Transforming EMR into Adaptive Patient Centered Systems

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Medical efficacy implies that physicians need to work within the complexity of human biology. They work in the field of adaptive systems. This implies that their efficacy curve has to be functional to deal with low programmed activities. Protocols sustain this essentially low programmed activity.

healthcare-cyberneticsParadoxically, there is a widespread perception that EMR/EHR has a low added value for medical practice. This perception hinders the upgrade of medical practice.

But:

1)  Is it that EMR and EHR have little added value or is it that they were designed as administrative systems?
2)  Is it possible to transform administrative EMR and EHR into adaptive systems with administrative information?
3)  How can the misuse of the transparency of the system be avoided?

These are some of the questions that can be solved using an object driven approach to healthcare.

The objects included in the EMR and EHR should emulate the problems physicians need to solve in their minds in medical practice. The basic objects are:

  • Diagnoses
  • Cures
  • Palliatives
  • Patients evolution
  • Prevention
  • Decision making
  • Knowledge bank

Objects driven EMR or EHR are such when they become a necessary part for physicians practice such as a golf stick is for the golfer or a racket is for a tennis player.

There have to be objects for exclusive private use with no access to anyone, such as the decision making alternatives a physician considers, and other objects that can be shared.

Administrative EMR or EHR can only be information reservoirs, legal defendants and control systems. The integration of object driven systems including adaptive objects with administrative functions is the conceptual answer to the problem. Basically, a new concept for interfaces is required.

Changing the interfaces is the first step to enter in the new stage where the computer is a natural part of the physician’s practice.

Diego Belohlavek

NOTE: The Unicist Research Institute was the pioneer in complexity science research and became a private global decentralized world-class research organization in the field of human adaptive systems. http://www.unicist.org

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The 10-Year Trend for Healthcare Organizations in the United States

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The reach of one’s globalization is defined by the limit of the pronoun “WE”…

The reach of one’s globalization is defined
by the limit of the pronoun “WE”…

This is a synthesis of the trends developed at the Future Research Lab on the “Evolution of Healthcare in the US” led by Peter Belohlavek.

The objective of this research was to find the trends that underlie the healthcare business in the US and to develop the future scenario that arose based on the changes introduced in medical regulations and on the possibilities opened by the use of new technologies.

 

The 10-year trends can be synthesized in:

  1. The trend towards expansive healthcare organizations
  2. The trend towards patient centered management
  3. The trend towards adaptive information technology solutions
  4. The trend towards using semantic objects to segment

Introduction

Two structural changes happened in the United States:

1) The transparency of the use of electronic medical records established a new starting point for medical practice.

2) The concept of the Accountable Care Organizations and its analogical multiplication in medical practice introduced the concept of profiting from healthcare improvements.

This triggered the need of adaptiveness for healthcare organizations.

New technologies that made structural adaptiveness possible:

  1. Adaptive Information Technology
  2. Semantic objects to manage adaptiveness
  3. The discovery of the human drivers of attitudes
  4. Double dialectical logic to manage adaptiveness

The integration of the structural changes and the now available technologies is predictable based on the understanding of the power of the archetype of the US which naturally allows integrating ideals with businesses:
www.unicistinstitute.net/blog/unicist-strategy-the-archetype-of-the-usa

If you are interested in learning about the unicist future research technologies that are used to develop future scenarios we recommend you to access:
www.unicist.org/sdp.shtml

These Trends are a Back to Hippocrates in the XXI Century

Back to Hippocrates means going back to the natural role of medicine.

In the XXI century it implies the use of an object driven organization model integrating processes with objects in order to ensure results and optimize the use of energy.

The Value Adding Approach is basically driven by the development of a model based on the use of the rules of Patient Centered Management.

The operational objective is to maximize the value added to patients considered as clients.

It is a backward-chaining-thinking approach beginning with the value being added and ending with the process and objects that are needed.

The process is centered on patient orientation, added value assurance and result assurance.

