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Healthspital 2.0 A Paradigm Shifting Thought Experimental Neosynthesis

Healthspital 2.0 A Paradigm Shifting Thought Experimental Neosynthesis. World Future Society 2011 Vancouver B.C. 8-10 July. Frank W. Maletz M.D. Orthopaedic Surgeon Lawrence & Memorial Hospital malfam5@aol.com. World Future Society Themes. 2010 Sustainability

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Healthspital 2.0 A Paradigm Shifting Thought Experimental Neosynthesis

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  1. Healthspital 2.0A Paradigm ShiftingThought ExperimentalNeosynthesis World Future Society 2011 Vancouver B.C. 8-10 July

  2. Frank W. Maletz M.D.Orthopaedic SurgeonLawrence & Memorial Hospital • malfam5@aol.com

  3. World Future Society Themes • 2010 Sustainability • 2011 Moving From Vision to Action • “Knowing is Not Enough; We Must Apply. • Willing is Not Enough; We Must Do.” • -Goethe

  4. Current Model Current Concept History and Perspective Hospital

  5. Health • World Health Organization • “A State of Complete Physical, Mental • And Social Well-Being --- • And Not Merely The Absence of --- • Disease or Infirmity”

  6. Why Me? • Why a Surgeon? • Why Now? • US Trained • Internship • Residency • Fellowship • US Navy 18 Years: • Stateside and Abroad • Private Practice / Community Based • 25 Years

  7. Catalogue of Intelligence

  8. Catalogue of Ignorance

  9. The I/I Gap

  10. What We Spend --- • For What Outcomes • (Results Vs. Outcomes)

  11. Fundamentals Item 1 Item 2 Item 3 Safety Quality Performance / Excellence Personalized Accountable Item 4 Item 5

  12. Paradigm Shift (1) Combine: -- Medicine / Surgery -- Research / Practice -- Evidence - Based -- Comparative Effectiveness Research -- TPS / Lean -- Enterprise 2.0 / Social Media Tools -- IT -- System Thinking / Prototyping H-EcoSystem

  13. Paradigm Shift (2) Combine: -- Innovation -- Best Practice: IHI Commonwealth Fund Institutes of Medicine NIH -- Intangible / Well-Being Scales -- Alternative / Complementary Methods H-EcoSystem

  14. Non-System Eco-System Matrix HIGH • Exponential Growth • Predictable Trajectory • Thrivitalily INTELLECTUAL CAPITAL • Frustration • And • Boredom LOW • Unpredictable • Improvement • Or • Growth • Mediocrity • (at Best)

  15. Focus • Patient • (Client, Customer, Consumer, End-User) • Integrated Delivery

  16. Metaphors:

  17. Metaphors:

  18. BEGIN with THE END in MIND Covey

  19. Drivers of Healthcare • Expenses • Cost Curve • Unsustainable • The BIG Five

  20. Number One: Inappropriate Level of CareAccess to H-EcoSystem • Example : ED

  21. Special Issues: Item 1 Item 2 Item 3 “Dumping” Laws Literacy Navigation Level of Advice / Expertise Item 4

  22. Number Two: End of Life InterventionsFruitlessFutile

  23. Special Issues: Item 1 Item 2 Item 3 Media Spin Example: Death Panels Expectations Culture Rationing Item 4

  24. Number Three: Chronic Care Management/ Monitoring • Complexity • Multifactorial • Interactions • Treatment Preferences • and Subspecialists

  25. Special Issues: Item 1 Secure Private Complete Useful Meaningful Non-Discriminatory Shared Searchable Information Integrity Protocols / Cookbook / Guidelines Item 2

  26. Number Four: - Waste - Duplication - Redundancy - Rework

  27. Special Issues: Item 1 Medical Errors / Hand-offs Navigation Item 2

  28. Number Five: Prevention StrategiesandHealth Promotion • Cure • Specific / Precision • Early • Health / Wellness / Well-being • Exercise • Rest • Stress • Nutrition • Safe Participation / Safe Behaviors

  29. Special Problems / Issues / Barriers: Item 1 Item 2 Practice Freedom Legislate Behaviors Balance Item 3 Item 4

  30. Barriers: • · Habit Patterns • · Education • · Tradition • · Legal • · Financial • · Political • · Unconstructive / Punitive / • Partial Programs

  31. New Vocabulary: (1) • · H-Ecosystem • · H-Infrastructure • · Dynamic Funneling • · Universal Capture • · H-Book • · PTC : P = Passport / Pass • T = Transfer / Template / Ticket • C = Card • · Well-Fare • · Healthspital 2.0

  32. New Vocabulary: (2) • · Preventionist • · H-App • · EPHOT • · Medical Home– • “Home is Where the Chart is”

  33. Dynamic Funnel - Workshop

  34. New Business Opportunities:

  35. New Business Opportunities:

  36. New Business Opportunities:

  37. Discussion / Critique: • · Next Steps • · Actualization • · Prototyping • · Networking • · Dissemination • · Proof of Principle / Proof of Concept • · Feedback

  38. Bibliography / Suggested Readings Sources / Resources:

  39. Thank You!AndKeep in Motion! malfam5@aol.com

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