A) Healthcare Ethics


Unicist Contingency Rooms

Unicist Contingency Rooms are organizational units that transform urgent problems into structural solutions. These units are basically organized as teams led by a person who is responsible for the Contingency Room.

Unicist Contingency RoomsWhen they begin their teamwork, the leadership includes the participation of a coordinator, who assumes the responsibility for doing what is needed to find the solutions for the problem that needs to be solved, an ombudsman to represent the needs of the client and a fallacy shooter who ensures that the group manages valid knowledge.

Their final purpose is to solve an urgent problem. Their maximal strategy is to develop the structural solutions while the minimum strategy is to solve the urgent problems.

The double dialectical actions that need to be developed at a contingency room begin by finding the necessary causes of problems in order to develop a structural solution while the second step is to find the triggering causes that generated the urgent problems in order to solve them.

It has to be considered that when a structural solution is found, the problem ceases to exist. Therefore, contingency rooms generate significant added value in their organizations because they ensure the concept of “today better than yesterday” measured in terms of results.

These contingency rooms use a complete set of resources to manage these solutions:

  • Unicist Change Management & Continuous ImprovementConceptual Design Technology – To build the unified fields of the solutions and the layout of their architecture.
  • Continuous Improvement – Which includes the possibility of installing innovations to upgrade or renew processes.
  • Quality Assurance – Which requires introducing automated decisions to ensure the effectiveness of the processes.
  • Problem Solving & Diagnostics Methods – To provide a framework that simplifies the building of structural solutions.
  • Unicist Fishbone – To transform the conceptual design of a process into a manageable improvement process.
  • Unicist Project Manager – To design solutions for complex structural problems.
  • Unicist Library – To have a Knowledge Bank with the information of the concepts of business functions.
  • Avant Garde Groups – To build participative solutions for work processes using the knowledge and experience of the members of an organization.
  • Business Objects building Method – To build the necessary business objects to be inserted in the processes and integrated with roles and the necessary technologies in order to drive, catalyze or inhibit the entropy of processes.

Unicist contingency rooms are a tool for organizational learning and improvement. The organizations that use this approach transform crises into opportunities and problems into solutions.

This requires having an internal “Corporate University”, working as a solution factory, that provides the conceptual framework and the knowledge base for these activities together with the quality assurance for the solutions.

The main problem of contingency rooms is that they require using all the knowledge that is necessary and the main benefit is that it produces monetary results in the short and long run.

Diego 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. https://www.unicist.org/healthcare/wp-content/uploads/2016/07/turi.pdf


Transforming EMR into Adaptive Patient Centered Systems

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


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

Complementation

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.

What is needed to deal with Virtual Collaboration?

There are three aspects of organizations that need to be considered when installing virtual collaboration as a standard:

  1. Client Centered Management, to organize towards the satisfaction of customers and clients.
  2. Object Driven Organization, to use objects and personal roles to introduce functional adaptiveness in the processes.
  3. Adaptive IT solutions in order to provide a framework to sustain the efficacy of the participants.

1) Client Centered Management (CCM)

Client Centered ManagementCCM is a management model that was developed to establish the rules for an optimum use of the company’s energy so as to satisfy its internal and external clients. When talking about the external client in the company we necessarily refer to the customer and the shareholder. CCM is a meta-model to provide result-assurance, client orientation and secure added value to an organization. It is the natural model to expand businesses.

CCM is a paradigmatic adaptive system integrated by multiple business objects.

The core objects are:

1) The Unicist Reliability System

2) The Unicist Scorecard

3) The Unicist Quality Assurance System

The principles that integrate the CCM meta-model are:

1. Divide the processes into client-supplier units

This division aims at determining which operating units have a clear “output” so as to be suppliers and which have a clear “input” so as to be considered clients.

2. Minimize intermediaries

This principle follows the natural concept of “the larger the number of intermediaries, the bigger the entropy”.