Access the complete synthesis at:
www.unicistinstitute.net/blog/the-10-year-trend-for-healthcare-organizations-in-the-united-states

Unicist Press Committee

NOTE: The Unicist Research Institute was the pioneer in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. http://www.unicist.org

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The 10-Year Global Future Scenario of Objects driven Virtual Collaboration

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Complementation

The reach of one’s globalization is defined
by the limit of the pronoun “WE”…

The 10-year Global Future Scenario of Objects driven Virtual Collaboration, developed by the Future Research Lab of The Unicist Research Institute and led by Peter Belohlavek, defines the trend towards this type of work organization when some of the following conditions are given:

  1. Extreme specialized solutions are needed
  2. There is a need for time saving
  3. There is a need for timing
  4. Transparency of work processes
  5. Reliability systems
  6. Customer orientation
  7. Quality assurance in work process

About Virtual Collaboration

The communication and IT technologies allowed making the next step in organizational design, integrating personal and virtual collaboration, organizing roles and using business objects, to maximize results and minimize costs.

This is a change in working habits that is extremely valuable to manage the adaptive aspects of businesses.

The virtual collaboration allows developing both internal and external work processes. The introduction of this technology needs to begin with the activity where the productivity increase is needed the most.

Relationship BuildingMarshall McLuhan said: “The Medium is the Message”. There is no doubt that virtual media are less powerful than in-person activities to build personal relationships. Therefore it is necessary to compensate this characteristic with an increase of functionality in the group dynamics.

Functionality is increased by using business objects (that introduce functional adaptive automation into the processes). The use of business objects driven work processes allows increasing the functionality of virtual collaboration processes and building a context of simplicity.

In order to achieve group synergy, it is required that the group follows a protocol that establishes the rules of actions and the distribution of credits for its members.

It has to be considered that the bond established between the members of a group is basic to provide a collaboration context that allows achieving synergy and thus increases the productivity.

The fundamentals of this bond are given by the complementation between the members, the functionality of each role and the personal link between the members.

The drivers of this trend are:

  1. The use of virtual collaboration at a personal level on Internet
  2. The massification of the use of Internet
  3. The use of virtual collaboration by many leading organization such a: Shell, IBM, Deloitte, Google, Cisco, etc.

The new technologies that sustain this trend:

  1. Cloud computing
  2. Audio/Video-conferencing
  3. Data-sharing
  4. Desktop-sharing
  5. Web-conferencing
  6. Imaging technologies
  7. Object Driven Organization
  8. Adaptive IT Solutions
  9. Client Centered Management

Where will Virtual Collaboration be installed as a standard within the next 10 years?

  1. Project Management
  2. Work Process Monitoring
  3. Home Office
  4. Research & Development
  5. Counseling/Coaching/Tutoring
  6. Business consulting
  7. Auditing
  8. IT R&D
  9. Virtual Negotiations
  10. B2B Marketing
  11. Buying Processes
  12. Business Monitoring
  13. Customer Support
  14. Auditing
  15. Corporate Universities
  16. Medical Consultations
  17. Medical Prevention
  18. Medical Monitoring
  19. Clinical Trials

To access the basics on Unicist Future Research
please enter: www.unicist.org/sdp.shtml

Subjectivism is the killer of Virtual Collaboration

Subjectivism at work is the prevalence of subjective, ungrounded opinions, which prevail over any foundations that can be installed by a counterpart. Subjectivism implies the need of using distortive perceptions, denial and fallacies to avoid dealing with the actual problems.

Subjectivism is necessarily driven by manipulation which necessarily requires an extreme use of emotional influence to avoid dealing with the functional aspects of reality.

http://unicist.net/economics/manipulation-is-a-long-term-business-killer/

Therefore virtual collaboration requires working in functional environments where the roles of individuals are recognized by the results they can produce and their capacity of teamwork. Subjectivists can use virtual communication but not virtual collaboration.

Access the complete synthesis at:
http://unicist.net/management/the-10-year-global-future-scenario-of-objects-driven-virtual-collaboration/

Unicist Press Committee

NOTE: The Unicist Research Institute was the pioneer in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. http://www.unicist.org

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The next stage: Unicist Patient Centered Management

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Patient Centered Management (PCM) is an organizational meta-model that allows empowering the work processes in healthcare institutions. It is homologous to Client Centered Management that is the natural model to guide work processes in businesses that was developed in the eighties.

Patient Centered ManagementOn the one hand, it works as a conceptual action guide to design work processes and, on the other hand, it is the main catalyst for continuous improvement, change management and innovation management.

PCM is driven by patient orientation. The purpose of the model is to assure results, and includes a quality assurance system that sustains the value added.

The information technology that sustains the PCM implies the integration of the three concepts that underlie healthcare IT:

  • EMR, to sustain physicians’ activities
  • EHR, to deal with the diseases
  • EPR, to provide a safety environment for patients

Based on the functional and legal context, this integration works in a different way in each culture.

