Health Wisdom: Wisdom networks crowd create patient centric healthcare #FutureOf


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A comprehensive, clickable tour of Health Wisdom is available at

A 3 minute video titled "How to achieve Global Wisdom and prosperity in 3 steps in 3 years" ( ) provides a quick introduction to wisdom. This is the first video of three in a 15 minute crash course of Global Wisdom available at .


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Health Wisdom: Wisdom networks crowd create patient centric healthcare #FutureOf

  1. 1. CRISIS COLLAPSE WISDOM Health Wisdom: Wisdom Networks crowd create patient centric healthcare Delivered in 5 days!Available in 90!Transformation in 365! Total Cost of ownership5 - 25% of proprietaryinformation solutions Please share! Current version at
  2. 2. Contents We need to move Healthcare from Information Age to Wisdom Networks! Wisdom Networks: a cloud of things, books, communities, process and outcomes distributed among the people Wisdom Books: are a comprehensive and more efficient means of communication (compared to incompleted, opaque information technology) Health Wisdom: What does Health look like (as a wisdom network)? Crowdcreating Health is part of a National Wisdom Network and Network Society
  3. 3. We need to move Healthcare from Information to Wisdom "Where is the Life we have lost in living? Where is the wisdom we have lost in knowledge? Where is the knowledge we have lost in information?" T.S. Elliott
  4. 4. Distributed economies, society or communities are today’s structure to deliver productivity, sustainability and growth … 100 year old centralised structures are socio-economically and environmentally unsustainable Distributed economies (DE) are “a fresh strategy to guide industrial development towards becoming more sustainable. The concept calls for a transformation in the industrial system towards DE departing from the socio-economically and environmentally unsustainable dynamics associated with large-scale, centralised production units that are favoured by neoclassical economic drivers.”1 100 year old structures from the industrial Revolution Hierarchies use point to point communication and put 2 information elements in the internet Today’s structure Wisdom Networks enable peer to peer collaboration and put all 6 information elements in the internet 1. Distributed economies – A new engine for innovation, Allan Johansson, The International Institute for Industrial Environmental Economics, 2005 ( )
  5. 5. People are evolving toward digital "books" shared with everyone, everywhere, anytime across all communities ... and crowd creates the next an era of distributed prosperity! Facebook brought "books" to social in 10 years Facebook reduced social interaction to books of “things” that could shared with anyone, everywhere and restructured global social time and attention and achieved transparency and meritocracy in less than 10 years. Wisdom Networks bring "books" to everything else in 2-5 years Wisdom Networks will reduce organisations, industries and society to books that can be shared with anyone, everywhere, anytime and transform organisations, industry and the remainder of society within 2-5 years. Only 30 networks required to achieve distributed prosperity? As few as 30 wisdom networks can transform society and achieve distributed prosperity. Each can be launched within 90-180 days and achieve critical mass within 2-5 years. Hierarchy (individuals have influence) Shared Digital Books (everyone has influence)
  6. 6. HEALTHINDIVIDUAL GOVERNMENT INDUSTRY Doctors, nurses and patients GOVERNANCE Government Department(s) EQUITY MARKETStock exchanges ORGANISATION EDUCATION Teachers and students Politicians SME's, investors and advisers Wisdom Networks crowd create the Network Society We need wisdom productivity, growth and wealth to sustain society Wisdom Networks crowd create productivity, growth, transparency, and distribute influence across the Network Society in shared books DEMOCRACY
  7. 7. History shows us that all communities evolve and produce more with less over time Wisdom Networks lift potential output from 18% to 57.5% ... 3.15 times the output! Wisdom Networks lift community output from 18% (Information Age) to 48.75% by lifting productive work time from 28% to 75% Wisdom Networks expand access and capture community contribution and add 8.75% ... global contribution a bonus! PEOPLE PRODUCTIVE WORKTIME 65%Workers 28% HIERARCHY (Services sector) POTENTIAL GAIN TO HIERARCHY OUTPUT by restructuring human time and attention) 100% NON SERVICES POTENTIA L GAIN FROM NON SERVICES ? Non-workers WHAT CAN THE CROWD BE MOBILISED TO DO? POTENTIAL GAIN FROM NON HIERARCHIES? 75% POTENTIAL PRODUCTIVE OUTPUT OF ANY COMMUNITY (ORGANISATION, INDUSTRY OR SOCIETY) 18.2% Hierarchy output Information Age output can never exceeds 18% of potential output (contribution limited to hierarchies) Extra 30.55% from Wisdom Wisdom Networks can achieve 48.75% of potential output (productive time increases from 28% to 75%) Extra 8.75% from community Wisdom Networks can organisation contribution from outside hierarchies everywhere Add ?% from Global Community Wisdom Networks can capture contribution from the global community virtually! Growth bonus!
