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Disrupting Medicine: From House to Cheesecake Factory.

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Presentation on theme: "Disrupting Medicine: From House to Cheesecake Factory."— Presentation transcript:

1 Disrupting Medicine: From House to Cheesecake Factory

2 What Does the Title Have to Do with Medicine? stephbousquet.wordpress.com en.wikipedia.org

3 Atul Gawande, MD commonhealth.wbur.org

4 Big Med Restaurant chains have managed to combine quality control, cost control, and innovation. Can health care?

5 May 26, 2011 Cowboys and Pit Crews Posted by aTUL GAWANDE

6 June 4, 2012 Failure and Rescue Posted by Atul Gawande RESILIENCE

7 What is Health Care Reform?

8 functional-medicine.blogspot.com Health Care Reform is Driven by Need to Reduce Costs Michael Leavitt, Former DHHS Director 8

9 Blue Ocean Strategy Value Innovation Costs Buyer Value Value Innovation

10 What Would Billy Bean Say? totalspeakers.com

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12 How Can We Fix Healthcare?

13 masg.org.au

14 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)

15 Leverage Nature (Law of the Few)

16 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

17 The Tipping Point and Social Networks 17

18 Hotspotting

19 Pareto’s Law and Health Care Costs

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21 The True Utility of Concierge Medicine (Focus on the Few) tracykrulik.com en.wikipedia.org

22 The Cost Conundrum: What a Texas town can teach us about health care June 1, 2009

23 Systems Engineering and the Checklist Manifesto

24 Create Health Experiences (Leave on Your Socks)

25 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 TODAY Controlling – Health System and Physician Centered - Fragmented – Complex – Expensive – Difficult to Access – Disease-Centered – Imprecise – Scary – Disempowering

26 counterkicks.commedicalexpo.com Protocol

27 We Seek an Experience as Consumers

28 Russel Honorè Lesson thetakeaway.orgculture.wnyc.org

29 Seeks to Create a “Health” Care Experience

30 Leverage the Blue Zone Experience (What Your Grandmother Told You)

31 health.lifegoesstrong.com

32 journal.aarpinternational.org

33 Blue Zones

34 Create and Apply Precision Medicine (The Science)

35 ncowie.wordpress.com brooklyn.cuny.edu

36 Genetics/Genomics

37 gotosay.com

38 Epigenetics sciblogs.co.nz/.../2010/08/epigenetics-400px.png

39 Introns and Organismal Complexity genomicenterprise.com

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41 Identify Hubs 41

42 Create Health Instead of Disease (What I Learned from the Navy Seals)

43 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.

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45 navy.mil en.wikipedia.org

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47 More Reasons to Blame Your Parents for Any Health Problems virtualworld360.blogspot.com

48 Health is Resiliency and Reserve Emotional Behavioral Social Physical Environmental Genetic/Epigenetic AGING IS THE PARADIGM

49 Positive Psychology

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51 immortalhumans.com umassmed.edu workplacebullying.org Elyssa Eppel, PhD Elizabeth Blackburn, PhD Chromosome

52 The Impact of Happiness The Losada Ratio thehappinesscoach.biz

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54 156 lbs

55 futurity.org

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57 NEJM 2007 (357):

58 Ecosystems Rely on Interconnected Networks

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60 Create an Ecosystem

61 Ecosystems Influence Behavior dailymail.co.uk

62 Complex System Social Network Community Network Individual Network Personal Ecosystem

63 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 Gratefu l


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