Healthspital 4.0
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Healthspital 4.0 A Paradigm Catapulting Thought Experimental Neosynthesis World Future Society Chicago, Illinois 19-21 July 2013 Monday, July 29, 2013
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Dr Frank W Maletz presentation given at the World Future Society Conference in Chicago, IL July 2013.
Transcript of Healthspital 4.0
Healthspital 40A Paradigm Catapulting
Thought ExperimentalNeosynthesis
World Future SocietyChicago Illinois19-21 July 2013
Monday July 29 2013
A Proposed Model
Re-visioning the Community
Healthcare Experience
2
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
2010 Sustainability
2011 Moving From Vision to Action
2012 Dream Design Develop Deliver
2013 Exploring The Next Horizon
ldquoKnowing is Not EnoughWe Must ApplyWilling is Not EnoughWe Must Dordquo
-Goethe
World Future Society Themes
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
A Proposed Model
Re-visioning the Community
Healthcare Experience
2
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
2010 Sustainability
2011 Moving From Vision to Action
2012 Dream Design Develop Deliver
2013 Exploring The Next Horizon
ldquoKnowing is Not EnoughWe Must ApplyWilling is Not EnoughWe Must Dordquo
-Goethe
World Future Society Themes
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
2010 Sustainability
2011 Moving From Vision to Action
2012 Dream Design Develop Deliver
2013 Exploring The Next Horizon
ldquoKnowing is Not EnoughWe Must ApplyWilling is Not EnoughWe Must Dordquo
-Goethe
World Future Society Themes
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Frank W Maletz MDOrthopaedic Surgeon
malfam5aolcom
www healthspitalorg
Monday July 29 2013
2010 Sustainability
2011 Moving From Vision to Action
2012 Dream Design Develop Deliver
2013 Exploring The Next Horizon
ldquoKnowing is Not EnoughWe Must ApplyWilling is Not EnoughWe Must Dordquo
-Goethe
World Future Society Themes
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
2010 Sustainability
2011 Moving From Vision to Action
2012 Dream Design Develop Deliver
2013 Exploring The Next Horizon
ldquoKnowing is Not EnoughWe Must ApplyWilling is Not EnoughWe Must Dordquo
-Goethe
World Future Society Themes
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
HOSPITAL
Current Model
Current Concept
History and Perspective
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
World Health Organization
ldquoA State of Complete Physical Mental
And Social Well-Being ---
And Not Merely The Absence of ---
Disease or Infirmityrdquo
HEALTH
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery System in the
US
2 There is NO ModelExemplar to replicate in the world
3 There are a lot of dollars involved in the current NON-SYSTEM
7
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
For What Outcomes(Results Outcomes)
DefinitionMetrics
PriceCostCharges ReimbursementInsurance
Markets vs Supply induces demand(Roemerrsquos Law)
Businessification
EXPENDITURES
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Safety
QUINTESSENTIALS
Quality
Performance Excellence
Personalized Individualized
Accountable Responsible
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Continuum Care Help Cure Advocacy Cost Consciousness
Effectiveness Value Exponentiate
QUINTESSENTIALS continued
10
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Medicine Surgery -- Research Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS Lean -- Enterprise 20 Social Media Tools -- IT -- System Thinking Prototyping
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
PARADIGM SHIFT H-Eco-System
Combine -- Innovation -- Best Practice IHI Commonwealth Fund Institutes of Medicine NIH
Health Affairs -- Intangible Well-Being Scales -- Alternative Complementary Methods
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
INTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
Ecosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
MATRIXINTELLECTUAL
CAPITAL
NON-SystemEcosystem
HIGH
LOW
FrustrationAnd
Boredom
Mediocrity(at Best)
Unpredictable
ImprovementOr
Growth
Exponential Growth
Predictable Trajectory
Thrivitality
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
13 Patient (Client Customer Consumer End-User)
Care ldquoProviderrdquo Integrated Delivery System
FOCUS
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Metaphors
Quilt Tapestry
Mosaic
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
16
MOMS
AND
POPS
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Metaphors
Jig Saw Puzzle
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
COVEY
BEGIN with
THE END
in MIND
1932-2012
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
ExpensesCost Curve
UnsustainableThe BIG Five
DRIVERS OF HEALTHCARE
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
VALUE = QUALITY COST
20
VALUE CHAIN
VALUE STREAM
VALUE PROPOSITION
