The reach of oneās globalization is defined by the limit of the pronoun āWEāā¦
This is a synthesis of the trends developed at the Future Research Lab on the āEvolution of Healthcare in the USā 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:
The trend towards expansive healthcare organizations
The trend towards patient centered management
The trend towards adaptive information technology solutions
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:
Adaptive Information Technology
Semantic objects to manage adaptiveness
The discovery of the human drivers of attitudes
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.
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 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:
Extreme specialized solutions are needed
There is a need for time saving
There is a need for timing
Transparency of work processes
Reliability systems
Customer orientation
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.
Marshall McLuhan said: āThe Medium is the Messageā. 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:
The use of virtual collaboration at a personal level on Internet
The massification of the use of Internet
The use of virtual collaboration by many leading organization such a: Shell, IBM, Deloitte, Google, Cisco, etc.
The new technologies that sustain this trend:
Cloud computing
Audio/Video-conferencing
Data-sharing
Desktop-sharing
Web-conferencing
Imaging technologies
Object Driven Organization
Adaptive IT Solutions
Client Centered Management
Where will Virtual Collaboration be installed as a standard within the next 10 years?
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.
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:
Client Centered Management, to organize towards the satisfaction of customers and clients.
Object Driven Organization, to use objects and personal roles to introduce functional adaptiveness in the processes.
Adaptive IT solutions in order to provide a framework to sustain the efficacy of the participants.
1) Client Centered Management (CCM)
CCM is a management model that was developed to establish the rules for an optimum use of the companyās 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 āoutputā so as to be suppliers and which have a clear āinputā so as to be considered clients.
2. Minimize intermediaries
This principle follows the natural concept of āthe larger the number of intermediaries, the bigger the entropyā.
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 organizationās success is given by its capacity to satisfy the clientsā needs. This obliges the organization to manage the unfulfilled situations a supplier may have.
8. He who needs claims
āHe who needs claimsā 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 clientās trust
One of the basic principles of any successful large company is having a high reliability level. Reliability and trust are āsine qua nonā principles for CCMās 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.
A 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 āto doā 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.
The 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 systemās 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 ObjectsĀ 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.
The development of the adaptive ITĀ 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:
There are analogical drivers that are based on the recognition of patterns.
There are rule based drivers that include the preexisting and add rules that correspond to the activity.
There are empirical drivers that include the preexisting and add empirical information obtained using mathematical models.
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.
The 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:
Virtual collaboration needs transparency of work become part of the culture of an organization.
It needs reliability systems that monitor work processes.
It requires customer orientation that fosters fulfillment, synchronicity and reliability.
Personal roles need to be complemented by quality assurance processes to ensure results.
If you want to access more information about this study please contactĀ 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.Ā http://www.unicist.org
This 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 natureās 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 Belohlavekās research was that these changes were driven by an intelligence that underlies nature.
He concluded that each living creatureās 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.
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 discovery of the unicist ontological structure of complex systems developed at The Unicist Research Institute provided the final input to develop a methodology for adaptive clinical trials. The unicist ontology of health that was discovered provided the basic background for this methodology:Ā http://goo.gl/Ruwsr3
This approach is based on the integration of aspects of traditional clinical trials, the concept of the ālearn and confirmā standard and the unicist approach to complexity sciences.
This approach is based on the use of destructive tests, which are a special kind of falsification test (Karl Popper), to sustain the Phase I and Phase II clinical trials.
The objective of destructive tests is to confirm the limits of the functionality that is being tested.
They are necessary in the previous research work but their application in these phases allows providing a safe input to develop the following phases. Destructive tests are based on universal experimenting and on the knowledge of the conceptual foundations of what is being researched.
Phase III and IV are approaches that useĀ non destructive tests that are analogous to the traditional clinical trials but with the inclusion of a quality assurance process that triggers a ālearningā process when predefined limits are exceeded.
The ālearn & confirmā methodology introduced at Wyeth changed the paradigms of clinical trials and introduced a conceptual simplification in the R&D processes that could not expand massively because of the non-evident economic benefits of this technology.