3. Services or products received are paid for

This principle makes the organization become more aware of costs and benefits and enables negotiating goals to obtain measurable and predictable results.

Maximal Strategy

4. Each client has only one supplier

The principle that each client has only one supplier defines the role of the supplier which drives towards a solution driven approach and not only a task driven approach.

5. First giving, then receiving

It implies that services are paid for once rendered and not during the rendering process or in advance. There can be grounded exceptions to this in the organization.

6. Delivered out of time is considered undelivered

In practice, it ends up in an incentive system for each delivery on time and a punishment system if the dispatch is made out of time.

Minimum Strategy

7. Every client may change his supplier

The organization’s success is given by its capacity to satisfy the clients’ needs. This obliges the organization to manage the unfulfilled situations a supplier may have.

8. He who needs claims

“He who needs claims” is a principle based on the KANBAN approach which is closely associated with the natural tendency of satisfying one’s own needs.

9. Each supplier counts on his client’s trust

One of the basic principles of any successful large company is having a high reliability level. Reliability and trust are “sine qua non” principles for CCM’s application.

2) The Object Driven Organization

The unicist organizational approach is based on emulating nature in organizations. An extremely effective organization can be developed integrating both structural aspects that sustain evolution and incidental aspects that allow dealing with conjunctures. Emulating nature implies integrating the abstract apprehension of reality with the concrete operational design.

Object Driven OrganizationA unicist object driven organization is a result driven model that, according to the predefined objectives, designs the necessary processes and uses and reuses business objects to produce the expected results.

The object driven organization requires having a high level of maturity in business. It can be defined as the organization of processes and the use of objects to achieve the objectives that have been established in a strategy.

An object driven organization implies the development of a maximal strategy that includes the design of processes based on taxonomic procedures to put them into action and also a shared vision that makes these processes consistent with the business.

The vision of the organization is the catalyst of the minimum strategy. If it does not achieve its threshold, it works as an inhibitor of the minimum strategy and destroys the organization. The minimum strategy is based on the use and reuse of objects within the context of methodic procedures to ensure their use and functionality. This is sustained by an action plan (a “to do” list) to guarantee the fulfillment of the minimum strategy.

The use of business objects structures the timing and synchronicity of business processes. It also provides the necessary acceleration to achieve the needed critical mass and the required speed to adapt to the environment.

Types of Business Objects

There are five business objects which are: the drivers, the entropy inhibitors, the inhibitors, the catalysts and the gravitational objects.

Objects’ FunctionalityThe first three ones belong to the process of a system while the catalysts are part of the restricted context and the gravitational objects belong to the wide context of a system.

Objects can be designed integrating these three functions as part of their functionality or they can exist as three different objects to provide the driving, inhibiting and entropy inhibiting functions in a process.

Catalysts and gravitational objects are not part of the system. If one integrates them into the system, these objects do not work as such and destroy the system’s functionality.

The use of business objects requires individuals who understand the business processes in order to use the objects and replace them when their functionality has been exceeded

Unicist Business Objects are provided for the following uses:

  • Driving Objects 
    To drive processes
  • Catalyzing Objects
    To accelerate processes
  • Entropy Inhibiting Objects
    To inhibit the entropy of business processes
  • Inhibiting Objects
    To inhibit dysfunctional events in a business
  • Gravitational Objects
    To influence the results of processes

3) Adaptive IT Solutions

The available IT technologies made the development of adaptive systems meaningful. The objective of building adaptive systems is to integrate software, hardware and peopleware in adaptive work or business processes to assure the quality of the results produced.

Adaptive IT ArchitectureThe development of the adaptive IT  technology became possible because of the discovery of the unicist laws of evolution, the object driven organization that emulates the organization of nature and the drivers of human behavior that allow designing the necessary peopleware.

