Healthspital 5.0+

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  1. 1. 1 Healthspital 5.0+ A Paradigm Catapulting Thought Experimental Neosynthesis World Future Society San Francisco, California 24-26 July 2015
  2. 2. 2 A Journey To Wellbeingularity 2 Vancouver Toronto Chicago Orlando San Francisco Washington D.C.
  3. 3. 3 A Proposed Model: Re-visioning Community Healthcare 3
  4. 4. 4 Frank W. Maletz M.D. Orthopaedic Surgeon Kristin Maletz Special Education Teacher malfam5@aol.com www. healthspital.org
  5. 5. 5 *2010: Sustainability *2011: Moving From Vision to Action *2012: Dream, Design, Develop, Deliver *2013: Exploring The Next Horizon *2014: What if.... * 2015: Making Vision A Reality Knowing is Not Enough...We Must Apply. Willing is Not Enough...We Must Do. -Goethe World Future Society Themes
  6. 6. 6 World Health Organization A State of Complete Physical, Mental And Social Well-Being --- And Not Merely The Absence of --- Disease or Infirmity HEALTH
  7. 7. 7 WELLBEINGULARITY A next state/stage/spiral defined by the totipotential realization/actualization of health, wellness, well-being and optimized/maximized human productivity using our combined bests of art, craft, science, AND spirituality. 7
  8. 8. 8 DIRTY LITTLE SECRETS 1. There is NO Healthcare Delivery Ecosystem in the US 2. There is NO Model/Exemplar to replicate in the world 3. There are a lot of dollars involved in the current NON-SYSTEM 8
  9. 9. 9 QUINTESSENTIALS - Patient Driven/Centered - Provider Fulfillment - Wellness Orientation - Holarchy: Eco-/ Bio- Logical Principles - Value Exponentiation 9
  10. 10. 10 DEFAULTS Quality Performance Excellence Safety Personalized Individualized Accountable Responsible 10
  11. 11. 11 Continuum Care/ Help/ Cure/ Hope Advocacy Cost Consciousness/ Comparative Effectiveness Access DEFAULTS 11
  12. 12. 12 PARADIGM SHIFT H-Eco-System Combine: -- Medicine / Surgery -- Research / Practice -- Best Evidence Now (BEN) -- Comparative Effectiveness Research -- TPS / Lean -- Enterprise 2.0 / Social Media Tools -- IT -- System Thinking / Prototyping
  13. 13. 13 PARADIGM SHIFT H-Eco-SystemCombine: -- Innovation -- Best Practice: Cleveland Clinic Innovations Harvard Business School/ Review IHI Commonwealth Fund Institutes of Medicine NIH Health Affairs -- Intangible / Well-Being Scales -- Alternative / Complementary Methods
  14. 14. 14 Metaphors: Quilt / Tapestry / Mosaic
  15. 15. 1515 MOMS AND POPS (Divergence/Fragmentation BUT...........)
  16. 16. 16 Metaphors: Jig Saw Puzzle
  17. 17. 17 Covey BEGIN with AN END in MIND.... (Convergence + Neosynthesis - Co Design) 1932-2012
  18. 18. 18 The BIG Five PILLARS OF HEALTHSPITAL 5.0+
  19. 19. 19 VALUE = QUALITY X LIFETIME COST 19 VALUE CHAIN VALUE STREAM VALUE PROPOSITION VALUE ADD/ MULTIPLY/ EXPONENTIATE
  20. 20. 20 FIRST PILLAR F FIT A APPROPRIATE R RIGHT 20
  21. 21. 21 A HILL OF RIGHTS+ RIGHT: - PATIENT - PRICE POINT - PROVIDER - INFORMATICS AND ANALYTICS - DIAGNOSTICS/DIAGNOSIS - TIMING - POINT OF CARE - GOALS AND EXPECTATIONS - AMOUNT OF INTERVENTION - QUESTIONS 21
  22. 22. 22 Dumping Laws First Pillar Literacy/ Education Navigation/Tools Consortia- Advice/Expert Item 1 Item 2 Item 3 Item 4
  23. 23. 23 Actualization: Pillar One DYNAMIC FUNNELIZATION WITH UNIVERSAL CAPTURE 23
  24. 24. 24 PILLAR TWO Waste Fraud Abuse Duplication Repetition Superfluous Unnecessary Redundancy Rehash Rework Variability/ Variation
  25. 25. 25 Pillar Two Issues/ Examples TPS/Lean Virginia Mason Literature Medical Errors/ Hand-Offs Loop Holes/ Chasms Over Under The Dartmouth Atlas ( Wennberg/Fisher) Treatment
