Healthspital 4.0+

60
Healthspital 4.0+ A Paradigm Catapulting Thought Experimental Neosynthesis World Future Society Orlando, Florida 11-13 July 2014 Saturday, June 28, 2014

description

Dr Frank W Maletz presentation given at the World Future Society Conference in Orlando, FL July 2014

Transcript of Healthspital 4.0+

Page 1: Healthspital 4.0+

Healthspital 40+A Paradigm Catapulting

Thought ExperimentalNeosynthesis

World Future SocietyOrlando Florida11-13 July 2014

Saturday June 28 2014

A Proposed Model

Re-visioning Community

Healthcare

2

Saturday June 28 2014

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

2010 Sustainability2011 Moving From Vision to Action

2012 Dream Design Develop Deliver2013 Exploring The Next Horizon

2014 What ifldquoKnowing is Not EnoughWe Must Apply

Willing is Not EnoughWe Must Dordquo -Goethe

World Future Society Themes

Saturday June 28 2014

World Health Organization

ldquoA State of Complete Physical Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

Saturday June 28 2014

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 2: Healthspital 4.0+

A Proposed Model

Re-visioning Community

Healthcare

2

Saturday June 28 2014

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

2010 Sustainability2011 Moving From Vision to Action

2012 Dream Design Develop Deliver2013 Exploring The Next Horizon

2014 What ifldquoKnowing is Not EnoughWe Must Apply

Willing is Not EnoughWe Must Dordquo -Goethe

World Future Society Themes

Saturday June 28 2014

World Health Organization

ldquoA State of Complete Physical Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

Saturday June 28 2014

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 3: Healthspital 4.0+

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

2010 Sustainability2011 Moving From Vision to Action

2012 Dream Design Develop Deliver2013 Exploring The Next Horizon

2014 What ifldquoKnowing is Not EnoughWe Must Apply

Willing is Not EnoughWe Must Dordquo -Goethe

World Future Society Themes

Saturday June 28 2014

World Health Organization

ldquoA State of Complete Physical Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

Saturday June 28 2014

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 4: Healthspital 4.0+

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

Saturday June 28 2014

2010 Sustainability2011 Moving From Vision to Action

2012 Dream Design Develop Deliver2013 Exploring The Next Horizon

2014 What ifldquoKnowing is Not EnoughWe Must Apply

Willing is Not EnoughWe Must Dordquo -Goethe

World Future Society Themes

Saturday June 28 2014

World Health Organization

ldquoA State of Complete Physical Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

Saturday June 28 2014

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 5: Healthspital 4.0+

2010 Sustainability2011 Moving From Vision to Action

2012 Dream Design Develop Deliver2013 Exploring The Next Horizon

2014 What ifldquoKnowing is Not EnoughWe Must Apply

Willing is Not EnoughWe Must Dordquo -Goethe

World Future Society Themes

Saturday June 28 2014

World Health Organization

ldquoA State of Complete Physical Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

Saturday June 28 2014

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 6: Healthspital 4.0+

World Health Organization

ldquoA State of Complete Physical Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

Saturday June 28 2014

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 7: Healthspital 4.0+

DIRTY LITTLE SECRETS1 There is NO Healthcare Delivery Ecosystem 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

6

Saturday June 28 2014

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 8: Healthspital 4.0+

QUINTESSENTIALS- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco-Logical Principles

- Value Exponentiation

7

Saturday June 28 2014

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 9: Healthspital 4.0+

Safety

DEFAULTS

Quality

Performance Excellence

Personalized Individualized

Accountable Responsible

Saturday June 28 2014

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 10: Healthspital 4.0+

Continuum Care Help Cure Hope Advocacy Cost Consciousness

Effectiveness

DEFAULTS

9

Saturday June 28 2014

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 11: Healthspital 4.0+

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

Saturday June 28 2014

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 12: Healthspital 4.0+

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

Saturday June 28 2014

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 13: Healthspital 4.0+

INTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 14: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 15: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

Ecosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 16: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 17: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 18: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 19: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Saturday June 28 2014

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 20: Healthspital 4.0+

MATRIXINTELLECTUAL

CAPITAL

NON-SystemEcosystem

HIGH

LOW

FrustrationAnd

Boredom

Mediocrity(at Best)

Unpredictable

ImprovementOr

Growth

Exponential Growth

Predictable Trajectory

Thrivitality

Saturday June 28 2014

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 21: Healthspital 4.0+

Metaphors

Quilt Tapestry

Mosaic

Saturday June 28 2014

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 22: Healthspital 4.0+

14

MOMS

AND

POPS

Saturday June 28 2014

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 23: Healthspital 4.0+

Metaphors

Jig Saw Puzzle

Saturday June 28 2014

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 24: Healthspital 4.0+

COVEY

BEGIN with

THE END

in MIND

1932-2012

Saturday June 28 2014

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 25: Healthspital 4.0+

Cost CurveUnsustainableThe BIG Five

PILLARS OF HEALTHSPITAL 40+

Saturday June 28 2014

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 26: Healthspital 4.0+

VALUE = QUALITY Over Time COST

18

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

Saturday June 28 2014

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 27: Healthspital 4.0+

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

19

Saturday June 28 2014

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 28: Healthspital 4.0+

A BILL OF ldquoRIGHTSrdquo RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

