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:
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: “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:
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 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.
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 “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.
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 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.
The 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:
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 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
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.
On 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
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
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:
Social viruses that install in a social entity but remain as marginal elements that validate the structure of the institution or culture.
Social viruses that work at a lower or different ethical level that degrade the institutional or cultural activity.
Social viruses that work at a lower, different and incompatible ethical level that provoke an extreme degradation of the institutional or cultural activity.
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
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.
Please access the approach to complexity: “Applying Complexity Science to Health and Healthcare” 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. 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 discovery of the unicist ontogenetic intelligence of nature allowed defining the triadic structure that regulates any entity. It included the discovery of the complementation and supplementation laws.
These discoveries established the groundings to develop the unicist double dialectical logic that underlies all systems in nature.
The use of the double dialectical logic made the emulation of the organization of nature possible, developing objects to install into human adaptive systems to make them faster, safer and reliable.
The unicist double dialectical approach to medicine allowed (*):
1) Defining and managing diagnoses as adaptive systems and transforming them into medical objects integrating the triadic structure of cures, fundamental diagnoses and technical-analytical diagnoses.
2) Managing therapeutics as a complex adaptive system, integrating the triadic structure defined by cures, palliatives and recovery.
3) Managing the triadic structure of Health IT integrating software, hardware and peopleware.
4) Integrating the triadic structure of electronic records for medical practice, integrating EMR, HER and EPR.
5) Managing drugs as medical objects integrating their functionality with the adverse effects and the positive side effects.
6) Managing the triadic structure of patient centered management integrating the patient, medical practice and management.
7) Installing the Object Driven Organization Metamodel to materialize the Patient Centered Management.
8) Developing a unicist scorecard to monitor the metrics of the medical business activities.
(*) A condition to manage the unicist approach is to go beyond the use of dualistic logic and use the double dialectical logic in order to be able to emulate dynamic processes in mind. It implies leaving behind the use of the disjunction “or” substituting it by the use of the functional conjunction “and”.
Healthcare: the use of Unicist Adaptive IT Architectures
Adaptive IT solutions are systems that have been designed to interact with the external and internal environment. Nowadays, there are multiple programming solutions available to sustain the unicist adaptive architecture. The solutions include aspect objects architecture with unicist logical inferences to manage adaptiveness.
The evolution of Information Technologies allowed integrating the adaptive aspects of business management in the operational systems of hospitals.
The integration of the unicist logical approach and the resulting business objects included in the business processes within an adaptive IT environment allows driving business processes to the next level.
To be able to organize by objects it is necessary to use both adaptive and administrative systems to organize the work processes. This widened the possibilities of hospitals to expand the boundaries of their activities within an environment of assured quality.
There are four levels of adaptiveness that can be managed:
1) Analogical drivers
This level is based on the recognition of the significant behavioral patterns of the segments of patients.
2) Rules based drivers
This level is based on the use of analogical patterns and the logical rules defined by the fundamentals that influence the processes.
3) Empirical drivers
This level is based on the previous level and the integration of mathematical models to infer behavior based on the observable aspects of the fundamentals of the processes.
4) Objects based drivers
This level is based on the previous level plus the use of medical objects that work as interdependent drivers to influence the attitude of patients. The feedback is defined by the results produced by these objects.
The level of adaptiveness varies according to the needs of the system. Adaptiveness is based on the medical, therapeutics and disease segmentation.
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
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 “natural” 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. http://www.unicist.org
Our work and research with gifted people, having an IQ above 130 drove to the conclusion that this gift allows adapting to aspects of reality that can be managed with dualistic logic. Gifted people are extremely successful when dealing with dualistic environments solving systemic problems.
But, on the other hand, they tend to generate fallacious behaviors when they are forced to enter into complex adaptive systems if they do not have the skills for developing action-reflection-action processes. In this context these processes allow apprehending the nature of complex systems in order to be able to manage them.
These individuals tend to use systemic palliatives to avoid dealing with complexity (such as: statistics, analogies, etc.). What allows them to deal with complexity is their level of ontointelligence, which includes their type of thought, their strategic intelligence and their ethical intelligence.
The problem with many high IQ individuals is that their gift is also their handicap. And this “handicap” hinders their reflection capacity unless they are able to use conceptual thinking and have a value adding ethical intelligence to approach reality.
The conclusion is that an extreme high IQ is not an advantage to deal with complex adaptive systems such as businesses. It is a gift to manage the systemic aspects of processes but it is a handicap to deal with the adaptive aspects.
Dualistic logic is functional to deal with systemic problems but drives to “aprioristic” fallacies when dealing with complex problems. The IQ allows managing dualistic logic to deal with systemic problems and ontointelligence allows managing the double dialectical logic to solve complex problems.
Unicist Press Committee
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
Unicist Cybernetics is the approach to institutions considered as complex adaptive systems. Unicist Cybernetics is a breakthrough both in organization of institutions and cybernetics based on the unicist ontological design using the taxonomic structures that have been researched.
Learn more accessing the video:
[slideboom id=213102&w=425&h=370]
Unicist Press Committee
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
