Unicist Confederation


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 Intelligence Quotient only measures dualistic logic

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.

Learn more:
https://www.unicist.org/healthcare/wp-content/uploads/2013/02/human_complexes_en.pdf 

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


Simplifying Organizations: The Unicist Object Driven Approach

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:

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


What is Unicist Decision Making?

Unicist decision making is a conscious process of an individual or group where the justifications and foundations of possible action alternatives are evaluated to make a decision. It is focused on ensuring that the objectives are possible and not only probable.

The unicist double dialectical approach allows integrating the justifications of the purpose that needs to be achieved, with the justifications of the necessary actions, integrating them with their foundations to ensure the accuracy of the decision.

The dualistic approach hinders the integration of justifications and foundations, dividing the process into an independent analysis of the “what for” of the actions to be decided and the “why” the actions will produce the expected results.

The dualistic decision making process drives decisions into a voluntaristic, rationalistic or subjective context. This tends to produce paradoxical results and the need to have scapegoats for their consequences.

Learn more:
https://www.unicist.org/healthcare/wp-content/uploads/2013/01/decision_making_ontology_en.pdf 

Unicist Press Committee

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


Aesthetics is the core of Steve Jobs’ business approach

Apple’s success is based on the capacity of perceiving the latent needs of the market and delivering original innovative solutions.

We hope you made the effort to learn from Steve Jobs about Apple’s fundamentals as we proposed.

If you still haven’t done the “homework” we recommend watching the video before following the reading of the answer to the questions posted:

http://unicist.net/it/learning-from-steve-jobs-apple%E2%80%99s-fundamentals/

We consider that the core fundamental of Apple is aesthetics. But aesthetics is not beauty. It goes beyond.

Apple products are aesthetic because they complete the needs of their prospect clients, they are desirable and harmonic. They also include inaccessible aspects that basically deal with innovative technology.

It can be said that the integration of an innovative technology with the fulfillment of latent needs are the core fundamentals that drive Apple’s business.

Steve Jobs is a doer himself

“Doers make things happen. Therefore, more than ever before, it is time for doers in the world.”

Doers are very special individuals. They are basically individuals whose fulfillment is based on doing transcendent things. They need to achieve what they have decided to do. When things cannot be done the easy way, they find the necessary path to make things happen.

“The world is built by doers and enjoyed by followers”. The joy of doers is in the deed itself.

We hope this has been useful.

Request more information: n.i.brown@unicist.org

Diego Belohlavek
Expert System Manager

NOTE: The Unicist Research Institute is the major research organization in the world in its specialty based on more than 3,000 researches in complexity sciences applied to individual, institutional and social evolution.