Over the last year DoulaID has teamed up with MOMCares and Baltimore Doula Project, organizations that support underserved birthing people who are at high risk of negative birth outcomes in Baltimore City. The goals of these organizations is to address the gaps in birth care and reverse the Black maternal health crisis nationwide by providing life-saving doula services. We have collaborated with these organizations to enroll their doulas with Medicaid manually. Through this enrollment process, we have discovered the need for a technological solution to manage the administrative tasks.

Over the last year the RootsID development team has completed multiple versions of its verifiable credential app called RootsWallet. The development, testing, user feedback and lessons learned are the basis for the DoulaID app. This work included our participation in the JFF PlugFest 2 challenge which resulted in several interoperable apps and services for issuing and receiving verifiable credentials based on the Open Badge specification.

The RootsID team has been delivering Open Source building blocks for the Self-Sovereign Identity ecosystem in Cardano. We have been funded in several Catalyst projects since Fund 6. Our funded proposal are listed in our web page and also in lidonation, where you can find that we have delivered successfully and on time 18 out of 19 funded proposals. Proposal links, reports, and final videos can be found in those links.

The team is constantly engaged in all Self Sovereign Identity Cardano activities such as Atala Prism Astros, Atala Prism Pioneer Program, Prism+SSI After Town Hall break rooms, and meeting periodically with partners or related Catalyst projects with the aim of collaboration and help adoption and growth of Cardano in the Identity world.

Additionally, the team participates actively in the worldwide SSI community by attending and collaborating to several working groups in the Decentralized Identity Foundation, the Hyperledger foundation, the Trust over IP foundation, and the KERI community.

We’ve been providing technical services and consultancy on Decentralized Identity to several companies and organizations including:

• IOG
• Cardano Foundation
• GLEIF

A general timeline of our previous work and achievements include:

RootsID joins the first cohort of the Prism pioneer program September 2021

RootsID development group formed November 2021

RootsID startup established February 2022

RootsID completes RootsWallet alpha - android mobile app June 2021

Meeting with Maryland Medicaid Deputy Director, Office of Innovation, Research and Development August 2022

Maryland Medicaid and Maternal Mortality Disparities Research August 2022

Meeting with State Senator Ellis re: Maryland Medicaid Doula Program September 2022

RootsID completes RootsWallet beta - android mobile app September 2022

Partnership with Baltimore Community Doula Groups October 2022

RootsID begins verifiable identity and verifiable credential standards, education, and consulting October 2022

RootsID completes JFF Plugfest 2 interoperability development December 2022

Begin MOMCares and BDP enrollment process with Maryland Medicaid January 2023

Launch of DoulaID January 2023

RootsID completes RootsWallet alpha - iOS mobile app January 2023

Baltimore Field School Grant Awarded February 2023

RootsID completes 14 community funded prototypes February 2023

Baltimore Field School 2.0 work with Baltimore City Doulas begins June 2023

RootsID delivers 5 open source projects within the KERI identity ecosystem July 2023

[PROJECT MILESTONES] What are the key milestones you need to achieve in order to complete your project successfully?

Milestone1 goals:

• Design new architecture and features: 1 weeks
• Tech team, Community team planning: 1 week
• Project planning and task allocation: 1 week

Milestone1 outputs:

The design documentation of the project in a GitHub repository with development project, milestones and issues created for each individual task

Milestone1 acceptance criteria:

• Published architectural diagram and feature list
• Published team planning meeting notes
• Published project plan/roadmap with rough task allocation

Milestone1 evidence of milestone completion:

• Architectural diagram and feature list
• Team planning meeting notes
• Project plan/roadmap with rough task allocation

Milestone2 goals:

Alpha architectural component development completed

Milestone2 outputs:

The architectural alpha components of the project in a GitHub repository implementing the defined components

Milestone2 acceptance criteria:

• The DoulaID alpha app is deployed
• The DoulaID alpha web service is deployed

Milestone2 evidence of milestone completion:

• The DoulaID web app is available
• The DoulaID web service is available and dependencies are runnable locally and on a test network so that feedback from alpha users can be collected

Milestone3 goals:

Beta architectural component development completed

Milestone3 outputs:

The architectural beta components of the project in a GitHub repository implementing the defined components

Milestone3 acceptance criteria:

• The DoulaID beta app is deployed
• The DoulaID beta web service is deployed

Milestone3 evidence of milestone completion:

• The DoulaID beta web app is available
• The DoulaID beta web service is available and dependencies are runnable locally and on a test network so that feedback from alpha users can be collected

Milestone4 goals:

Release candidate architectural component development completed

Milestone4 outputs:

The architectural release candidate components of the project in a GitHub repository implementing the defined components

Milestone4 acceptance criteria:

• The DoulaID release candidate app is deployed
• The DoulaID release candidate web service is deployed

Milestone4 evidence of milestone completion:

• The DoulaID release candidate web app is available
• The DoulaID release candidate web service is available and dependencies are runnable locally and on a test network so that feedback from alpha users can be collected

Milestone5 goals:

Pilot architectural component development completed

Milestone5 outputs:

The architectural pilot components of the project in a GitHub repository implementing the defined components

Milestone5 acceptance criteria:

• The DoulaID pilot app is deployed
• The DoulaID pilot web service is deployed

Milestone5 evidence of milestone completion:

• The DoulaID pilot web app is available
• The DoulaID pilot web service is available and dependencies are runnable locally and on a test network so that feedback from alpha users can be collected

Final goals:

Final pilot deployments completed.

