My Research Presented at the 2009 University of Illinois Research Symposium

1. Patient Centered Healthcare: A Complex(ity) Model W Richard Goddard, Dr. Susan Farner Department of Kinesiology and Community Health College of Applied Health Sciences

2. Margaret J. Wheatley “We Must interact with the world in order to see what we might create. Through engagement in the moment, we evoke our futures.”

3. Healthcare today The United States currently spends 16.8% of its gross domestic product on Healthcare…and it is still increasing 65 million people are currently uninsured In regard to policy, the U.S. is struggling to balance the country’s constant craving for increased access while maintaining quality and sustaining cost.

4. Patient centered healthcare The idea that the patient needs to be the focus of the H.C. system in order for it to be properly functioning Unfortunately, the patient population is not one size fits all. Age, Race, Religion, Gender, Socioeconomic Status

5. Complexity Science Humans live in a complex world full of unpredictability, irrational thought, and systematic approaches that fail to achieve desirability Complexity introduces the idea that randomness is the ideal standpoint to predict the unpredictable Interaction within relationships create the opportunity to succeed with sustainability

6. Complexity relationships Relates back to Newtonian Quantum Function Particles can have individual and predictable relationships But no particle can be categorized from one another* There NEEDS to be both the individual and the system involved in an organization (no gray area) Creating relationships are key! *Zukav 1979, 248-50

7. Relationships Continued Individuals are non-predictable beings, like particles. They behave, influence, and belong to different backgrounds which make them behave differently to different situations In a Health Care Organization (HCO), some individuals can hardly understand H.C. and its structure. Yet, positively or negatively, they STILL contribute to the system! This is why pairing relationships is integral

8. Complexity applied to The Patient The patient needs to be involved in the system in order for it to function properly When the patient is given the opportunity to pair itself with the system, knowingly or unknowingly it creates a natural outcome rather than promoting dissonance

9. Patient Centered Models Compared Former Models Complexity Model Patient is the Alpha/Omega Everything revolves around the patient, time is of no concern Life is unpredictable and so is the system Relationships are the key to creating opportunities Patient is dynamic System components interact with patient the most

10. Patient-Centered Complexity Flash construction provided by Kevin Fritz

11. Individual and system Implementation

12. System implementation: strategic planning The world is not linear, nor does it allow progressive long-term plans without complications Move toward focus in strategy innovation and complexity interpretation Developing identity and purpose is essential, but use it as a process to develop more relationships between individuals Idea of a “Team Force” and why it has been successful

13. Strategic planning continued When the strategic plan incorporates reality and individual behaviors of its counterparts it naturally interacts with the complexities of the world With the patient integrated, it allows their behaviors and relationships guide the strategic plan By paying careful attention to relationships and patient centered care, a certain indicator may not be an improvement Increased Cost But quantum reaction suggests that the overall spectrum of the plan will be affected positively Community Support, Inflow of Patients from Exterior Markets (Revenue)

14. Implementation: Step 1 OVERCOME THE SENSITIVITY PERIOD Psychologically and systematically the population needs to accept the proposition If initial conditions are not set appropriately the model is pulled apart by opposing viewpoints Social norms, political climate, education of issue Reniscow & Page, 2008

15. Implementation: Step 2 BEHAVIORALLY MOTIVATE THE PATIENTS Follow the Quantum Model of Behavior Change Trigger the quantum receptors that motivate the patient to behave in a chaotic fashion Waves of inspiration Sense of Truth (Epiphany) Dramatic Events that create a permanent memory Reniscow & Page, 2008

16. Implementation: Step 2 continued Complexity Science and the lottery ball Ping pong balls Intervention, attitude, social norm, knowledge Interior Walls: Human Psyche Velcro slabs: motivational receptors Explains why some people stick to certain behaviors Create influence through larger motivational component and relationships Cohen et. Al, 1972

17. Implementation: Step 3 INTEGRATE THE WORKING MODEL! Questions?