Before the existence of adaptive systems, the solution was fully focused on the efficacy of individuals, which increased the responsibility of the person who was doing a job. This forced individuals to consider all the details of the feedback from the environment which increased the probability of errors.

The catalyst of an adaptive IT system is its capacity to learn from the feedback to improve its adaptive structural behavior. The entropy inhibitor of the system is given by its capacity to learn to ensure conjunctural adaptiveness.

Adaptiveness is based on the existence of drivers that make it possible. There are different levels of adaptiveness beginning with the most basic and ending with the most flexible. The levels of the adaptive drivers are the following:

  1. There are analogical drivers that are based on the recognition of patterns.
  2. There are rule based drivers that include the preexisting and add rules that correspond to the activity.
  3. There are empirical drivers that include the preexisting and add empirical information obtained using mathematical models.
  4. There are objects based drivers that include the preexisting and add concept based objects as intrinsic adaptive systems.

The integration of the adaptive aspects with the operational and administrative aspects is necessary in order to develop user oriented information systems.

The level of adaptiveness of a system has to be designed according to the characteristics of a work process. Administrative and operational systems can be transformed into adaptive systems by adding and integrating an adaptive interface.

Quality Assurance: The Unicist Standard

The Unicist Standard was developed to sustain the application of the Unicist Logical Approach to Adaptive Systems Architecture and to the building of Unicist Business Objects.

The researches developed at The Unicist Research Institute allowed managing the unified fields of human complex adaptive systems in a reasonable, understandable and provable way.

The discoveries of the ontogenetic intelligence of nature, the anthropological invariables and their evolution, the human ontointelligence and the double dialectical behavior made the research & development and management of adaptive systems possible.

The Unicist Standard defines the ontogenetic maps that have to be followed in an adaptive system in order to structure it and achieve the results that have been defined as possible.

Conclusion

Virtual collaboration is the natural way to organize when there is a need of expert knowledge. Nowadays expert knowledge can be integrated in most of the cases by using the IT technologies that allow sharing data and images.

Collaborative ContextThe time saving and productivity increase is significant when the conditions for virtual collaboration are given. It allows providing full synchronicity with the needs of customers and clients.

But there are several requirements for virtual collaboration to be implemented:

  1. Virtual collaboration needs transparency of work become part of the culture of an organization.
  2. It needs reliability systems that monitor work processes.
  3. It requires customer orientation that fosters fulfillment, synchronicity and reliability.
  4. Personal roles need to be complemented by quality assurance processes to ensure results.

If you want to access more information about this study please contact n.i.brown@unicist.org

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


The next stage: Unicist Patient Centered Management

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


Unicist Business Modeling to organize Patient Orientation

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.
https://www.unicist.org/healthcare/wp-content/uploads/2015/08/turi.pdf


Presentation of The Unicist School in Healthcare

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.
https://www.unicist.org/healthcare/wp-content/uploads/2015/05/turi.pdf


Logical Management Tools: Unicist Reflection for Problem Solving

reflectionUnicist reflection is an approach to complex human adaptive systems to understand their nature, define the possibilities to influence them, apprehend the algorithms that allow exerting influence and generate added value.

Unicist reflection has no relationship with other introspective approaches like religious introspection, transcendent meditation, yoga or other technologies that have been developed for different purposes.

Unicist Reflection has been developed to deal with complex human adaptive systems, such as businesses, to develop scenarios, diagnoses and strategies to achieve possible results.

Reflection covers five stages before reaching the environment adaptation and the influence upon it.

1) It reflects outside
Projecting the prejudices we have onto reality.
2) It reflects inside
Introjecting the reality elements we try to exert some influence upon.
3) The outside vanishes
Focusing on the reality we try to exert some influence upon.
4) The inside vanishes
Making the specific reality universal.
5) All is one

The “reflecting outside” stage deals with the projection of our own preconceptions and implies comparing them with the reality facts or with other people’s preconceptions.