The PCM provides a conceptual structure of rules that makes an optimal integration of these IT solutions possible and introduces the concept of adaptive interfaces in order to ensure adapting to the feedback.

Meta-models require being extremely focused in order to avoid being perceived as meaningless. By definition they need to be ambiguous because they need to allow adapting to the specific operation of different environments.

Meta-models describe the natural structure of an activity. Therefore, they are cross-cultural, needing to establish the operational rules respecting the characteristics of the environment. These meta-models make the saying “design globally, operate locally” become real.

The specific PCM is mainly focused on satisfying the needs of the patients within an environment where all participants win. The purpose of the model is to establish the unified field of the therapeutics process, taking advantage of all the technologies available and minimizing the participation of different “health” providers to solve the patients’ problems.

Unicist Press Committee

NOTE: The Unicist Research Institute was the pioneer in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. http://www.unicist.org

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Unicist Business Modeling to organize Patient Orientation

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The Unicist Business Process Model uses the model defined with the Unicist Business Modeler and transforms it into strategic actions and organizational design.

Thus the business process becomes defined and it is possible to introduce business objects and systems to install the necessary efficiency and foster the efficacy of the members of an organization.

The purpose is to transform the Unicist Business Model into operational procedures.

The active function is given by the definition of an adequate strategy that covers both the maximal and minimum strategies.

The energy conservation function is defined by the organizational design.

The unicist technology for Business Modeling allows modeling business concepts and transforms them into operational procedures.

The Unicist Business Modeler uses the Unicist Ontological Algorithms that have been researched and developed, the Unicist Standard Language and the Facts of an activity to define the necessary processes and objects to develop a business.

Diana Belohlavek

NOTE: The Unicist Research Institute was the pioneer in using the unicist logical approach in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. It has an academic arm and a business arm.
http://www.unicist.org/turi.pdf

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Clinical trial paradigms are changing

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A couple of years ago Wyeth introduced a new R&D protocol in drug development. It was named “Learn & Confirm” and relies most heavily on biomarkers and pharmacogenomic approaches.

As part of Learn and Confirm, Wyeth drug-development teams were encouraged to examine each compound coming through the pipeline for ways that the company can employ a biomarker-based or pharmacogenomic approach that can help move it downstream.

This R&D Methodology was based on the research developed by Lewis B. Sheiner synthesized in the paper  “Clinical Pharmacology and Therapeutics”

This methodology is naturally consistent with the unicist complexity research methodology.  Therefore we working with CROs to expand this technology using the unicist healthcare cybernetic approach synthesized in the Unicist Cyberstation.

Diego Belohlavek

NOTE: We suggest you register in this “Conceptual Knowledge Reservoir” to receive updates on the new developments:
http://www.unicist.org/healthcare/wp-login.php?action=register 

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Homology between Unicist Concepts and Stem Cells

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The function of stem cells in the human body is homologous to the function of concepts in the field of human actions. While stem cells can give rise to specialized cells and thus organs, essential concepts allow building unicist objects.

Essential ConceptUnicist objects are adaptive systems that have a concept and generate added value within a quality assurance system to fulfill the purpose of the concept. Unicist objects are interdependent entities that integrate a complex adaptive system.

The knowledge of the essential concepts is basic to build unicist objects because these objects are the materialization of a concept.

Under certain conditions, organs can be transplanted and this is also the case of unicist objects that can be replicated as long as they belong to homologous and analogous entities.

Objects are inserted into processes to produce specific results. The same way stem cells have the potential capacity to give birth to human organs, concepts can give birth to objects to produce results.

The knowledge of the Unicist Theory allows using a double dialectical approach to reality to emulate the organization of nature using an object driven organization.

Nature is organized by objects which can be observed in the ecosystem. The human body is an example of the organization of nature, where organs are homologous to unicist objects. That is why the transplantation of organs became possible.

While the structure of the different organs of the body derives from the stem cells, the unicist objects derive from the essential function of an entity that is defined by its concept.

Properties of Stem Cells and Concepts

Stem Cells

Concepts

They are unspecialized They are universal
They are capable of self-renewal They are timeless
They can give rise to specialized cells They allow building operational functions

Thus, stem cells and concepts are homologous. While essential concepts allow the construction of objects to insert into human adaptive processes, stem cells allow the building of organs that work as unicist objects to sustain the functionality of a complex adaptive system such as the human body.