The unicist approach to adaptive clinical trials is an approach based on the complexity science research methodology developed at The Unicist Research Institute that simplified the discovery-learn-confirm method introduced by Wyeth and providesĀ a secure approach to life-sciences.
A research consortium, coordinated by Peter Belohlavek, is being organizedĀ to develop this solution in real application fields. It is expected that this methodology becomes a standard within the next two years based on the shortening of the R&D processes and the saving of up to 50% of the costs.
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/2014/10/turi.pdf
It is necessary to define complexity in the field of business. It needs to be understood to develop and use adaptive systems:
When you have to add 1 + 1 the problem is simple; 1 + 1 = 2. There is only one possible solution and all you have to do is follow a method.
But the problem becomes complex if you reverse the equation (2 = ???) because you need to produce a result. In this case there are infinite solutions and the problem is complex because you have to find the equation that optimizes the process of producing results. That is why using methods is simple but ensuring results is complex.
We define a complex system as an open system, which defines the functionality of a unified field through the conjunction of objects and/or subsystems.
Complexity Science Organizations
There are three main organizations in the world that are fully focused on complexity science and its application in the field of human complex adaptive systems.
We strongly recommend comparing their approaches to choose the one that is functional to your needs. We suggest beginning by accessing their institutional page to apprehend the concept of adaptiveness they manage:
The Unicist Research Institute ā A unicist logical approach (based on a pragmatic, structuralist and functionalist framework) https://www.facebook.com/unicist
Dealing with Businesses as Complex Adaptive Systems
Businesses are typical adaptive systems. Businesses need to adapt to the environment in order to achieve their goals.
The Unicist Logical Approach allows emulating the dynamics of a business in mind that allows managing it as an adaptive system. Thus this approach permits defining reliable scenarios, develop diagnoses, build strategies and design business architectures.
The more adaptive a system is, the less energy it consumes to generate a predefined value. Adaptive systems require using predictors to deal with the adaptive aspects of the reality that is being managed. This requires using a unicist logical approach to define the rules that regulate adaptiveness and allow designing the architecture of the system.
Designing adaptive systems implies dealing with the complexity of such systems and developing operational solutions that can be managed by everyone to expand businesses and save energy. Complexity science can be defined as the scientific approach to complex adaptive systems.
The Unicist Logical Approach to Complexity Sciences
The unicist logical approach manages the adaptive aspects of business as unified fields based on the knowledge of their ontogenetic maps.
The knowledge of the ontogenetic map of a business, its market and the context allowed managing the fundamentals that define the possibilities of business actions.
The future scenario building became possible based on the knowledge of the ontology of evolution and the ontogenetic maps of a business and its restricted and wide contexts.
This knowledge allowed defining synergic maximal strategies, to expand beyond the boundaries of a business, and minimum strategies to work within them.
Adaptive business processes became reliable based on the use of ontology based business objects. The use of objects upgraded the role of human work in business.
The integration of fundamental analysis and technical analysis allowed building reliable business knowledge, transforming uncertainty into risk and integrating the knowledge of the possibilities of success with its probabilities.
All the solutions, business objects, technologies and knowledge provided by The Unicist Research Institute are based on the unicist logical approach and generate significant energy saving effects.
Steps to Manage Businesses as Adaptive Systems:
Forecast the future of the adaptive system that is being influenced.
Diagnose adaptive systems to define the possibilities of what can be achieved and how to do it.
Develop the necessary strategies that allow developing both maximal strategies to expand the boundaries of the system and minimum strategies to ensure survival.
Design the architecture of the solution in order to obtain the results that are necessary and possible to be achieved.
This requires having a conceptual approach to apprehend the unified field of the business and being able to transform adaptive aspects into operational solutions.
The Unicist Healthcare Confederation is now expanding worldwide providing unicist object driven technologies to deal with the adaptive aspects of businesses.Ā www.health.unicist.net
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.Ā We would like to discuss with colleagues the possibility of introducing these alternatives considering medicine as the most complex professional field.
Please access the approach to complexity: āApplying Complexity Science to Health and Healthcareā of the University of Minnesota: http://goo.gl/C3pcb9
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.Ā 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.