  8. 8. DISTRIBUTED DECENTRALISED WISDOM NETWORKS PROSPERITY Shell defines WHAT? two alternative scenarios are in our future ... Wisdom Networks are HOW? we crowd create a better world and prosperity @marcuscake CC BY-NC-SA 3.0 STATUS QUO CENTRALISED INFORMATION AGE STAGNATION Source: 1 Shell News Lens Scenarios ( Mountains (Shell scenario) "The first scenario, labelled “mountains”, sees a strong role for government and the introduction of firm and far-reaching policy measures. "1 "This is the world with status quo power locked in and held tightly by the currently influential. Stability is the highest prize: those at the top align their interests to unlock resources steadily and cautiously, not solely dictated by immediate market forces. The resulting rigidity within the system dampens economic dynamism and stifles social mobility." 1 Oceans (Shell Scenario) "The second scenario, which we call “oceans”, describes a more prosperous and volatile world. Energy demand surges, due to strong economic growth. Power is more widely distributed and governments take longer to agree major decisions. "1 "Influence stretches far and wide in the world of Oceans. Power is devolved, competing interests are accommodated and compromise is king. Economic productivity surges on a huge wave of reforms, yet social cohesion is sometimes eroded and politics destabilised. This causes much secondary policy development to stagnate, giving immediate market forces greater prominence."1 Who will choose (and create) the future? People, corporations or goverment We could implement this future in 2 - 5 years We could be in a "trapped transition" for another 16 years
  9. 9. Information technology Wisdom NetworksHierarchy Wisdom Networks crowd create distributed prosperity Productive time worked 28% 75%+ Productive time worked Standard of living Standard of living Productivity -2% to 1% (& declining) Exhaustion (Wealth transfers) Information Society Prosperity (Wealth creation) Global community Wisdom Books Countries Network Society Productivity Private networks Internet of Everything (IoE) Institutions Community (Crowds) The Path of decline Apathy Unemployment Expenditure exceeds income Debt Fraud Bankruptcy Conflict The Path to Wisdom @marcuscake CC BY-NC-SA 3.0 Information Age ends with centralised stagnation We can evolve to the next stage ... by implementing Wisdom Networks to focus the wisdom and effort of the community Open platforms Proprietary solutions ContributionConsumption 18% 55%+Very Low Potential output High Potential output
  10. 10. Organisations, industries and countries choose their pathway to the future ... "trapped transition" (by default) or "Punctuated reform" Punctuated reform (productivity, growth) "When stresses rise, and a crisis emerges, some actors exhibit relevant forms of resilience that enable them to adapt and reform. "1 "Financial, social, political or technological capital encourage early action and result in effective change/reform."1 Trapped transition (drift, decline, collapse) "Others, however, struggle until the crisis escalates to a level that enforces either dramatic and painful restructuring or collapse."1 "Financial, social, political or technological capacity prove inadequate to withstand stresses. Behavioural responses delay change, causing conditions to worsen until ultimately a reset is forced or a collapse occurs."1 Source: 1 Shell News Lens Scenarios ( @marcuscake CC BY-NC-SA 3.0
  11. 11. Global Health Care faces enormous challenges A Wisdom Network overcomes the underlying problem with information structures and productivity Problem Global Health Care faces enormous challenges. ● Demographics – unprecedented population growth and ageing ● Information Age technologies that are isolated and opaque, require expensive integration and embed the status quo ● Demands on global health care are likely to increase 5 fold within 30 years ● Diminishing returns and declining productivity in the status quo means continuing permanent crisis The consequences for patients, providers and the industry are dire: ● Delivery costs escalating much faster than CPI ● Health professionals which don't have the knowledge or wisdom ● Unsatisfactory patient care and outcomes. ● 1 in 6 patients are poisoned, maimed or killed by the Western health care system The solution for these problems is at hand but requires a substantial cultural shift. The patient needs to be the focal point of health care. Community wisdom networks need to replace enterprise information technology. Solution ● The most productive economic asset is human time and attention. Wisdom Networks restructure human time and attention and recover time and attention lost with opaque Information Age structures and provide a rapid jump in productivity and capability. ● Wisdom Networks are an Over the Top (OTT) strategy that integrates fragmented information technologies and links to "Things" on the internet ● Wisdom Networks organise a 6 stage process to create wisdom ● Everyone in the health community can see every "thing", every "where" which delivers transparency. Transparency and rapid sharing of wisdom Books (knowledge and outcomes) means that a decision based upon meritocracy can be made.
  12. 12. Demands on global health care likely to increase 5 fold within 30 years ● Population growing from 2 billion in 1960 to 9 billion in 2050. ● Average life expectancy in developed countries went from approximately 50 years in 1900 to almost 90 years now. ● The world’s middle class was approximately 1 billion people at the turn of this century, consuming 80% of all goods and services. This middle class will grow to 3 billion people by 2040. ● Some societies are moving from problems of malnourishment to problems of obesity inside one generation. Diminishing returns and declining productivity in the status quo means continuing permanent crisis Maintaining the status quo likely to deliver crisis: ● Diminishing returns from investment in the status quo means that productivity is declining or negative. ● Governments already under budget pressure and struggling to deliver services today. Insanity of investing in the status quo Due to diminishing returns, incremental investment in information or management technology will not increase productivity. Incremental investment in the status quo suffers diminishing returns and will not increase productivity, growth, patient outcomes or service future needs "Insanity: doing the same thing over and over again and expecting different results". - Albert Einstein
  13. 13. General purpose technology drives most economic growth. First generation uses it within the status quo. The second generation reshapes the status quo. We can't afford to wait 30 years for the next generation to use the internet to reshape health Erik Brynjolfsson: The key to growth? Race with the machines, TED, February 2013 "Let's start this story when 120 years ago American factories started to electrify their operations igniting the second industrial revolution. The amazing thing is that productivity had not increased in those factories for 30 years. 30 years! That's long enough for a generation of managers to retire." "You see the first wave of managers simply replaced their steam engines with electric motors, but they didn't redesign the factories to take advantage of electricity's flexibility. It fell to the next generation to invent new work processes and then productivity soared often doubling or even tripling in those factories. Electricity is an example of a general purpose technology like the steam engine before it." "General purpose technologies drive most economic growth because they unleash cascades of complementary innovations like light bulbs and factory redesign." - Erik Brynjolfsson 1 The internet is a general purpose technology. First generation sped up information structures The first generation has used it to speed up the status quo ... 100 year old information hierarchies. They haven't used it to take advantage of the internet's flexibility. Second generation reshapes The second generation will reshape the hierarchy to take advantage of the internet. Wisdom Networks crowd create the Network Society and deliver a rapid jump in productivity and growth. Repeating the innovations of the last 50 years deliver 1.8% If we match the pace of Information Age innovation over the last 50 years, we can not achieve a GDP growth rate greater than 1.8%. We are unlikely to achieve 1.8% GDP growth.
