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Innovative Business Models in a Post-Industrial Era - Brigitte Piniewski
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Innovative Business Models in a Post-Industrial Era - Brigitte Piniewski

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Panel Session: Innovative Business Models in a Post-Industrial Era Moderator: Brigitte Piniewski, MD, Chief Medical Officer, PeaceHealth Laboratories …

Panel Session: Innovative Business Models in a Post-Industrial Era Moderator: Brigitte Piniewski, MD, Chief Medical Officer, PeaceHealth Laboratories
Panelists:
- Anthony Delli Colli, VP Marketing, Elbrys Networks and Vice-Chair, Market Adoption Working Group, Continua Health Alliance
- Cesar Goulart, Executive Director, Health Information Technology, Presbyterian Healthcare Services
- Arthur Brock, Founder, New Currency Frontiers

Fujitsu Labs of America Technology Symposium 2011
Healthcare Technology Convergence: Smart Consumers Meet Care Delivery of the Future
June 01, 2011
Computer History Museum
Mountain View, CA

Published in: Technology, Business
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  • This is a multi-purpose slide with the circle representing visually the phenomenon that require crowd sourced approaches to predicting and preventing the broken symmetry of the previous relationship.Example: China a nation of white rice eaters seemed immune to the effects of highly refined CHOs yet as they moved from 80% activity based employment to 80% knowledge-based employment the activity level of the nation plummeted and the expected CHO response was exposed in this population. China now the highest rate of DMII conversion on the globe…biggest population.Consistently high yield health behaviors…refined CHO exposure and low activity levels.1980’s in the US, trans fats on the rise, increasing sedentary behavior and a crowd shift towards refined CHO’s fueling the 66% overweight or obese. Free living systems do not follow the simple laws of thermodynamics…energy in vs. energy out. Difficult to track but clinical practice would suggest that environmentally induced altered gene expression is a fundamental mediator of these free living systems outcomes.
  • [1] Strong American Schools analysis of data from the Organization for Economic Cooperation and Development. Based on data from Volume 2, table 6.2a (p. 227). Rank is based on students performing at Level 6 in each country on the 2006 PISA math assessment.[2] Schmidt, W. (2003, February 4). “Presentation to Mathematics and Science Initiative.”
  • Transcript