VALUE ADD MULTIPLY EXPONENTIATE
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
FIRST DRIVER
F FIT
A APPROPRIATE
R RIGHT
21
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
ldquoDumpingrdquo Laws
First DriverLiteracy Education
NavigationTools
Consortia- AdviceExpert
Item 1
Item 2
Item 3
Item 4
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Right CareRight Level Expertise
Right ProviderRight Amount
Right Balancing
DRIVER ONEAppropriate Level of CareAccess to H-Eco-System
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Business Suggestion Driver One
DYNAMIC FUNNELIZATION
WITH
UNIVERSAL CAPTURE
24
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER TWOWaste Fraud Abuse
Duplication Repetition
Superfluous Unnecessary Redundancy
Rehash
Rework
Variability Variation
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Driver TwoIssues Examples
TPSLean Virginia Mason
Literature
Medical Errors Hand-Offs
Loop Holes Chasms
Over Under
The Dartmouth Atlas ( WennbergFisher)
Treatment
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Business Suggestion Driver Two
h Health
P PassportPortablePass
T TransferTicketTemplate
C CardChart
THREE SECTION
27
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists
DRIVER THREEChronic Care Management
Coordination
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER THREESpecial Issues Examples
Multiple Trauma
Diabesity
Cardiac amp Vascular Disease
Cancer
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER THREE
30
-Information Integrity and Access
Fungible Secure Private Complete Useful
Meaningful Non- Discriminatory Shared Searchable
- Protocols ldquoCookbookrdquo Guidelines
- ldquoHome is where the CHART isrdquo
- PTC card
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER THREE
EHR
and
True Medical Home
31
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER FOUR
Fruitless
Futile
Comfort
Natural
End of Life Interventions
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER FOURSpecial Issues Examples
Living Will- Dying wish listbucket list
Dying well Death as Life
Expectations Preferences
Cultural Awareness Sensitivity
Open Dialogue
Legacy Preparation
BatonDash
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER FOUR
34
Cease and Desist
Media Spin- ldquoDeath Panelsrdquo
Rationing
Replace with
Legacy Design
Death as Life
Rational
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FOUR
LEGACY PREPARATION
Audio Video
Collectibles Photo Archive Story Telling
Memoir Lessons Learned
35
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER FIVETHE PRErsquoS Prevention
Pre-Emptive Pre-Dict Pre-Pare
THE PROrsquoS Promote Pro-Act
Prognosticate Propensity
36
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER FIVEWellBeingularity
(The New Well-Fare State)
Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DRIVER FIVESpecial Considerations
- Freedom Personal Rights
- Tradition
- Policies Legislating Behaviors
- Holistic Holarchy vs Hierarchy
- Comparative Effectiveness Proof Scientific Validity
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game
DRIVER FIVEBARRIERS
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
BUSINESS SUGGESTIONDRIVER FIVE
Virtual Vehicle Crash Testing and TrainingSimulator
40
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40
New VocabularyHealthspeak
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Well-Fare
New VocabularyHealthspeak
Preventionist Prehabilitationalist EPHOT
Medical Home- ldquoHome is where the CHART isrdquo
G -Genetics Genomics Proteomics Metabolomics Microbiomic
R - Robotics
AI -Artificial Intelligence Computing Digitization
N - Nanotechnology Miniaturization
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
43
HEALTHSPITAL 40 Web 10 Parking Spot Address
Web 20 Search Engines Find Raw Data Unfiltered
Web 30 Preference Connections Personalized
Web 40 Expert System Best Expertise
SINGULARITY WELL-BEINGULARITY
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
DYNAMIC FUNNELIZATION
HAND-OUT
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
GEDANKEN EXPERIMENT
45
1 What if Key to Admissions Not Readmissions
2 Patient Enfranchisement and Motivation Body-Mind-Spirit-in-Game (Not Just Skin)
3 Why current Non-System is NOT an Ecosystem
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
The Patient of the
Future
46
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback
Discussion Critique
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Bibliography Suggested Readings
Sources Resources
ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Paradigm Last
Paradigm Expound
49
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
Dream
Design
Develop
Deliver
Demonstrate malfam5aolcom
www healthspitalorg
THANK YOU
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
51
METASCENDANT One Trillion Dollars to Reinvest
OUR FUTURE OF HEALTHCARE
WWWHEALTHSPITALORG
Monday July 29 2013