20

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 29: Healthspital 4.0+

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Saturday June 28 2014

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 30: Healthspital 4.0+

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

Saturday June 28 2014

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 31: Healthspital 4.0+

Business Suggestion Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

22

Saturday June 28 2014

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 32: Healthspital 4.0+

PILLAR TWOWaste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

Saturday June 28 2014

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 33: Healthspital 4.0+

Pillar TwoIssues Examples

TPSLean Virginia Mason

Literature

Medical Errors Hand-Offs

Loop Holes Chasms

Over Under

The Dartmouth Atlas ( WennbergFisher)

Treatment

Saturday June 28 2014

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 34: Healthspital 4.0+

Business Suggestion Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

25

Saturday June 28 2014

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 35: Healthspital 4.0+

Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions MonitoringSubspecialists vs Generalists

PILLAR THREEChronic Care Management CoordinationIntegration

Saturday June 28 2014

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 36: Healthspital 4.0+

PILLAR THREESpecial Issues Examples

Multiple Trauma

Diabesity

Cardiac amp Vascular Disease

Cancer

Saturday June 28 2014

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 37: Healthspital 4.0+

PILLAR THREE

28

-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

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 38: Healthspital 4.0+

BUSINESS SUGGESTIONPILLAR THREE

EHR

and

True Medical Home

29

Saturday June 28 2014

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 39: Healthspital 4.0+

PILLAR FOUR

Fruitless

Futile

Comfort

Natural IRA BYOCK MD

End of Life Interventions

Saturday June 28 2014

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 40: Healthspital 4.0+

KATY BUTLERKnocking

onHeavenrsquos Door

31

Saturday June 28 2014

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 41: Healthspital 4.0+

PILLAR FOURSpecial Issues Examples

Living Will- Dying wish listbucket list

Dying well Death as Life

Expectations Preferences

Cultural Awareness Sensitivity

Open Dialogue

Legacy Preparation

DashBaton

Saturday June 28 2014

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 42: Healthspital 4.0+

PILLAR FOUR

33

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 43: Healthspital 4.0+

BUSINESS SUGGESTIONPILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

34

Saturday June 28 2014

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 44: Healthspital 4.0+

PILLAR FIVETHE PRErsquoS Prevention

Pre-Emptive Pre-Dict Pre-Pare

Pre-Ference

THE PROrsquoS Promote Pro-Act

Prognosticate Propensity

35

Saturday June 28 2014

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 45: Healthspital 4.0+

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

Exercise Rest Stress Mitigation Nutrition Safe Participation Behaviors Alternative Complementary EastWest Spirituality

Saturday June 28 2014

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 46: Healthspital 4.0+

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof Scientific Validity

Saturday June 28 2014

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 47: Healthspital 4.0+

Habit PatternsEducation Literacy TrainingTradition Legal Regulatory Financial Disincentives Political Unconstructive Punitive Partial Programs Blame Game

PILLAR FIVEBARRIERS

Saturday June 28 2014

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 48: Healthspital 4.0+

BUSINESS SUGGESTIONPILLAR FIVE

Virtual Vehicle Crash Testing and TrainingSimulator

39

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 49: Healthspital 4.0+

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 50: Healthspital 4.0+

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass13 T = Transfer Template Ticket13 C = CardChartHealthspital 40+

New VocabularyHealthspeak

Saturday June 28 2014

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 51: Healthspital 4.0+

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

Saturday June 28 2014

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 52: Healthspital 4.0+

42

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

Saturday June 28 2014

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 53: Healthspital 4.0+

DYNAMIC FUNNELIZATION

HAND-OUT

Saturday June 28 2014

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 54: Healthspital 4.0+

HAND-OUT

10

WHAT IFrsquoS

44

Saturday June 28 2014

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 55: Healthspital 4.0+

The Patient of the

Future

45

Saturday June 28 2014

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 56: Healthspital 4.0+

Next Steps Actualization Prototyping Networking Dissemination Proof of Principle Proof of Concept Feedback

Discussion Critique

Saturday June 28 2014

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 57: Healthspital 4.0+

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

Saturday June 28 2014

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 58: Healthspital 4.0+

Paradigm Last

Paradigm Expound

48

Saturday June 28 2014

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 59: Healthspital 4.0+

Dream

Design

Develop

Deliver

Demonstrate malfam5aolcom

www healthspitalorg

THANK YOU

Saturday June 28 2014

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014

Page 60: Healthspital 4.0+

50

METASCENDENT $251 TRILLION PER YEAR

TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG

Saturday June 28 2014