1

Healthspital 50+

A Paradigm

Catapulting

Thought

Experimental

Neosynthesis

World Future SocietySan Francisco California

24-26 July 2015

2

A Journey To Wellbeingularity

2

Vancouver

Toronto

Chicago

Orlando

San FranciscoWashington

DC

3

A Proposed Model

Re-visioning Community

Healthcare

3

4

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

2

A Journey To Wellbeingularity

2

Vancouver

Toronto

Chicago

Orlando

San FranciscoWashington

DC

3

A Proposed Model

Re-visioning Community

Healthcare

3

4

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

3

A Proposed Model

Re-visioning Community

Healthcare

3

4

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

4

Frank W Maletz MDOrthopaedic Surgeon

Kristin MaletzSpecial Education Teacher

malfam5aolcomwww healthspitalorg

5

2010 Sustainability2011 Moving From Vision to Action2012 Dream Design Develop Deliver

2013 Exploring The Next Horizon2014 What if

2015 Making Vision A Reality

ldquoKnowing is Not EnoughWe Must ApplyWilling is Not EnoughWe Must Dordquo

-Goethe

World Future Society Themes

6

World Health Organization

ldquoA State of Complete Physical

Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

7

WELLBEINGULARITY

A next statestagespiral defined by the

totipotential realizationactualization of health

wellness well-being and optimizedmaximized

human productivity using our combined bests of

art craft science AND spirituality

7

8

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

8

9

QUINTESSENTIALS

- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco- Bio- Logical

Principles

- Value Exponentiation9

10

DEFAULTS

bull Quality

bull Performance Excellence

bull Safety

bull Personalized

Individualized

bull Accountable Responsible

10

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

6

World Health Organization

ldquoA State of Complete Physical

Mental

And Social Well-Being ---

And Not Merely The Absence of ---

Disease or Infirmityrdquo

HEALTH

7

WELLBEINGULARITY

A next statestagespiral defined by the

totipotential realizationactualization of health

wellness well-being and optimizedmaximized

human productivity using our combined bests of

art craft science AND spirituality

7

8

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

8

9

QUINTESSENTIALS

- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco- Bio- Logical

Principles

- Value Exponentiation9

10

DEFAULTS

bull Quality

bull Performance Excellence

bull Safety

bull Personalized

Individualized

bull Accountable Responsible

10

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

7

WELLBEINGULARITY

A next statestagespiral defined by the

totipotential realizationactualization of health

wellness well-being and optimizedmaximized

human productivity using our combined bests of

art craft science AND spirituality

7

8

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

8

9

QUINTESSENTIALS

- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco- Bio- Logical

Principles

- Value Exponentiation9

10

DEFAULTS

bull Quality

bull Performance Excellence

bull Safety

bull Personalized

Individualized

bull Accountable Responsible

10

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

8

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

8

9

QUINTESSENTIALS

- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco- Bio- Logical

Principles

- Value Exponentiation9

10

DEFAULTS

bull Quality

bull Performance Excellence

bull Safety

bull Personalized

Individualized

bull Accountable Responsible

10

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

9

QUINTESSENTIALS

- Patient DrivenCentered

- Provider Fulfillment

- Wellness Orientation

- Holarchy Eco- Bio- Logical

Principles

- Value Exponentiation9

10

DEFAULTS

bull Quality

bull Performance Excellence

bull Safety

bull Personalized

Individualized

bull Accountable Responsible

10

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

10

DEFAULTS

bull Quality

bull Performance Excellence

bull Safety

bull Personalized

Individualized

bull Accountable Responsible

10

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

11

bull Continuumbull Care Help Cure Hopebull Advocacybull Cost Consciousness

bull Comparative

Effectivenessbull Access

DEFAULTS

11

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

12

PARADIGM SHIFTH-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

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

13

PARADIGM SHIFTH-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

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

14

Metaphors

Quilt Tapestry

Mosaic

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

1515

MOMS

AND

POPS

(DivergenceFragmentationBUT)

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

16

Metaphors

Jig Saw Puzzle

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

17

Covey

BEGIN with

AN END

in MIND(Convergence + Neosynthesis- Co Design)