  14. 14. WISDOM Only restructuring human time and attention can deliver the radical jump in productivity and growth Only restructuring human time and attention Only human time and attention is all pervasive. Only the restructure of human time can deliver a jump in productivity and growth Wisdom Networks restructure human time and attention Wisdom Networks: ● provide a more efficient means of person to person communication ... and exponentially more efficient means to share knowledge and focus wisdom and effort in real- time ● deliver transparency, meritocracy, liquidity, and accessibility to any community ● you only need one across the world to run multiple communities ... Facebook organises 500m+ Technological Singularity "Singularity is the point at which “all the change in the last million years will be superseded by the change in the next five minutes.” Kevin Kelly,Wired Magazine “… a future period during which the pace of technological change will be so rapid, its impact so deep, that human life will be irreversibly transformed. Although neither utopian nor dystopian, this epoch will transform the concepts that we rely on to give meaning to our lives, from our business models to the cycle of human life, including death itself.” – Ray Kurzweil "The technological singularity is the theoretical emergence of superintelligence through technological means." – Wikipedia Information technology CountriesHierarchy INFORMATION AGE Wisdom Books Wisdom Networks Network Society
  15. 15. We have a choice ... crisis or collapse by default ... upgrade to wisdom networks and usher in a new era of prosperity Network Society Information technology CountriesHierarchy WE NEED TO MOVE FROM THE INFORMATION AGE Wisdom Networks Wisdom Books CRISIS Sub-optimal health outcomes, some patients do not receive Healthcare WISDOM Only restructuring human time and attention can deliver a radical jump in productivity and growth to improve outcomes COLLAPSE
  16. 16. TeleHealth thrives in the "Internet of Everything" ... Do we get further exponential benefits if we upgrade "Information Telehealth" to "Wisdom Telehealth"? What is telehealth? “Telehealth is the delivery of health-related services using telecommunications and related technologies in the support of patient care, health education, and administrative activities.” Although there has been a lot of talk and excitement about the potential of Telehealth for more than twenty years, it’s time has truly come. This is made possible by technological developments but also by the urgent need to contain costs spiralling out of control. The cost factor is what creates the political will to embrace this concept. Telehealth results in dramatic improvements in health outcomes The Whole Systems Demonstrator (WSD) programme was established by the Department of Health (DH) [in the UK] to evaluate how the use of telecare and telehealth technologies can support people with long-term health and care needs to live independently.” The results of telehealth for patients with long term health and care needs, as found by the WSD trial, in the UK were: ● 45% reduction in mortality rates ● 15% reduction in A&E visits ● 20% reduction in emergency admissions ● 14% reduction in elective admissions ● 14% reduction in bed days ● 8% reduction in tariff costs ● These results will also translate in savings of £1.9 Billion over the next 5 years The inclusion of remote biosensing through the wireless network will improve health outcomes by orders of magnitude and will do away with the need to develop old world infrastructures. Telehealth - Information or Wisdom? Current views of Telehealth are based on expensive information integration ... what would the cost/benefit be if individuals at the point of health care service delivery were empowered with Wisdom Networks?
  17. 17. Wisdom Networks A cloud of Things, Books, Communities, Process and Outcomes distributed among People
  18. 18. Web 4.0 Integration (read, write, execute, link) Global transparency Wisdom Networks just enable the next stage of economic development Time Web 3.0 Collaboration (read, write, execute) Online industry networks Online political networks Execution online Business online Web 1.0 Distribution (read) Ecommerce Shopping carts Brochure delivery Web 2.0 Participation (read, write) Online social networks Mobile connectivity Society has crowd created connectivity (internet), information (world wide web) and software (open source software communities). The NWN builds on the shoulders of these giants and crowd creates wisdom (knowledge and action) in a peer to peer platform. Web 1.0 (Information distribution) Organisations used the internet to distribute brochures and other static information Web 2.0 (participation) People know Web 2.0. Social participation has taught people how to share, link and connect Web 3.0 (collaboration) Web 3.0: individuals work and industries are organised online Web 4.0 (Integration) Web 4.0 achieves a critical mass of participation in online networks that deliver global transparency, governance, distribution, participation, collaboration in key community endeavours. Web 4.0 returns sovereignty to the individual.
  19. 19. Devices Family Individual Organisation Democracy Innovation Education Equity Market Health Economic development Knowledge (Books timeline & Maps) Wisdom Networks make use of Internet of Everything (IoE) What we connect? Everyone can see every "Thing" so everybody can participate and contribute everywhere How we connect? Every community is reduced to 6 types of "Things" which are tagged, linked ,and shared to create "Books" which consumers push through a process to achieve outcomes What is the Internet of Everything (IoE)? According to Cisco, "the Internet of Everything (IOE) brings together people (humans), processes (manages the way people, data, and things work together), data (rich information), and things (inanimate objects and devices) to make networked connections more relevant and valuable than ever before - turning information into actions that create new capabilities, richer experiences, and unprecedented economic opportunity for businesses, individuals, and countries.” “$14.4 trillion of value (25% of global corporate profits) will be created or redistributed by the “Internet of Everything” (IoE) between 2013 and 2022.” What is The NWN? Wisdom Networks organise the IoE using "Things" collected into "Books" so that everybody can see, participate or contribute to each of their communities in real-time from their mobile device or browser.