  26. 26. 26 Pillar Two h Health P Passport/Portable/Pass T Transfer/Ticket/Template C Card/Chart * THREE SECTION 26
  27. 27. 27 Co-Morbid Conditions Complexity Multifactorial-Multisystem Interactions Monitoring Subspecialists vs. Generalists PILLAR THREE Chronic Care Management/ Coordination/Integration
  28. 28. 28 PILLAR THREE Special Issues/ Examples Multiple Trauma Diabesity Cardiac & Vascular Disease Cancer
  29. 29. 29 PILLAR THREE Information, Integrity and Access 29 - Protocols/ Cookbook/ Guidelines - Home is where the CHART is - PTC card
  30. 30. 30 Lawrence Weed MD Lincoln Weed Esq. Bytes --> Big Data --> BEN --> BIN --> *BWU KNOWLEDGE COUPLERS 30
  31. 31. 31 PILLAR THREE True EHR and True Medical Home 31
  32. 32. 32 PILLAR FOUR Fruitless Futile Comfort Natural IRA BYOCK M.D. End of Life Interventions
  33. 33. 33 KATY BUTLER Knocking on Heavens Door 33
  34. 34. 34 PILLAR FOUR Special Issues/ Examples Living Will- Dying wish list/bucket list Dying well/ Death as Life Expectations/ Preferences Cultural Awareness/ Sensitivity Open Dialogue Legacy Preparation Dash/Baton
  35. 35. 35 PILLAR FOUR 35 Cease and Desist: Media Spin- Death Panels Rationing Replace with: Legacy Design Death as Life Rational
  36. 36. 36 PILLAR FOUR LEGACY PREPARATION * Audio * Video * Collectibles * Photo Archive * Story Telling * Memoir * Lessons Learned 36
  37. 37. 37 PILLAR FIVE 37
  38. 38. 38 PILLAR FIVE WellBeingularity (The New Well-Fare State) Exercise Rest Stress Mitigation Nutrition Safe Participation/ Behaviors Alternative/ Complementary East/West Spirituality
  39. 39. 39 PILLAR FIVE Special Considerations - Freedom/ Personal Rights - Tradition - Policies/ Legislating Behaviors - Holistic/ Holarchy vs. Hierarchy - Comparative Effectiveness/ Proof/ Scientific Validity
  40. 40. 40 Habit Patterns Education/ Literacy/ Training Tradition/ Convention Legal / Regulatory Financial/ Disincentives Political Unconstructive/ Punitive/ Partial Programs Blame Game PILLAR FIVE BARRIERS
  41. 41. 41 PILLAR FIVE WELLBEINGULARITY INSTITUTE (PLATFORM) 41
  42. 42. 42 H-Eco-system H-Infrastructure Dynamic Funneling Universal Capture H-Book H- Apps PTC : P = Passport / Pass T = Transfer / Template/ Ticket C = Card/Chart Healthspital 5.0+ New Vocabulary Healthspeak
  43. 43. 43 Well-Fare Healthspeak Preventionist/ Prehabilitationalist EPHOT Medical Home- Home is where the CHART is G -Genetics/ Genomics/ Proteomics/ Metabolomics/ Microbiomic R - Robotics AI -Artificial Intelligence/ Computing/ Digitization N - Nanotechnology/ Miniaturization
  44. 44. 44 NEW VOCABULARY HEALTHSPEAK Metapartisan Marshot Combinatorics Network of Networks NeoNarradigm 44
  45. 45. 4545 HEALTHSPITAL 5.0+ Web 1.0 Parking Spot/ Address Web 2.0 Search Engines/ Find Raw Data/ Unfiltered Web 3.0 Preference/ Connections/ Personalized Web 4.0 Expert System/ Best Expertise Web 5.0 Network of Bests CombinedSINGULARITY WELL-BEINGULARITY
  46. 46. 46 The Patient of the Future 46
  47. 47. 47 Next Steps Actualization Prototyping Networking Dissemination Proof of Principle / Proof of Concept Feedback Discussion / Critique:
  48. 48. 48 Bibliography / Suggested Readings Sources / Resources Nani Gigantum Humeris Insidentes 12th Century: Bernard of Chartres
  49. 49. 49 Paradigm Last Paradigm Expound 49
  50. 50. 50 Dream... Design... Develop... Deliver... Demonstrate! malfam5@aol.com www. healthspital.org THANK YOU!
  51. 51. 5151 METASCENDENT R-EVOLUTION $5.64 TRILLION PER YEAR TO REINVEST OUR FUTURE OF HEALTHCARE... WWW.HEALTHSPITAL.ORG