The document discusses the transition from traditional healthcare systems to 'wisdom networks' that leverage crowd-sourced knowledge to improve patient-centric care. It highlights the inefficiencies of current centralized structures and promotes distributed economies as a means to enhance productivity and community engagement in healthcare. By implementing wisdom networks, the aim is to restructure human time and attention, resulting in better health outcomes and a more efficient healthcare system.

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 http://is.gd/wnccph

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. 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. 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 ( http://www.sciencedirect.com/science/article/pii/S0959652604002719 )

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. 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. 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. 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 WisdomNetworks.im CC BY-NC-SA 3.0
STATUS QUO
CENTRALISED
INFORMATION AGE
STAGNATION
Source: 1
Shell News Lens Scenarios (is.gd/newlens)
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. 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
WisdomNetworks.im
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. 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 (is.gd/newlens)
@marcuscake WisdomNetworks.im CC BY-NC-SA 3.0

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. 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. 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. 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. 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. 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. Wisdom Networks
A cloud of Things, Books, Communities, Process
and Outcomes distributed among People

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. 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. Health Wisdom screenshot
Every "thing" in one place for everyone, everywhere, anytime ... hover for action!

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. 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. Wisdom Books are a comprehensive
and efficient means of person to
person communication
replacing fragmented, opaque and incomplete information technology

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. 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. Health Wisdom
What does health look like as a Wisdom Network?

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. 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. 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. 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. 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. 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. 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. Crowd create patient
healthcare
Why?

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. 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. 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. Crowd create patient
healthcare
Why not?

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. 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 Amazon.com, 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. Crowd creating patient healthcare ....
is a feature of a
National Wisdom Network (NWN)

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. 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. 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. 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. Wisdom Networks delivers community, country or regional
transparency and accessibility
Drill-down to any of the "Books" which make up the community

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. 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. http://en.wikipedia.org/wiki/List_of_freeware_health_software
http://en.wikipedia.org/wiki/List_of_open-source_healthcare_software
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. 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. 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 www.wisdomnetworks.im/resources
Old pre-wisdom
"Central Brain"
presentations