  20. 20. Health Wisdom screenshot Every "thing" in one place for everyone, everywhere, anytime ... hover for action!
  21. 21. Wisdom Networks are an Over the Top disruptive platform integrating technology, people and information "The invasion of over-the-top (OTT) services has begun. It is time for telecommunication operators to prepare their positions and choose their weapons to win the battles for mobile voice, messaging, media, and cloud services. We believe telecom operators will be best prepared to meet those challenges if they take the following steps: 1. Choose your battlefields. 2. Redefine value propositions and business models. 3. Create new platforms and approaches. 4. Rethink organizational approaches. 5. Remain flexible and ready to adjust. There cannot be one OTT strategy. Indeed, each battleground—voice, messaging, media, and cloud—will demand a different strategy and a different combination of offensive and defensive tactics. Some battles will be won, some lost. But overall, we believe that telecom operators, with their consumer insights and inherent ability to deliver breakthrough customer experiences, are uniquely positioned to win this war." Winning the OTT War: Strategies for sustainable growth, AT Kearney, September 2012 Is this the OTT Platform strategy to rule them all?: 1. Chooses a "Wisdom" battlefield, not information or community 2. Offers an integrated wisdom value proposition to consumers, industry and society and aggregates OTT point solutions. Consumers can choose to use other point solutions (ie GDocs for collaboration or DropBox for file storage). The NWN's Single Sign-on or Open-ID may be important. 3. Pioneers a single platform (or ONE OTT STRATEGY) that leverages and integrates third party investments in community and information point solutions. 4. provides a peer to peer structure to organisations and industry in a Network Society 5. Is adaptable, flexible and leverages the collective innovation of open source software community Networks Mobile voice Messaging Media Cloud GDocs DropBox Skype SugarSync LinkedIn and other social networks WhatsApp AsanaGoogle Hangout Link to other "Things" by URL Books MapsTimeline Individual Organisation Health Equity Market Innovation Management Government Education Economic Development Democracy Profiles Groups Forms Media Files Workflow Events Tasks Tags Links Sharing Groups NATIONAL WISDOM NETWORK
  22. 22. DATA 1. Available (or Open) 2. Structured 3. Non-proprietary format 4. URL’s INFORMATION 5. Privacy and security 6. Tag 7. Share COMMUNITY 8. Accessibility 9. Adoption 10. Gamification COLLABORATION 11. Accountable and accurate 12. Workflows push to completion 13. Meritocracy KNOWLEDGE 14. Link 15. Peer to Peer 16. Transparent WISDOM 17. Interoperable 18. Priorities 19. Outcomes 20. Prosperity Wisdom Networks drive a 6 stage Process to assemble information, reveal knowledge, and organise action toward outcomes " Wisdom is a deep understanding and realization of people, things, events or situations, resulting in the ability to apply perceptions, judgements and actions in keeping with this understanding .... Wisdom is also the comprehension of what is true or right coupled with optimum judgment as to action.” - Wikipedia
  23. 23. Wisdom Books are a comprehensive and efficient means of person to person communication replacing fragmented, opaque and incomplete information technology
  24. 24. Wisdom Books reveal Knowledge and focus Wisdom Stone tablet Bamboo book Wisdom "Books" reveal knowledge and organise action anytime, anywhere about anything. "The Book is a set of internet pages or "Things"(data, information, community, collaboration, knowledge, wisdom) linked together in the cloud. The Wisdom Book is a virtual counterpart to things in the physical world They upgrade and consolidate fragmented, opaque and incomplete person to person technologies by giving structure to person to person interaction: ● data: index and aggregation ● information: record keeping, classifieds, tagging ● communication: SMS, emails ● collaboration: voice calls, tasks, discussions management, project management ● knowledge: knowledge management ● wisdom:: timeline, audit trails (past "Things", project plan (future "Things") Capture Storage Transmission Digitisation Website Wisdom Global Distribution Rapid results for consumers A consumer can create, link/share a "Thing" or "Book" in less than a minute! Rapid Network Communities New "Things" and "Books" can be added to a Wisdom Network in less than 2 hours ... communities can be defined rapidly! about any "Thing", anywhere, anytime to anyone and achieve comprehensive and efficient person to person communication.
  25. 25. Every "Book" is focused on outcomes ... you can assemble how Things come together in the future to achieve them less human focus and attention is directed to process Each Book defines outcomes "Things" appear in a timeline You can assemble and see how "things" (information, community, collaboration, knowledge, wisdom) come together ● Past: Audit trail ( list of past "things") for accountability ● Present: organise everything today and let it unfold tomorrow ● Future: Project plan (a list of future "things") to focus or schedule future community effort Meritocracy Transparency encourages accountability Collective knowledge achieves meritocracy
  26. 26. Health Wisdom What does health look like as a Wisdom Network?
  27. 27. Patient healthcare within a Network Society has different "things" and "books" The screen below shows “Things” in the health community. Complex reduced to 6 "Things" The NWN reduces complex communities to 6 types of "Things" and a few simple interactions in a peer to peer network. The few simple interactions are create, link, share, tag and collaborate. This means one cloud service can bring significant change to all communities or industries at the same time. "Book" links "Things" A “Book” shows how “Things” are linked. Each community is just a combination of “Things” and “Books”, but rely on the same simple interactions. One platform, all community It is this innovation that mean all industries can be served by one wisdom network. The screenshot shows the health "Things" within a National Wisdom Network.