    • 1. Brigitte Piniewski, MD Chief Medical Officer
      PeaceHealth Laboratories, OregonVice Chair MAWG
      Continua Health Alliance2011 Fujitsu
      1
      2011 PeaceHealth Laboratories
      Innovative Business models
      in a post industrial era
    • 2. Technology outpaces Biology
      2
      5-6 Million Years
      30-40 Years
      The Economist 2003
      One billion adults overweight world wide
    • 3. 2011 PeaceHealth Laboratories
      3
      Outdated Man-made constructs: Failure to predict or prevent the human performance gap
      As modernization advances…
      Good
      Yesterday’s
      Economic Models
      Advance
      Performance
      Gap
      Assumptions
      Crowd Performance erodes
      Poor
      Time = 1980’s
    • 4. 2011 PeaceHealth Laboratories
      4
      Low expectations for American students.
      America’s top math students rank 25thout of 30 countries
      when compared with top students elsewhere in the world. [1]
      By the end of 8th grade, U.S. students are two years behind in the math
      being studied by peers in other countries. [2]
      Seventy percent of 8th graders can’t read at their grade level, and most will
      never catch up.
      Project at Bristol University shows [3]
      Kids diet affects IQ perhaps permanently
      [1] Strong American Schools analysis of data from the Organization for Economic Cooperation and Development.
      Based on data from Volume 2, table 6.2a (p. 227). Rank is based on students performing at Level 6 in each country
      on the 2006 PISA math assessment.
      [2] Schmidt, W. (2003, February 4). “Presentation to Mathematics and Science Initiative.”
      [3] http://www.dailymail.co.uk/health/article-1354683/Junk-food-diet-hits-childs-IQ-reveals-major-UK-study.html
    • 5. Wayne Gretzky
      2011 PeaceHealth Laboratories
      5
      “You miss 100% of the shots
      you don’t take.”
      “You miss 100% of the health intelligence
      you fail to monetize.” Brigitte Piniewski
    • 6. 6
      Modern Crowd health landscape…
      Age
      0 25 65 years
      Illness Pre-Illness Wellness
      60-80% Preventable
      Death
      Crowd Achievable Health
      Crowd Actual Health Outcomes
      2011 PeaceHealth Laboratories
    • 7. 2011 PeaceHealth Laboratories
      7
      Health Cost Landscape
      Age
      0 25 65
      $ $ $
      60-80% Lifestyle
      Illness Pre-Illness Wellness
      Unpredictable Health
      Predictable (Rules-based) Health
      Death
      2008
      7
    • 8. 2011 PeaceHealth Laboratories
      8
      $ $ $
      Preventive Medicine
      Age
      0 25 65
      $ $ $
      60-80% Lifestyle
      Illness Pre-Illness Wellness
      Unpredictable Health
      Predictable (Rules-based) Health
      Death
      2008
      8
    • 9. 2011 PeaceHealth Laboratories
      9
      Preventive Health Behavior
      Age
      0 25 65
      Illness Pre-Illness Wellness
      Unpredictable Health
      Predictable (Rules-based) Health
      Death
      2008
      9
    • 10. Key Problem:
      Mankind is limited through our man-made medium of exchange
      Old economic models fail to advance at the pace of change
      Money is a narrow expression of wealth
      As a result, high yield data sets remain hidden
      The pure pursuit of profit violates interdependencies crippling system performance
      Marketplaces are limited in capacity to exchange and build wealth due to an under-performing transactional tool
      2011 PeaceHealth Laboratories
      10
      Solutions from our Panelists
      http://wiki.thetransitioner.org/English/Free_currencies/Free_Currencies:_the_next_global_currency_system
    • 11. Our Panelists:
      Arthur Brock, Founder, Software designer, Systems Architect at the Geek Gene
      Anthony Delli Colli, VP Sales and Marketing, Elbrys Networks, Inc
      Cesar Goulart, Executive Director, Health Information Technology, Presbyterian Health Plan
      2011 PeaceHealth Laboratories
      11
    • 12. New Knowledge Paradigm
      2011 PeaceHealth Laboratories
      12
      Historical data
      “Old stuff”
      Continua Linked
      Current per unit
      co-occurrences
      Relative Clinical
      Relevance
      Lightly-instrumented Crowds
      Malignant vs. Benign
      Co-occurrences
    • 13. 13
      Modern Knowledge Engines
      Age
      0 25 65
      Crowd-accelerated
      Strategic Intelligence
      60-80% Lifestyle
      Illness Pre-Illness Wellness
      Legacy Knowledge Systems
      Death
      2011 PeaceHealth Laboratories
    • 14. LaboratorShaohua Chen and Martin Ravallion, The developing world is poorer than we thought, but no less successful in the fight against poverty, World Bank, August 2008
      14
      The future is here. It is just not evenly distributed.
      At least 80% of humanity lives on less than $10 a day.
    • 15. Global Health Economy
      2011 PeaceHealth Laboratories
      15
      Community Data
      Commons
      Benchmark
      Cloud
      Health Knowledge
      To leapfrog
      Sub-Optimal
      Outcomes
      Disruptive Innovation
    • 16. High Yield health data…
      • Weight change
      • 17. Activity change
      • 18. Response to
      nutrition
      16
      2011 PeaceHealth Laboratories
    • 19. 17
      Crowd Data Lowering the barriers to participate
      Device Interface
      XHR Interface
      Community
      Data Commons
      Wireless Pulse Oximeter
      PHR
      Weighing Scale
      Secure PHR
      Wireless
      Ultra Low Power
      Ultra low cost
      Blood Pressure Monitor
      2011 PeaceHealth Laboratories
    • 20. Crowd SharingiWell Study at PeaceHealth Laboratories
      Web sensors
       
      Activity
      Employers
      Personalized motivational Interventions
      Weight
      Health
      Coach
      Cloud Informatics
      H-Pod
      Events, User Content,
      Measured KPIs
      Pulse rate &
      Blood pressure
      Health Payer
      (Insurance)
      +
      Lab Draws
      DM program
      provider
      Consumers
      Other device
      Medical Lab
      Other device
      Analytic Engine
      Recommendation
      Trainer / Nutritionist / Physicians
      Other device
      18
      2011 PeaceHealth Laboratories
    • 21. 2011 PeaceHealth Laboratories
      19
      Data Aggregation & AnalyticsNew knowledge engines: University of Oregon, Kent State, UNCC
      Yellow Node = Obesity (i.e BMI)
      Social Network = Behavior Changes
      Per-unit
      Co-Occurrences
      Personally
      Relevant Health Knowledge
      Predictive Individual data from Crowd data
    • 22. Reachability Gap Management
      Radical transformation in how we create our information environment or knowledge engines
      Set of shared, accessible community health resources
      Citizens are not passive recipients of goods but co-creators of health value
      Ultra large scale systems continuously evolving and providing sufficient correctness
      Encourage community custodianship and crowd co-management
      “One cannot conceive of a crowdsourced systems
      functionality in terms of “releases” and more than
      a city has a release.
      Metropolis Model , A New logic for development of Crowdsourced systems
      by Rick Kazman and Hong-meiChen, 2010
      2011 PeaceHealth Laboratories
      20
    • 23. 2011 PeaceHealth Laboratories
      21
      Brigitte Piniewski, MD
      Chief Medical Officer
      PeaceHealth Laboratories
      1201 Lloyd Blvd, Suite 200
      Portland, OR 97232
      503 720 0655 (c)
      541-222-7461 (o)       541-431-9152 (f)
      bpiniewski@peacehealthlabs.org
      http://www.peacehealth.org/
    • 24. 2011 PeaceHealth Laboratories
      22
      Traditional Medical model: a relic of a bygone era…
      Yesterday
      DM
      Care
      Today
      Care

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