390 likes | 476 Views
Explore the innovative realm of Healthspital 2.0 that merges medicine, research, and technology for personalized, accountable, and quality healthcare. Join Dr. Frank W. Maletz at the 2011 World Future Society event discussing the evolution of healthcare paradigms and the shift towards thriving vitality. Discover new vocabulary, prevention strategies, and dynamic pathways to holistic well-being.
E N D
Healthspital 2.0A Paradigm ShiftingThought ExperimentalNeosynthesis World Future Society 2011 Vancouver B.C. 8-10 July
Frank W. Maletz M.D.Orthopaedic SurgeonLawrence & Memorial Hospital • malfam5@aol.com
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
Current Model Current Concept History and Perspective Hospital
Health • World Health Organization • “A State of Complete Physical, Mental • And Social Well-Being --- • And Not Merely The Absence of --- • Disease or Infirmity”
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
What We Spend --- • For What Outcomes • (Results Vs. Outcomes)
Fundamentals Item 1 Item 2 Item 3 Safety Quality Performance / Excellence Personalized Accountable Item 4 Item 5
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
Paradigm Shift (2) Combine: -- Innovation -- Best Practice: IHI Commonwealth Fund Institutes of Medicine NIH -- Intangible / Well-Being Scales -- Alternative / Complementary Methods H-EcoSystem
Non-System Eco-System Matrix HIGH • Exponential Growth • Predictable Trajectory • Thrivitalily INTELLECTUAL CAPITAL • Frustration • And • Boredom LOW • Unpredictable • Improvement • Or • Growth • Mediocrity • (at Best)
Focus • Patient • (Client, Customer, Consumer, End-User) • Integrated Delivery
BEGIN with THE END in MIND Covey
Drivers of Healthcare • Expenses • Cost Curve • Unsustainable • The BIG Five
Number One: Inappropriate Level of CareAccess to H-EcoSystem • Example : ED
Special Issues: Item 1 Item 2 Item 3 “Dumping” Laws Literacy Navigation Level of Advice / Expertise Item 4
Special Issues: Item 1 Item 2 Item 3 Media Spin Example: Death Panels Expectations Culture Rationing Item 4
Number Three: Chronic Care Management/ Monitoring • Complexity • Multifactorial • Interactions • Treatment Preferences • and Subspecialists
Special Issues: Item 1 Secure Private Complete Useful Meaningful Non-Discriminatory Shared Searchable Information Integrity Protocols / Cookbook / Guidelines Item 2
Number Four: - Waste - Duplication - Redundancy - Rework
Special Issues: Item 1 Medical Errors / Hand-offs Navigation Item 2
Number Five: Prevention StrategiesandHealth Promotion • Cure • Specific / Precision • Early • Health / Wellness / Well-being • Exercise • Rest • Stress • Nutrition • Safe Participation / Safe Behaviors
Special Problems / Issues / Barriers: Item 1 Item 2 Practice Freedom Legislate Behaviors Balance Item 3 Item 4
Barriers: • · Habit Patterns • · Education • · Tradition • · Legal • · Financial • · Political • · Unconstructive / Punitive / • Partial Programs
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
New Vocabulary: (2) • · Preventionist • · H-App • · EPHOT • · Medical Home– • “Home is Where the Chart is”
Dynamic Funnel - Workshop
Discussion / Critique: • · Next Steps • · Actualization • · Prototyping • · Networking • · Dissemination • · Proof of Principle / Proof of Concept • · Feedback
Bibliography / Suggested Readings Sources / Resources:
Thank You!AndKeep in Motion! malfam5@aol.com