1932-2012

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

18

The BIG Five

PILLARS OF HEALTHSPITAL 50+

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

19

VALUE = QUALITY X LIFETIME

COST

19

VALUE CHAIN

VALUE STREAM

VALUE PROPOSITION

VALUE ADD MULTIPLY EXPONENTIATE

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

20

FIRST PILLAR

F FIT

A APPROPRIATE

R RIGHT

20

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

21

A HILL OF ldquoRIGHTSrdquo+

RIGHT

- PATIENT - PRICE POINT

- PROVIDER - INFORMATICS AND ANALYTICS

- DIAGNOSTICSDIAGNOSIS - TIMING

- POINT OF CARE - GOALS AND EXPECTATIONS

- AMOUNT OF INTERVENTION - QUESTIONS

21

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

22

ldquoDumpingrdquo Laws

First PillarLiteracy Education

NavigationTools

Consortia- AdviceExpert

Item 1

Item 2

Item 3

Item 4

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

23

Actualization Pillar One

DYNAMIC FUNNELIZATION

WITH

UNIVERSAL CAPTURE

23

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

24

PILLAR TWO

Waste Fraud Abuse

Duplication Repetition

Superfluous Unnecessary Redundancy

Rehash

Rework

Variability Variation

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

25

Pillar TwoIssues Examples

TPSLean Virginia Mason

bull Literature

bull Medical Errors Hand-Offs

bull Loop Holes Chasms

bull Over Under

bull The Dartmouth Atlas ( WennbergFisher)

Treatment

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

26

Pillar Two

h Health

P PassportPortablePass

T TransferTicketTemplate

C CardChart

THREE SECTION

26

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

27

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

PILLAR THREEChronic Care Management CoordinationIntegration

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

28

PILLAR THREESpecial Issues Examples

bull Multiple Trauma

bull Diabesity

bull Cardiac amp Vascular Disease

bull Cancer

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

29

PILLAR THREEInformation Integrity and Access

29

- Protocols ldquoCookbookrdquo Guidelines- ldquoHome is where the CHART isrdquo- PTC card

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

30

Lawrence Weed MDLincoln Weed Esq

Bytes --gt Big Data --gt BEN --gt BIN --gt BWU

KNOWLEDGE COUPLERS

30

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

31

PILLAR THREE

True EHR

and

True Medical Home

31

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

32

PILLAR FOUR

bullFruitless

bullFutile

bullComfort

bullNatural IRA BYOCK MD

End of Life Interventions

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

33

KATY BUTLERKnocking

onHeavenrsquos Door

33

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

34

PILLAR FOURSpecial Issues Examples

bull Living Will- Dying wish listbucket list

bull Dying well Death as Life

bull Expectations Preferences

bull Cultural Awareness Sensitivity

bull Open Dialogue

bull Legacy Preparation

bull DashBaton

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

35

PILLAR FOUR

35

Cease and Desist

Media Spin- ldquoDeath Panelsrdquo

Rationing

Replace with

Legacy Design

Death as Life

Rational

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

36

PILLAR FOUR

LEGACY PREPARATION

Audio Video

Collectibles Photo Archive Story Telling

Memoir Lessons Learned

36

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

37

PILLAR FIVE

37

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

38

PILLAR FIVEWellBeingularity

(The New Well-Fare State)

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

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

39

PILLAR FIVESpecial Considerations

- Freedom Personal Rights

- Tradition

- Policies Legislating Behaviors

- Holistic Holarchy vs Hierarchy

- Comparative Effectiveness Proof

Scientific Validity

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

40

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

PILLAR FIVEBARRIERS

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

41

PILLAR FIVE

WELLBEINGULARITY INSTITUTE

(PLATFORM)

41

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

42

H-Eco-systemH-InfrastructureDynamic FunnelingUniversal CaptureH-BookH- AppsPTC P = Passport Pass

T = Transfer Template Ticket C = CardChart

Healthspital 50+

New VocabularyHealthspeak

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

43

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

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

44

NEW VOCABULARY HEALTHSPEAK

Metapartisan Marshot

Combinatorics

Network of Networks

NeoNarradigm

44

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

4545

HEALTHSPITAL 50+

bullWeb 10 Parking Spot Address

bullWeb 20 Search Engines Find Raw Data Unfiltered

bullWeb 30 Preference Connections Personalized

bullWeb 40 Expert System Best Expertise

bullWeb 50 Network of Bests Combined SINGULARITY WELL-BEINGULARITY

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

46

The Patient of the

Future

46

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

47

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

Discussion Critique

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

48

Bibliography Suggested Readings

Sources Resources

ldquoNani Gigantum Humeris Insidentesrdquo12th Century Bernard of Chartres

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

49

Paradigm Last

Paradigm Expound

49

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

50

Dream

Design

Develop

Deliver

Demonstrate

malfam5aolcom

www healthspitalorg

THANK YOU

5151

METASCENDENT R-EVOLUTION

$564 TRILLION PER YEAR TO REINVEST

OUR FUTURE OF HEALTHCARE

WWWHEALTHSPITALORG