Health 4.0 aims to achieve universal health coverage through a knowledge-driven approach. It proposes collecting health data through urban service centers to create a "health cloud" of information. This cloud would provide baseline health knowledge and treatment guidelines to both individuals and medical providers. The goal is to identify health issues early, guide evidence-based therapies, and improve outcomes, especially for chronic diseases in developing areas experiencing rapid urbanization.

1. Health 4.0
Knowledge-Driven
Universal Coverage
The Trees of Health
http://health4point0.com
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Academic Career Unique
Name backgrounds highlights contributions
Larry BS/University ● Physical therapy ● Only comprehensive approach to
Farnes of Utah ● 38 year career mobility, strength, and pain
● Multiple measure test of
Physical
Therapist performance (PQ)
Steve BS/Kaohsiung ● Pharmacy ● Health and nutrition-related
Lee University ● Nutrition interpretation of biomarker tests
Pharmacist MS/Duquesne ● 25 year career ● Nutritional approaches to improved
University health
Kenneth BA/Utah State ● Corp strategy/ ● “Fluidity” of scientific knowledge
Tingey MBA/BYU finance ● Organization/systems legitimacy
PhD MPIA/University ● International policy ● Unique “expressive knowledge”
of Californis, & economics technology
San Diego ● Education &
Biology advisers:
PhD/Utah State knowledge networks Joseph Li, PhD
2 University ● 35 year career Rex Spendlove, PhD

3. Combat high mortality and pain
● Web 4.0 approach to health
● Catching killer diseases before they occur
● Educate and assist experts in system
design
● Achieve “fluid” knowledge
● Information in tree­based cloud
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4. Rational global health model
● Rich country health model offers little to the
developing world with regard to chronic
diseases
● Passive approach ignores disease genesis
● Poor results in high­mortality chronic diseases
● Much breakthrough research is ignored
● 20% to 40% of health funds in developing
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countries are wasted (WHO)

5. Universal coverage
?
Universal coverage is a widely
acknowledged goal in global
health. It is typically considered
in light of finance and payment
plans. What universal
coverage actually is is not
anywhere adequately defined.
What is it about universal
coverage that is going to reduce
health care costs? What is it
about universal coverage that is
going to improve the general
level of health in the population?
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6. Our concept: Knowledge-
driven universal coverage
If knowledge of your health or
medical condition exists in the
world in the public domain, you
have a right to that information,
as does your health provider.
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7. How does knowledge-driven
universal coverage work?
● Knowledge alone does not constitute treatment or
cure – but in many cases it is enough
● Without systematic, credible answers, treatments
and cures cannot be relied upon [though
knowledge may not be sufficient, it is necessary!]
● Where fluidity exists, individual treatment plans can
be carried out within policy and budget
constraints (which also require knowledge) to
achieve optimal health
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8. Knowledge-driven universal
coverage to forestall corruption
● Health 4.0 collects data on a regular basis,
providing baseline figures for health treatments
● Using the tree­based model and collaboration with
leading practitioners and scientists, model
treatment options are presented to service
providers from private and government
organizations
● Reimbursement is provided based on these carrying
out these actions and measurable results
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9. Health 4.0 a critical factor
● Universal
health
coverage
● Seeking
truth from facts
( 实事求是 )
● Knowledge translation/translational science
● Global public health
●
9 mHealth (mobile phone­based health)

10. Our concept: Knowledge-
driven universal coverage
● Biannual data­gathering
● biomarker & blood panel testing
● vital sign collection
● muscle and joint assessment
● Support health and medical norms of each country
● Overcome many bad outcomes from chronic diseases
● Bring information to individuals and their providers
when they need it, guiding them through therapies
10 and other process steps

11. Early stage detection
How screening How screening
for high-risk disease for high-risk
is currently done disease ought
to be done
Once tumors are visible, chances of
survival and recovery are much lower
Problems begin at a molecular level
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long before they manifest themselves

12. Early stage detection
How screening EE
How screening
Shigh-risk
for high-risk disease N for IS
is currently done C
A disease ought
IT
O U OR,to be done
Y U M
IF T
E ATE
TH L
O
Oare much lower
T
Once tumors are visible, chances of
survival and recovery
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Problems begin at a molecular level
long before they manifest themselves

13. Pain and immobility
● We “look beyond the obvious” in
pain and immobility
● Pain, is not necessarily the site of the problem
● The body is good at compensating for weakness
● Without finding the source, the problem will remain
● Chronic disease, immobility, and chronic pain are
the three biggest universal coverage issues
● Performance Quotient (PQ) is a comprehensive
program for measurement, therapy, and coaching
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14. Performance Quotient analysis
● 3­D spine
● Posture
● Mobility
● Upper and lower quarter soft­tissue mobility
● Isolated segmental spine
Strength
● Core muscles
● Upper and lower quarter
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● Balance

15. Health 4.0 urban service centers
(1) People come
in for biomarker
tests and physical
assessments
(2) Data is
transferred to
the Health 4.0
“cloud”
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16. From the cloud to the people
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17. Urban centers in
the developing world
72 target cities
$32 billion target market
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18. High Urbanization in
Developing World
Jan 18th 2012 by The Economist online.
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19. Leadership by India
● Integrate with scientific and medical communities
● Commit to country­specific health priorities
● Start with urban data collection center in a major
Indian city
● Staging points for rest of developing world
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20. Health 4.0 a critical factor
● Universal coverage
● Seeking truth from facts ( 实事求是 )
● Knowledge translation/translational science
● Global public health
● mHealth (mobile phone based health)
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21. Health 4.0 contacts
Larry D. Farnes
01-253-905-7529
ldfarnes@gmail.com
Steve Lee
01-310-920-7306
sslee05@msn.com
Kenneth Tingey
01-435-757-4096
ken.tingey@gmail.com
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