  28. 28. PatientBook provides Carers with comprehensive knowledge and the ability to organise collaboration and wisdom in real-time within a restricted community ● The “Patientbooks” (on the right) demonstrates some Wisdom features ● Collaboration tools ● "Things" from the IoE linked together ● Task management ● Tagging ● Revealing Knowledge – all information linked to patient ● Focusing wisdom of the community on outcomes in real time ● The PatientBook community are driven through a 6 stage process to achieve wisdom. ● As new "Things" are linked ... all community members are notified and can contribute knowledge or organise wisdom
  29. 29. Insurer "Things" are created, tagged and linked in a minute and appear in the necessary books instantly ... community has real-time knowledge, action and wisdom Add a "Thing" to a Book in less than a minute ... for everyone to see and take action in real-time Patient All "Things" linked to a patient Pharmacist Carer "Things" linked to a carer Doctor All "things" linked to a Doctor Radiologist Device (data) Prescription Patient plan Claim X-Ray KNOWLEDGE WISDOM THING Doctor sees all content of Patient(Book) Course Association BOOK Research Medicine Clinical Trial Carers can see and (if necessary) control PatientBook Prescription delivered to pharmacist instantly KEY Referral Patients can check availability and book meetings instantly Journal
  30. 30. OTHERS can contribute to any and all "Books" from anywhere Patient(Book) "Things" include profile, availability, services, ratings, references Form(Book) Collective form preparation, execution and lodgement Patients (or their carers) share & link "Books" with others to share knowledge and focus wisdom in real-time and notify (and download) any updates Lawyer(Book)Insurer(Book) Industry Trial(Book) All "Things" linked to a trial Research(Book) All "Things" linked to iresearch Researcher(Book) All "Things" linked to iresearch Innovation(Book) All "Things" concerning an innovation Contract(Book) All "Things" linked to a contract Grant(Book) All "Things" linked to a grant Personal PatientPlan(Book) All "Things" linked to a condition Product(Book) "Things" linked to a hospital Condition(Book) All "Things" linked to a condition Device(Book) All "Things" linked to a device Patient(Book) All "Things" linked to a patient Hospital(Book) Board(Book) "Things" include profile, availability, services, ratings, references Doctor(Book) "Things" include profile, availability, services, ratings, references Regulator(Book) "Things" include profile, regulations, lodgement, public registers Insured(Book) "Things" linked to the Statutory register PATIENTS (offer transparency and real- time governance) HEALTHCARE CARERS (transparency and real-time access to every "Thing" Provider(Book) "Things" include profile, availability, services, ratings, references Psychologist(Book) "Things" include profile, availability, services, ratings, references GOVERNMENT Law(Book) Law "Things"Regulation(Book) Regulation "Things" Bureaucrat(Book) Profile and person can gain access to all other books if linked to this one Nurse(Book) "Things" include profile, availability, services, ratings, references Hospital(Book) "Things" include profile, availability, services, ratings, references 100's of Things organised into books Society only needs one "Book" on each "Thing"
  31. 31. Devices ● Real time biosensing data (blood pressure, heart rate, temperature and other functions as the technology becomes available) ● Real time compliance (alerts for non- compliance. Take your medicine alerts! appointments) ● Data in PatientBook for review by carer, doctors and nurses in real-time DoctorBook Doctor accesses patient data in real time They upload and link a health “thing” (prescription, patient plan, etc) to the patient’s “PatientBook” ... It is shared with all other caregivers instantly InsurerBook Health Insurance provider can save costs through better community transparency compliance and simpler standard processesHospitalBook HospitalBook shows all “Things” linked to a hospital including PatientBooks (ie medical records), and hundreds of other health “Things” PharmacistBook Pharmacists’ notified of doctors new prescription when added by doctor. Prescription ready when patient arrives. Governance and Management (DirectorBook, ManagerBook, ExecutiveBook) Directors direct the health system Managers manage (review and approve) and Executives execute. Health services may save millions with a peer to peer management structure with each person responsible for certain “things” PatientBook Patient Medical Record is a collection of “Things” contributed by patient’s care network Devices Data Forms PatientBook Industry Government Home Organisations Knowledge Wisdom Collaboration The Health community is a peer-to-peer network of "Things" and "Books" that organise them ProviderBook Care Providers (relatives, nurses and other carers) can participate and contribute to the care of anyone
  32. 32. Wisdom "Books" and "Things" contribute to Care and Compliance 24/7 Biosensing Data on patient's Book in real time Carers notified instantly if any parameter outside limit Mortality rates reduced Patient's quality of life improved Critical medical resources released for really critical tasks Audiovisual feedback to patient improves compliance orders of magnitude Telehealth bracelet $15 Patient's Book Annual Maintenance $85 Total $100 Patient's Book Annual 24/7 monitoring of Blood pressure, heart rate and temperature for the cost of ONE visit to the doctor! Audiovisual messages to patient: - Take your medicine now! - Your appointment is in one hour - Your blood pressure is too high PROCESS OUTCOMES PROCESS Better compliance Better health condition overall Lower mortality rates Lower insurance costs OUTCOMES Overall outcomes improved Major cost reductions Implementation incrementally faster
  33. 33. Driving wisdom through the community Delivered in 5 days Lightning Strike Customisation Inspiration 1 2 3 Cloud power Accessibility Entrepreneurs Endorsement to create and inspire adoption Statesmen Endorsement and aligning government tiers with common objective Media Partnership with TV Government Government departments participate to encourage and regulate 4 Scalability Adoption Customised in 30-90 days Marketing Break-even Critical mass Transform Existing community members Hospitals Associations Insurers Recruit existing “National”, “Health” “Community” organisations for inspiration and early adopters 5 Integrate Share Link
  34. 34. Crowd create patient healthcare Why?