Reality is introjected to be able to influence the environment. The aim is to develop a strategy which allows influencing while being influenced.

Once we are in peace with the environment we start to focus on the influence we try to exert.

When we have developed a diagnosis, it has a universal implicit character. This means that it responds to universal elements. This allows transferring the knowledge to other homologous fields and originates the conceptual “benchmarking”.

When this level is reached, we will comprehend the universality of concepts.

The Unicist Reflection process can be synthesized in the following steps:

0 – Focus on the solution
1 – Dealing with projections
– Destructive pilot tests
2 – Dealing with Introjections
– Non-destructive – Destructive pilot tests
3 – Dealing with integration
– Non-destructive pilot tests
4 – Dealing with communion
– Results validation
5 – Dealing with the unified field

A Unicist Reflection process implies leaving behind the labyrinth of one’s opinions and operational shortcuts. It requires knowledge, courage and humbleness.

Learn more about the Logical Management Tools at:
http://www.unicist.net/management-tools.php

Diego 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.
https://www.unicist.org/healthcare/wp-content/uploads/2014/08/turi.pdf


Social viruses produce paradoxical results in businesses

Social viruses are the consequence of the use of anti-intelligence. Anti-intelligence is a “virus”. Anti-intelligence is the use of intelligence without ethical purposes. It substitutes ethical intelligence with a utopia (this utopia is homological with to proteins viruses use).

The mutation of social viruses is produced by the functionality or dysfunctionality that the utopia poses in the environment. If the utopia can take advantage of the conditions of the environment there is no need to change. If it is dysfunctional, then utopias change and thus the complete structure of the social virus mutates.

The Destruction Power of Social Viruses

We have discovered four levels of jeopardy of viruses:

  1. Social viruses that install in a social entity but remain as marginal elements that validate the structure of the institution or culture.
  2. Social viruses that work at a lower or different ethical level that degrade the institutional or cultural activity.
  3. Social viruses that work at a lower, different and incompatible ethical level that provoke an extreme degradation of the institutional or cultural activity.
  4. Social viruses that work at an incompatible ethical and functional level that provoke the destruction of the institutional and cultural perception. They provoke a “back to individualism” effects.

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/repo/#Unicist


The Organization of Patient Centered Management R&D Groups

We are installing Patient Centered Management in Healthcare Organizations. This implies a re-launching of the applied research activities of The Unicist Research Institute that will be developed as in-company research groups or outsourced activities. The organization of these groups will be adapted to the legal regulations of each country.

Healthcare R&D Groups

To request more information please contact: n.i.brown@unicist.org

Applied Research 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


Adaptive EHR: simplifying medical practice as a complex system

We would like to introduce adaptive EMR/EHR as a way to materialize Patient Centered Management as a solution to sustain the upgrade introduced in Healthcare in the US.

This implies dealing with predictive interfaces transforming operational EMR/EHR into adaptive systems. We would like to discuss with colleagues the possibility of introducing these alternatives considering medicine as the most complex professional field.

Unicist Patient Centered OrganizationPlease access the approach to complexity: “Applying Complexity Science to Health and Healthcare” of the University of Minnesota:
http://goo.gl/C3pcb9

and the Unicist Logical Approach to complexity you can find at:
www.unicist.net/clipboard/

The basics of medicine are patient centered. That is why the regulation of the activity focusing on patients is just a back to basics. Patient Centered Management is an object driven solution to structure patient orientation.

Electronic Patient Records are the paradigmatic sign of this approach. Electronic Healthcare records are their natural complement in order to include the aspects that deal with the diseases that are being considered.

Electronic Medical Records, being focused on medical activity, allow putting this patient orientation into action. The EMR are the natural step to start with a structured patient orientation.

The debate I suggest is about alternatives to simplify complexity in medical practice with people who might be interested in this approach.

Peter Belohlavek

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. https://www.unicist.org/healthcare/wp-content/uploads/2013/10/turi.pdf