Presentations of DoulaID to the community and stakeholders

The Community user pilot begins.

Final Milestone outputs:

A community meeting (and recording) demonstrating the DoulaID pilot app and pilot activities.

Final milestone acceptance criteria:

• The DoulaID pilot app has been opened to the pilot participants
• The community has been briefed on the DoulaID pilot program

Final milestone evidence of milestone completion:

• The DoulaID pilot web app is being used by pilot participants
• A final report including the pilot kickoff community meeting recording is provided.

[RESOURCES] Who is in the project team and what are their roles?

The core team on this project is:

• Annie Byrd - Talent Acquisition Specialist & Community Leader, UMBC and Co-founder of DoulaID. She will be managing the community interactions with the DoulaID app.
• Ana Rodney - Executive Director, MOMCares. She is the Baltimore City doula champion and will help socialize the app with users, clients, and stakeholders.
• Micknai Arefaine - Leadership Team Member, Baltimore Doula Project (BDP). She is a doula hub coordinator and will be working with Annie to roll the app out to partners like training centers, managed care organizations, etc.
• Lance Byrd - RootsID CEO, Co-founder, and software developer, RootsID. He will be working on the business elements and management as well as software development.
• Rodolfo Miranda - RootsID CTO, Co-founder, and software developer, Roots. He will be leading the technical architecture and open source software community engagement.

This proposal is focused more on development of the app (as opposed to our governance proposal) so additional details of our technical staff are provided:

Rodolfo Miranda is a co-founder of RootsID and contributor on several of our projects, including RootsWallet. 

His background includes a MS EE degree at Stanford University and more than 25 years of successful work experience in both large multinational companies and owned startup projects. His main activities involve architecting, developing, and implementing large scale software solutions for the Telecommunication Industry. Lately, he was engaged in blockchain technologies and became an enthusiast of Self Sovereign Identity. He’s an active contributor in the Aries, DIDComm, KERI and Anoncreds Working Groups.

He’s also involved in the Cardano Community, participating as a veteran Proposal Advisor, member of the LATAM Cardano Community, and the Cardano Community SSI Alliance.

LinkedIn

Lance Byrd is a co-founder of RootsID, a group of decentralized identity specialists building open source software for digital identity. Several of their projects have been funded by Catalyst. He is primarly focused on RootsWallet, the end-user identity wallet.

His background includes a BS in Computer Science (UMBC) and MS in Information Assurance (Capitol College) and more than 22 years of software development as a consultant. He has developed massive scale data analytics and visualizations, machine learning analysis pipelines, and worked with University researchers to bring their work to market. He has also built and taught technical certification courses for several different topics in data analysis, big data, and compliance.

He completed the first cohort of the Atala Prism Pioneer program and is now part of the Atala Prism Astros program.

Linkedin

Lance will be leading the project with Rodolfo as supporting developers of our KERI technology stack. We are also including two extra developers currently working for RootsID that will help with the efforts of UI design and DevOps.

[BUDGET & COSTS] Please provide a cost breakdown of the proposed work and resources

Our budget is mostly composed of development hours at a ratio of ₳200/hr, plus the hosting costs. There are also costs for interacting with the governance and community team and marketing/promotion. Based on the activities defined above the requested breakdown budget is:

DoulaID pilot Medicaid Guide App

• Design: 20hr = ₳4.000
• Project Plan: 20hr = ₳4.000
• Development: 195hr = ₳30.000
• Alpha = 60 hours
• Beta = 60 hours
• Release Candidate = 50 hours
• Pilot = 25 hours
• DevOps tasks: 50hs= ₳10.000
• Test and improvement iterations: 50hr = ₳10.000
• Yearly AWS instance: ₳2.000
• Domain name + SSL: ₳1.000
• User meetings, review, feedback, and changes costs
• Focus Groups with feedback: 20hr = ₳4.000
• Alpha/Beta/RC User Testing: 30hr = ₳6.000

TOTAL BUDGET: ₳100.000

[VALUE FOR MONEY] How does the cost of the project represent value for money for the Cardano ecosystem?

We have been funded for over 14 Catalyst proposals and several grants and are highly confident that our plan, budget, and team are an excellent combination for success for us and for the Cardano community.

Our costs are based on all of our work at DoulaID and RootsID over the last 2 years. We have optimized those costs to provide the maximum value while giving us a strong chance for success. We have not raised our costs over the last 14 funded Catalyst proposals. Those previous proposals can be leveraged to reduce costs for our future Catalyst work.

We are charging the lowest rates to the Catalyst community than any other customer. Catalyst was our first customer and benefits from having funded us over 14 proposals.

The Cardano ecosystem is still looking for its first significant identity app success. And at the same time the Cardano community want to show the power of Cardano applied to real human challenges. This proposal represents an excellent opportunity to satisfy both, and can establish Cardano as a governed blockchain ecosystem with the maturity and funding to support production identity solutions.