The unicist ontology of an institution is essentially analogous to the DNA of a living being. They both define the nature of the being, have an implicit purpose and materialize the action and the energy conservation principles.
Genetic Map
Being aware of the unicist ontological structure that underlies and rules the behavior and evolution of an institution it is possible to define the taxonomies and action plans to ensure the functionality of an organization respecting its nature .
The difference between the DNA of different species is minimal although the physical difference might be enormous.
The same characteristic is given at the unicist ontological structure of institutions. Subtle differences generate different species.
That is why the accuracy of diagnoses of the conceptual structure of an institution is determinant. It defines its species and the possibilities and probabilities of its evolution.
Unicist algorithms for the genetic engineering of institutions
The functionality of algorithms is to provide a logical structure to understand and influence reality in a secure way. Following ontological algorithms an individual is respecting the rules of ontogenesis.
Algorithms describe and explain the natural functionality of a reality and establish the relationships of the objects that are part of such reality based on the ontogenesis of the evolution process.
They provide the natural way to influence institutions. Using unicist ontologies to influence institutions implies dealing with the genetic engineering of the institution.
Therefore, the use of unicist technologies in institutions is based on āchange without changingā. That means introducing changes that respect their nature and do not try to change their essential concepts.
Alliances define the essential characteristics of Accountable Care Organizations in the US. Alliances have a high level of entropy. That is why it is necessary to be fully aware of this characteristic ACOs have in order to manage them.
Alliance building is the way to strengthen the action of an organization when it is being threatened or needs to gain market.
Alliances are essentially transitory situations that require building a ānaturalā way to achieve the goal that has been established.
Some concepts of alliances may be useful:
Alliances are agreements between colleagues, competitors and/or enemies to attack a common adversary.
Alliances are useful to gain influence in a market but they break after the goal has been achieved.
They need to be transformed into formal societies to avoid their disappearance after the influence they needed has been achieved.
Alliance building is a proof of maturity and adaptiveness. Building alliances implies leaving aside an existing confrontation to build a pathway towards growth or the defense from an external threat.
The Unicist Standard for Accountable Care Organizations allows building stable alliances based on the use of adaptive object driven technologies to deal with the unique characteristic of the healthcare market.
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.Ā http://www.unicist.org
Medical objects are encapsulated adaptive processes that have the necessary quality assurance to generate a predefined result.
Medical diagnoses happen within the scope of medicine but are regulated by the functional rules of universal diagnostics and are driven by the semiotic signs the diagnostician identifies.
Diagnoses can be considered from two different points of view. Seen from the diagnosticianās standpoint, they are a process that needs to be done to identify the problem that needs to be cured. But seen from the point of view of the therapeutic process, they are a medical object that defines the objective of the therapeutic process.
As a medical object, they need to have the necessary quality assurance to be fully reliable. To achieve this reliability they need to be based on reliable knowledge and develop the necessary destructive and non-destructive tests to confirm their validity.
As an object, they work as an adaptive system that modifies the diagnosis based on the feedback from the environment until the therapeutic process has shown its accuracy. The destructive tests are necessary to evaluate the limits of validity of the diagnoses while the non-destructive tests are done to confirm their functional validity.
To manage diagnoses as medical objects it is necessary that the EHR includes the possibility of managing them as adaptive systems.
Diego 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.Ā http://www.unicist.org
The homology between the fallacies of organs and the human āmentalā fallacies is presented based on the research on the unicist ontology of fallacies and their functionality.
The human body can be considered as a paradigmatic complex system that needs to be approached as such in order to influence it. As nature is organized by interdependent objects it can be also considered that the human body is integrated by objects and processes that allow humans to be alive.
This work provides the fundamentals to understand the essential structure that underlies fallacies and their functionality whatever their origin.
The unicist ontology of fallacies and a particular case of the fallacies of organs will be introduced following a synthetic description on the fallacious behavior of the kidneys and its consequences in the human body.
It can be defined that the human body is composed by object-organs that are integrated in processes, are interdependent with other objects and have a semiautonomous integrated behavior.
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.Ā http://www.unicist.org