Peter Belohlavek

NOTE: The Unicist Research Institute was the pioneer in using the unicist logical approach in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. It has an academic arm and a business arm.
http://www.unicist.org/repo/#Unicist

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Presentation of The Unicist School in Healthcare

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The Unicist School of Economics and Businesses has now more than 50,000 followers in 56 countries. http://www.unicist.org/the-unicist-school/

The Unicist School

Access The Unicist School

This school fosters the emulation of nature in the organization of social, institutional and individual processes, which, by definition, are complex adaptive systems, saving energy in such processes.

It is based on the Unicist Theory and its applications using a logical approach to deal with complex adaptive systems.

This approach allowed integrating complexity sciences with systemic sciences and microeconomics with macroeconomics as unified fields.

Unfortunately, there are many “nature hackers” who prefer taking shortcuts to cheat the nature of things instead of making things simple.

The approach allowed simplifying economics and businesses by emulating the organization of nature. It allows dealing with the nature of processes by using unicist objects and managing their concepts.

It made complex adaptive systems reasonable, understandable and predictable using the double dialectical logic to define their functionality. It allowed simplifying businesses by emulating the organization of nature.

Unicist Press Committee

NOTE: The Unicist Research Institute was the pioneer in using the unicist logical approach in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. It has an academic arm and a business arm.
http://www.unicist.org/turi.pdf

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Evolution is Purpose Driven: The Discovery of the Ontogenetic Intelligence of Nature

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Darwins finchesThis research began in 1976 with the hypothesis that in nature there are mutations that are random but others that are driven by a purpose.

If this hypothesis was confirmed and there were a purpose, Peter Belohlavek concluded that there would have to be an intelligence that defined such purpose.

For this reason, Belohlavek researched on the essential structure implicit in nature’s intelligence to be able to predict and exert influence on the evolution of complex adaptive systems when possible.

Charles Darwin demonstrated the adaptation process of species that, having the same structural constitution, developed adaptive changes to live in a certain environment.

The hypothesis of Belohlavek’s research was that these changes were driven by an intelligence that underlies nature.

The Unified field of the Ontogenetic Intelligence of NatureHe concluded that each living creature’s evolution is ruled by its ontogenetic intelligence, that defines it as unique both in its species and individuality and that the essential structure of this intelligence is integrated by a purpose, an active principle (entropic function) and an energy conservation principle.

The research was focused on the unified field of living beings.

The basic assumption that sustains this development is that the evolution of living beings, their behaviors, actions and deeds are driven by the same logical structural framework.

This implies that there is an intelligence that defines the structural behavior of any entity that integrates this framework that allows predicting the behavior of all the entities where this intelligence is known.

You can find the complete document on the “Discovery of the Ontogenetic Intelligence of Nature” at: http://www.unicist.org/repo/#Unicist

Unicist Press Committee

NOTE: The Unicist Research Institute was the pioneer in using the unicist logical approach in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. It has an academic arm and a business arm.
http://www.unicist.org/repo/#Unicist

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Unicist Research: Closing the gap between macro and micro behavior

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The Unicist Research closed the gap between macro and micro behaviour. The unicist complexity research approach implies dealing with applications while researching, which requires that the lapse of research time be very long in order to achieve fully accurate predicted results before validating a hypothesis.

discoveries-unicist-2013-2014As it has been done every year since its foundation, The Unicist Research Institute synthesized this January the researches that had been finished until that time. After 38 years, 2013/2014, can be considered the year in which the integration of macro and micro behavior could be confirmed.

The gap between the macro and the micro cosmos has been and is still a problem that theoretical physicists are closing. The integration of the field of macro and micro behavior, that has been solved by Peter Belohlavek, is homologous. It allows integrating social behavior with individual behavior, making human complex adaptive systems manageable.

The publication of Conceptual Economics, Conceptual Anthropology and Conceptual Psychology are some of the milestones of this process that included the researches developed in 2013-2014 (see image above).

You can access Conceptual Economics and Conceptual Anthropology at:
http://www.unicist.org/repo/#Economy

If you want to access the “Drivers of Human Behavior” that explain the structure of human intelligence, please access: www.unicist.org/repo/#Psychology

Unicist Press Committee

NOTE: The Unicist Research Institute was the pioneer in using the unicist logical approach in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. It has an academic arm and a business arm. http://www.unicist.org/repo/#Unicist

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