  35. 35. Wisdom Networks deliver 80% of the outcome at <10% of the cost in 6 months ● Pareto principle - 80% of the outcomes for <20% of the effort or cost ○ an 80% outcome deployed quickly within 6 months ○ The pursuit of the additional 20% dramatically increases cost and probability of failure ● Global coverage encompassing all countries ○ Each country is simply a "tag" identifying where the "Thing" is ● A Wisdom Network is assembled from open source technology (not built from scratch) ○ Large global communities can deliver real-time merit based innovation and services ○ Open source has <25% of the Total Cost of Ownership of Proprietary software ○ Assembling open source faster than coding proprietary and a richer pool of innovation ● "Things" are simply links of data or files direct from their source (or where they were produced) ○ By linking direct to source, some of the cost and delays of "Big Data" can be avoided. The Wisdom Network just indexes, and does not need to produce the "Thing". Other SaaS can produce or modify "Things". ○ Source include: A "personal data store" on a mobile phone, open data from enterprises and SME's ○ Avoid some "Big data" costs: Big data will drive US$28 billion of worldwide IT spending in 2012, growing to US$34 billion in 2013, according to Gartner, Inc. Big Data to create 4.4 million IT jobs globally by 2015 ● Less hardware, software and communications technology ○ Wisdom Networks only require a handful of technologies ○ Web application: Linux Apache MySQL PHP ○ Cloud servers: Amazon ○ Devices: Tablets and phones (probably Android because of greater power and versatility) ○ Internet Browser: ○ Communications: Skype and Internet (or TCP/IP) ● 500 "Things" in one place mean less integration cost and complexity from integrating fragmented, incompatible information technology ○ Desktop and most SaaS applications manage a handful of "things" (mainly "information" and "1-2 "collaboration") General Benefits ● Meritocracy ● Transparency ● Accessibility: ● Productivity ● Growth ● Accountability ● Wellbeing ● Utilisation increases ● global labour market ● Global capital market ● Global responsibility Developing countries can go straight to Wisdom Networks ● Developing countries saved billions by installing mobile phone networks and bypassed expensive copper fixed lines. ● Developing countries can save billions again by deploying comprehensive Wisdom Networks, rather than conventional, enterprise information technology and hierarchical management structures
  36. 36. Health Wisdom puts the IoE to work to deliver value and outcomes "Internet of Everything (IoE) will enable better-connected devices and data-driven patient management, resulting in improved healthcare effectiveness and efficiencies." "Many of the inefficiencies in healthcare today are the result of siloed sources of knowledge and information — it is difficult to access all of the relevant knowledge available at the point of care. In addition, many measurements and tests are administered manually. The greater number of sensors and connections in IoE will allow for shorter hospital stays due to smarter home monitoring systems and improved care from standardized treatments that conform to all known best practices." 2013 Current state (without IoE) 2022 Potential with IoE Long hospital stays to ensure patients can thrive at home after discharge Reduced costs and improved quality of life from shorter hospital stays, with remote monitoring systems that ensure health Limited number of health conditions with home / mobile monitoring capabilities Wider number of health conditions with home / mobile monitoring capabilities Uncoordinated and manual collection of patient test records Improved decision making from single electronic collection of patient records Ad-hoc interpretation of medical test results and conditions Improved patient care from standardized treatments that conform to best practices Multiple doctors offer care in an uncoordinated manner Improved patient care and health outcomes from consolidated, patient-centric views of all treatment aspects ● Value created: Continuous monitoring of health conditions in a less-expensive setting - home and mobile devices; all care aspects consolidated and coordinated ● Types of connection(s): Machine-to-machine and machine- to-people ● Technology enabler(s): Medical devices, home IT connections, mobile and wireless connections, security
  37. 37. Patient Value Proposition Before Wisdom Networks ● Patient doesn't "Own" and control his personal records. They are scattered around all the services providers ● Patients with chronic conditions must be hospitalized for extended periods or make regular visits to doctors and hospitals, often for trivial, routine checks. This increases the risk of contracting infections and other illnesses. ● Patient's data is collected only at these sporadic visits ● Contribution to the patient's condition and possible treatments are done by the doctor or the hospital alone, in isolation. Health care pros make accurate treatment decisions only 50% of the time (Wellpoint) ● Compliance for elderly patients and/or patients with chronic conditions is one of the industry's major problems. There is no effective and affordable solution With Wisdom Networks ● Patient owns and controls ALL his medical records. These are accessible to ALL the providers as authorized by the patient with any browser and without proprietary software ● Using remote biosensing devices hospital stays are considerably reduced and routine visits for trivial checks are no longer necessary. ● The quality of the data is infinitely superior because it is harvested 24/7 and placed on the record in real time. Alarm levels can be set for immediate response. ● Crowdknowledge improves the accuracy and quality of the treatment prescribed from 50% to 90%, at no extra cost ● The same device that collects the biosensing data can provide audio visual messages to improve compliance, reducing risk to patient and cost to the system "There are few areas more in need of supercharged decision-support than health care. Doctors and nurses are drowning in information with new research, genetic data, treatments and procedures popping up daily. They often don’t know what to do, and are guessing as well as they can. Health care pros make accurate treatment decisions only 50% of the time. Crowdknowledge can increase the level of accuracy to 90% of the time. The best part is the potential for distributing the intelligence anywhere via the cloud, right at the point of care. This could be the most powerful tool we have seen to date for improving care and lowering everyone’s costs via standardization and reduced error.” Samuel Nussbaum, Wellpoint Chief Medical Officer.
  38. 38. Crowd create patient healthcare Why not?
