disrupting medicine: from house to cheesecake factory
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Disrupting Medicine: From House to Cheesecake Factory. What Does the Title Have to Do with Medicine?. stephbousquet.wordpress.com. en.wikipedia.org. Atul Gawande , MD. commonhealth.wbur.org. Big Med - PowerPoint PPT PresentationTRANSCRIPT
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Disrupting Medicine: From House to Cheesecake Factory
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What Does the Title Have to Do with Medicine?
stephbousquet.wordpress.comen.wikipedia.org
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Atul Gawande, MD
commonhealth.wbur.org
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Big MedRestaurant chains have managed to combine quality control, cost control, and innovation. Can health care?
http://www.newyorker.com/gawande/August13,2012
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May 26, 2011Cowboys and Pit CrewsPosted by aTUL GAWANDE
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June 4, 2012
Failure and RescuePosted by Atul Gawande
RESILIENCE
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What is Health Care Reform?
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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
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Blue Ocean Strategy
Value InnovationCosts
Buyer Value
Value Innovation
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What Would Billy Bean Say?
totalspeakers.com
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How Can We Fix Healthcare?
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masg.org.au
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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)
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Leverage Nature (Law of the Few)
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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
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http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande
Hotspotting
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Pareto’s Law and Health Care Costs
http://www.incentivedirect.com/the-8020-rule/
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The True Utility of Concierge Medicine (Focus on the Few)
tracykrulik.com en.wikipedia.org
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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
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Systems Engineering and the Checklist Manifesto
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Create Health Experiences (Leave on Your Socks)
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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
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counterkicks.com medicalexpo.com
Protocol
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We Seek an Experience as Consumers
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Russel Honorè Lesson
thetakeaway.org culture.wnyc.org
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Seeks to Create a “Health” Care Experience
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Leverage the Blue Zone Experience
(What Your Grandmother Told You)
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health.lifegoesstrong.com
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journal.aarpinternational.org
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Blue Zones
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Create and Apply Precision Medicine
(The Science)
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ncowie.wordpress.com brooklyn.cuny.edu
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gotosay.com
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Epigenetics
sciblogs.co.nz/.../2010/08/epigenetics-400px.png
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Introns and Organismal Complexity
genomicenterprise.com
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Identify Hubs
http://mcdb.colorado.edu/courses/3280/lectures/class16-2.html 41
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Create Health Instead of Disease
(What I Learned from the Navy Seals)
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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
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navy.mil
en.wikipedia.org
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Behavior Environment Gene
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More Reasons to Blame Your Parents for Any Health Problems
virtualworld360.blogspot.com
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Health is Resiliency and Reserve
• Emotional• Behavioral• Social• Physical• Environmental • Genetic/Epigenetic
AGING IS THE PARADIGM
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Positive Psychology
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http://www.argn.com/2008/11/
www.superbetter.com
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immortalhumans.comumassmed.edu workplacebullying.org
Elyssa Eppel, PhD
Elizabeth Blackburn, PhD
Chromosome
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The Impact of Happiness The Losada Ratio
thehappinesscoach.biz
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www.exercise-to-a-healthier-life.com/
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http://www.nytimes.com/
156 lbs
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http://siakhenn.tripod.com/snoring.html futurity.org
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NEJM 2007 (357): 406-0757
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Ecosystems Rely on Interconnected Networks
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Ecosystems Influence Behavior
dailymail.co.uk
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Complex System
Social Network Community Network
Individual Network
Personal Ecosystem
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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