Post on 25-Feb-2016
description
Disrupting Medicine: From House to Cheesecake Factory
What Does the Title Have to Do with Medicine?
stephbousquet.wordpress.comen.wikipedia.org
Atul Gawande, MD
commonhealth.wbur.org
Big MedRestaurant chains have managed to combine quality control, cost control, and innovation. Can health care?
http://www.newyorker.com/gawande/August13,2012
May 26, 2011Cowboys and Pit CrewsPosted by aTUL GAWANDE
June 4, 2012
Failure and RescuePosted by Atul Gawande
RESILIENCE
What is Health Care Reform?
functional-medicine.blogspot.com
Health Care Reform is Driven by Need to Reduce Costs
http://www.hhs.gov/secretary/dhhssec.html
Michael Leavitt, Former DHHS Director
8
Blue Ocean Strategy
Value InnovationCosts
Buyer Value
Value Innovation
What Would Billy Bean Say?
totalspeakers.com
How Can We Fix Healthcare?
masg.org.au
Bedrock Principles (The Plan)• Leverage Nature (Law of the Few)• Create Health Experiences (Leave on Your
Socks)• Leverage the Blue Zone Experience (What
Your Grandmother Told You)• Create and Apply Precision Medicine (The
Science)• Create Health Instead of Disease (What I
Learned from the Navy Seals)
Leverage Nature (Law of the Few)
www.sysbio.de/figs/sysbio8.gif
• Emergent field that aims at systems understanding of biological systems– Systems view focuses at
understanding:• The complexity of the
system• The networks activated in
the system• The control methods of
the system• Key nodes in the system
Systems Biology
http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande
Hotspotting
Pareto’s Law and Health Care Costs
http://www.incentivedirect.com/the-8020-rule/
The True Utility of Concierge Medicine (Focus on the Few)
tracykrulik.com en.wikipedia.org
The Cost Conundrum: What a Texas town can teach us about health care
http://www.nytimes.com/interactive/2010/06/03/business/Dartmouth-maps.html?ref=business
June 1, 2009
Systems Engineering and the Checklist Manifesto
Create Health Experiences (Leave on Your Socks)
What Should the Healthcare Experience Look Like?
Trusting – Longitudinal – Accessible and Cheap – Positive and Fun – Empowering – Intuitive –
Compelling – Proactive - Preventive – Precise – Personalized – Health and Wellness Focused
TODAYControlling – Health System and Physician
Centered - Fragmented – Complex – Expensive – Difficult to Access – Disease-Centered – Imprecise
– Scary – Disempowering
counterkicks.com medicalexpo.com
Protocol
We Seek an Experience as Consumers
Russel Honorè Lesson
thetakeaway.org culture.wnyc.org
Seeks to Create a “Health” Care Experience
Leverage the Blue Zone Experience
(What Your Grandmother Told You)
health.lifegoesstrong.com
journal.aarpinternational.org
Blue Zones
Create and Apply Precision Medicine
(The Science)
ncowie.wordpress.com brooklyn.cuny.edu
gotosay.com
Epigenetics
sciblogs.co.nz/.../2010/08/epigenetics-400px.png
Introns and Organismal Complexity
genomicenterprise.com
Identify Hubs
http://mcdb.colorado.edu/courses/3280/lectures/class16-2.html 41
Create Health Instead of Disease
(What I Learned from the Navy Seals)
Balance – The Secret to Health
The universal truth is that you must balance the elements of yin and yang in all aspects of your life to achieve happiness, harmony, and health. www.crystalvaults.com
navy.mil
en.wikipedia.org
Behavior Environment Gene
More Reasons to Blame Your Parents for Any Health Problems
virtualworld360.blogspot.com
Health is Resiliency and Reserve
• Emotional• Behavioral• Social• Physical• Environmental • Genetic/Epigenetic
AGING IS THE PARADIGM
Positive Psychology
http://www.argn.com/2008/11/
www.superbetter.com
immortalhumans.comumassmed.edu workplacebullying.org
Elyssa Eppel, PhD
Elizabeth Blackburn, PhD
Chromosome
The Impact of Happiness The Losada Ratio
thehappinesscoach.biz
www.exercise-to-a-healthier-life.com/
http://www.nytimes.com/
156 lbs
http://siakhenn.tripod.com/snoring.html futurity.org
NEJM 2007 (357): 406-0757
Ecosystems Rely on Interconnected Networks
Ecosystems Influence Behavior
dailymail.co.uk
Complex System
Social Network Community Network
Individual Network
Personal Ecosystem
Bottom Line (The One Thing) • Connect to purpose (true north)• Exercise – optimal 150 min/week, at least
10,000 steps/day• Eat wisely, more plant than animal-based diet• Stay Socially Connected to friends and family• Don’t Smoke• Have fun, reduce stress• Get Sleep• Be Grateful
www.patheos.com