  39. 39. Why Not? Wisdom Networks will set fire to your crops and asphyxiate your children! Reluctance to change “And typically, vested interests fight against change. People that have an interest in the old ways of working, people that dominate face-to-face meetings and like that a lot, for example—they don’t want to move toward some other kind of platform where it’s more of a meritocracy, rather than a personality thing.” – Don Tapscott Lobbying by industry against wisdom “Dear Mr. President: The canal system of this country is being threatened by a new form of transportation known as ‘railroads’ … As you may well know, Mr. President, ‘railroad’ carriages are pulled at the enormous speed of 15 miles per hour by ‘engines’ which, in addition to endangering life and limb of passengers, roar and snort their way through the countryside, setting fire to crops, scaring the livestock and frightening women and children. The Almighty certainly never intended that people should travel at such breakneck speed." – Martin Van Buren, Governor of New York, 1830. Fear, uncertainty, doubt “Rail travel at high speed is not possible, because passengers, unable to breathe, would die of asphyxia" – Dr Dionysys Larder (1793-1859), professor of Natural Philosophy and Astronomy, University College London“
  40. 40. We are starting to reconsider existing information Age approaches to information and security which will enable Wisdom networks The patient owns personal information "Personal information becomes legally recognized as yours While there is a push by the White House and others to implement a consumer privacy Bill of Rights that increases consumer privacy, a larger shift is already under way that will radically shift the security and privacy debate. In the future, you may own the data that exists about you or that you create online, rather than it being owned by the companies that collect it (like, Facebook, Google, and Twitter)." Personal Wisdom Network shares with larger wisdom networks "Personal data stores protect your information—In addition to enabling you to know about and control your own information, data ownership will allow you to protect your information. Data stores will also help us benefit from our own information." Access to your personal data is a fundamental human right "When you have legal rights over your information, you have more control over how it is collected and used. This view that data about you is property, and that you own it, is gaining momentum, such as in the United Kingdom, the World Economic Forum, and the European Union’s recognition of personal data protection as a fundamental human right." The Network asks the individual about access to their information in real-time " ... the network itself will play an important role in improving IoE security. Currently, network intelligence is mostly centralized and often resides far away from the “edge” of the Internet. As networks evolve along with IoE, the ability to make intelligent decisions based on data as it enters and flows over the Internet will be more distributed (located where ever it’s needed). With this ability, security threats, for example, could not only be stopped, but also identified and located before any harm is done. Answering the Two Most-Asked Questions About the Internet of Everything #IoE, Dave Evans , March 18, 2013
  41. 41. Crowd creating patient healthcare .... is a feature of a National Wisdom Network (NWN)
  42. 42. The National Wisdom Network (NWN)N unites people in the cloud and reinvents how they live and work within all the communities within which they participate. Crowd create wisdom Society has crowd created connectivity (internet), information (world wide web) and software (open source software communities). Wisdom Networks builds on the shoulders of these giants and crowd creates wisdom (knowledge and action focused on outcomes). The NWN crowd creates a Network Society. NWN brings wisdom to individuals in every community NWN moves beyond the Information Age and organises the wisdom of crowds to transform health, equity market, education, democracy and other fields of human endeavour. Many current problems don’t need to be solved, because they can be eliminated by solving the underlying problem. Overcome the information problem The underlying problem is that information is isolated, communities are opaque and deriving profit from information discourages the inevitable and necessary shift to transparency, access and a prevailing meritocracy which is the environment in which wisdom can be achieved. Wisdom Books achieve comprehensive, efficient person to person communication Wisdom Books reveal knowledge and focus wisdom about any "Thing", anywhere, anytime to anyone and achieve comprehensive and efficient person to person communication ... they upgrade fragmented, opaque and incomplete person to person information technology at the heart of our information society. Crowd creating Health is a feature of a National Wisdom Networks (NWN)
  43. 43. National Wisdom Networks manages many communities Wisdom Pathway is the interface/menu The interface/menu is about achieving wisdom. Each community consists of 6 types of common) "Things" ● Data ● Information ● Community ● Collaboration ● Knowledge ● Wisdom Multiple communities in one web application The "Things" for each Community are displayed in a tabbed interface: ■ Equity Market ■ Health ■ Governance ■ Financial market ■ Individual ■ Economic Development ■ Organisation (Management) ■ Other: Oil, Resources, Water Food, Climate change, drug research } } }
  44. 44. National Wisdom Network crowd creates the Network Society HEALTH INDIVIDUAL GOVERNMENT INDUSTRY Doctors, nurses and patients GOVERNANCE Government Department(s) EQUITY MARKETStock exchanges ORGANISATION EDUCATION Teachers and students Politicians DEMOCRACY SME's, investors and advisers 23 May 2013
