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.
Paradoxically, 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
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
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
The Unicist Research closed the gap between macro and micro behaviour. The unicist complexity research approach implies dealing with applications while researching, which requires that the lapse of research time be very long in order to achieve fully accurate predicted results before validating a hypothesis.
As it has been done every year since its foundation, The Unicist Research Institute synthesized this January the researches that had been finished until that time. After 38 years, 2013/2014, can be considered the year in which the integration of macro and micro behavior could be confirmed.
The gap between the macro and the micro cosmos has been and is still a problem that theoretical physicists are closing. The integration of the field of macro and micro behavior, that has been solved by Peter Belohlavek, is homologous. It allows integrating social behavior with individual behavior, making human complex adaptive systems manageable.
The publication of Conceptual Economics, Conceptual Anthropology and Conceptual Psychology are some of the milestones of this process that included the researches developed in 2013-2014 (see image above).
If you want to access the “Drivers of Human Behavior” that explain the structure of human intelligence, please access: www.unicist.org/repo/#Psychology
Unicist Press Committee
NOTE: The Unicist Research Institute was the pioneer in using the unicist logical approach in complexity science research and became a private global decentralized leading research organization in the field of human adaptive systems. It has an academic arm and a business arm. http://www.unicist.org/repo/#Unicist
Unicist 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.
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
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 – 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. www.health.unicist.net
The unicist logical approach allowed managing the adaptive aspects of businesses by using unicist logical tools and business objects. This approach provides cross-cultural solutions based on the researches made at The Unicist Research Institute. To access the basics that sustain unicist education please access: www.unicist.org/sdp.shtml
Complex adaptive aspects of businesses need to be learned in their dynamics which implies that they need to be learned making real applications based on the knowledge of their dynamic structure.
This is analogous to medical residencies in teaching hospitals where graduated physicians learn to manage a specialty. It has to be considered that medicine is a paradigmatic case of complexity: http://www.massgeneral.org/education/
The Future Scenario: Static vs. Dynamic Learning Processes
The superior education in business management provided an empirical operational and analytical framework for business management that upgraded professionalism in the XXth century.
The static empirical model that permitted administrating businesses provided the knowledge that allowed developing the necessary information technology that became redundant with the superior educational programs. Simultaneously, the explosive R&D capacity to release new products shortened their lifecycle.
These two situations, the redundancy of operational an analytical knowledge and the acceleration of business processes, made the static empirical approach to business become functional to business operation but dysfunctional to business management.
The Next Step: “teaching hospitals” in the business field
Unicist education is based on learning processes that are analogous to “teaching hospitals” based on real complex problem solving. The unicist educational model is a postgraduate model that deals with the learning of logical tools and business objects. You can access a white paper at: www.unicist.org/deb_wpue.php
It requires having the necessary technical-analytical knowledge learned in graduate or undergraduate programs.
It requires the learning of:
1) The building of future scenarios
2) Diagnosing businesses
3) Developing Unicist Strategies
4) Building Business Architectures
The difference between the Unicist Education and the Professional Education can be synthesized in:
Aspect
Unicist Education
Professional Education
Educational Framework
Teaching Hospital / Clinics
Workshops / Seminars / Courses
Educational Model
Complex Problem Solving
Systemic Problem Solving
Learning Approach
Action-Reflection-Action
Theory-Practice
Problem Solving Approach
Results Driven
Tasks Driven
Future Forecasting
Logical Inferences / Delphi Groups
Projections / Delphi Groups
Knowledge
Logical & Empirical Approach
Empirical Approach
Type of Tools
Unicist Logical Tools
Operational-analytical tools
Business Planning
Strategic approach
Analytic approach
Dominant type of Analysis
Fundamental Analysis
Technical Analysis
Risk Management
Ambiguity
Certainty
Business Processes
Adaptive Systems
Operational Systems
Educational Alternatives
We propose you compare the differences between unicist education and professional education by accessing the information on the unicist logical approach and the approaches to cross-cultural businesses of four major Global MBAs (2 in the USA and 2 in the EU).
We recommend beginning with the social communication of the different proposals.
The unicist logical approach manages the adaptive aspects of business as unified fields based on the knowledge of their ontogenetic maps.
Unicist Active Business Library
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.
The Unicist Corporate University (UCU) is the academic arm of The Unicist Research Institute that is organized as a Teaching Hospital that develops business residencies. It is based on technologies that allow building cross-cultural strategies: http://www.unicist.org/sdp.shtml#cc
The UCU is now expanding worldwide installing In-company Corporate Universities to provide the unicist technologies to deal with the adaptive aspects of businesses.
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
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 diagnostician’s 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. http://www.unicist.org
Paradoxically, there is a widespread perception that EMR/EHR has a low added value for medical practice. This perception hinders the upgrade of medical practice.