  45. 45. People use "Books" to participate and contribute to health and Network Society PatientBook My health record DoctorBook Doctor writes me a prescription GOVERNANCE DEMOCRACY DoctorBook (What new "things" have happened to my patients) PharmacistBook my new prescription appears in Pharmacist dashboard in real- time. Pharmacist arranges delivery HospitalBook (reviews information about hospital, book a procedure CitizenBook (all my government interactions, drivers license) PoliticianBook (review politicians policies, comment on his health policy, complain about progress on community centre) BureaucratBook (review bureaucrats projects and progress on construction of local community centre) MechanicBook Check reviews, book car in for service, specify tasks CarBook Mileage, service reports, real-time data - shared with mechanic RestaurantBook (read reviews, check availability make bookings) BoardBook participates in virtual board meetings, review minutes, information, discussion, questions, online poll ShareholderBook (review annual reports. complete proxy form, RSVP to meeting invitation, online poll?) CourseBook meetings (tutorials), lectures (event management), assignments, exams InsuredBook My insurance policies ClaimBook (assemble insurance claim online - shared with assessor) InsurerBook Product information, book meetings, complete forms online John Smith PatientBook (review his xray shared by radiologist, start discussion, set task for John to have a more detailed XRay, "Referral" for 2nd XRay added to PatientBook StudentBook profile, assignments HEALTH (PERSONAL) WORK FINANCIAL MARKET EDUCATION ManagerBook Manage Executives TeacherBook profile, courses ProductBook My insurance, equity and debt OrganisationBook My workplace GovernmentBook all my government interactions, drivers license, tax FederalBook All Federal Govt "Things" StateBook All State Govt "Things" LocalBook All Local Govt "Things" SchoolBook (profile, current courses DirectorBook Direct managers ExecutiveBook Execute job My Books provide real- time messaging, participation and contribution in my communities GOVERNMENT CONSUMER HEALTH (DELIVERY) AcountantBook Tasks assigned to accountant, availability, check reviews LawyerBook Tasks assigned to lawyer, availability, check reviews PropertySaleBook (read profile, review video, check availability make bookings) RentalPropertyBook (read profile, review video, check availability make bookings) UniversityBook (profile, current courses VentureBook (a list of ventures for assessment, due diligence, completion or monitoring) M&ABook (a list of M&A opportunities for assessment, due diligence, completion or monitoring) InvestmentBook (a list of investments across multiple asset classes ... includes many OrganisationBook and ProductBook. IPOBook (details of a product, its attributes and "things" (organisation, compliance, events) linked to it
  46. 46. Wisdom Networks delivers community, country or regional transparency and accessibility Drill-down to any of the "Books" which make up the community
  47. 47. Wisdom Networks also reach beyond patient healthcare to industry research and government collaboration PATIENTS ● An Android telephone costs <$100 and is 40% of new smartphone sales ● Android Tablets cost $100 ● Telehealth bracelets start at $10 ● Download an App from an App Store (Apple, Iphone, Chrome, Firefox) or just use the browser to engage with a Wisdom Network ● The App collects medical data from household devices The App publishes data to the “Wisdom Network” ● “Wisdom Network” notifies the patients community of new information ● Community collaborates around each patient GOVERNMENT ● Health 3.0 assembles free open source web technologies in one year. ● Government can set national standards for national electronic health records ● Privacy/security are the responsibility of the patient PROVIDERS ● Providers participate in patient care like they participate in Facebook ● They can download an open source application to run their practice ORGANISATIONS ● Organisations include hospitals, insurance companies, pharmaceutical companies and other service provides ● Organisations can integrate their existing systems into the “Wisdom Network” PATIENT MEDICAL RECORD COLLABORATION INDUSTRY COLLABORATION Health 4.0 (Global) Economic Development 4.0
  48. 48. Other open source solutions can be integrated into the Wisdom Network ... "things" in other systems are simply linked into Books ● Health 1.0 tries to integrate 100’s of proprietary and incompatible technologies at a cost of billions over many years ● Health 3.0 simply assembles and integrates complementary, compatible, open source, web based) and proven technology in a fraction of the time and cost and a far higher probability of success ● Health 3.0 benefits ○ Total Cost of Ownership is 1 to 25% of proprietary solutions ○ Launch within 90 days and then build toward demand ○ Leverage the innovation of global open source communities and contribute to a global community ○ Contribute to a global community ○ Developing countries could bypass Health 1.0 investments in a similar way that they bypassed investment in telephone lines by going straight to mobile phones – simpler, cheaper and better! ● Wisdom Network will index and aggregate "Things" from existing systems. A comprehensive plan could include free and open source software for offices and enterprises within the community. This software is more likely to be designed for the internet and able to make data available by URL. HEALTH SYSTEM MANAGEMENT MOBILE/HANDHELD DEVICES DENTAL PRACTICE MANAGEMENT AND DENTAL RECORD MEDICAL PRACTICE MANAGEMENT HOSPITAL MANAGEMENT ELECTRONIC HEALTH RECORD RESEARCH HEALTH SYSTEM MANAGEMENT WHAT? - HOW? - WHERE?(Health) - WHY? - WHO?
  49. 49. 10% Community adoption 90% Personal health (chronic and inactive) Health community (industry and research) Equity Market Governance Democracy Education Economic Developme nt Sequential(starting with greatestbenefit) National Wisdom Network Energy, Food, Resources, Climate, Poverty Launchallnetworksatonce Wisdom Networks can be launched to all communities at the same time ... or specific communities can be launched one at a time in the order of most benefit Most community benefits Communities deriving most benefit are: ● Health (personal) - doctor, patient, nurse wisdom ● Fueling the growth of SME's to drive economic growth (company, adviser and investor wisdom) ● Governance (wisdom shareholder meetings) ● Health (research) - researcher, medicine, clinical trials ● Education - teacher, student, books, courses
  50. 50. Wisdom achieves Prosperity Society Wisdom Equity Market Wisdom Health Wisdom Contact e: mcake@wisdomnetworks. im Skype: marcuscake @marcuscake European Wisdom Management Wisdom Wisdom Book Features Industry Value proposition and impact of Internet of Everything (IoE) Rollout process (guide) 200+ blog articles Courses / Video training Membership Groups (private) Wisdom Networks Technology overview Business Model and Financial forecast Introduction letter: Telecommunications Economic Development Europe Video (3 mins): A demonstration of the Network Society Services We would prefer to turnkey a Wisdom Network for you and get out of your way, but we can ... TURNKEY PLATFORM / VENTURE EVANGELISM , STRATEGY, MONETISATION , BUSINESS MODEL (Your) CENTRE OF WISDOM MAINTENANCE AND SUPPORT Economic Development 4.0 Equity Market 4.0 Health 3.0 Management 3.0 Resources: Accelerate the "Wisdom of Crowds" (r)evolution Wisdom needs to scale quickly .... an overview of resources available at Old pre-wisdom "Central Brain" presentations