“Project MISO: Mixing Up Old Ideas to Deliver Healthcare into Medically Underserved Areas (MUAs)”

By: Chief Incognito

Feedback and comments to: chief@buddyspace.net.Rev.2016.0417

What’s Wrong with This Picture?

You need to be under this line(@$500/mo.)!

What’s Interesting about This Picture?

This is nota pipe dream!

This is notpie-in-the-sky!

What’s Alarming about This Picture?

Worrisome trend, a train-wreck coming!

This is notcastle in the air!

Why the Disparity Between “U.S.” & “Them”?

Poster child again… but nothing good this time!

Look here…

… and here!

Case Study: How Did Singapore Do It?

Talking about U.S.? Get usoutta here!

Case Study: How Did Singapore Do It?

You inspired me to think different...

I took care of my people…

Honestly, What Choices are There for U.S.?

… for under $6k per year?

But Seriously, Where Did All ThoseHealthcare Spending Actually End Up?

80% of the Benefit@ 20% of the Cost =>

Biggest Impact for MUAs

U.S. Healthcare Economics 101:Capitation Model vs. Fee for Service (FFS)

“Typ

e of

Car

e”

“Payment Model”

Disease Management

Primary Care

Capitation FFS

The Challenge: Timely Access + Affordable Quality

Disease Management

Primary Care

“Pay-For-Performance” + “Single-Payer” (A “Patient-First” Capitation Model)

Healthcare’s “Iron Triangle”: Access + Quality + Cost(But Which Comes First...? This Time It’s Access!)

Most easily overlooked, especially

for Medically Underserved Areas.

What good is healthcare if you can’t get to it when you’re sick?

“Healthcare In A Moving Box”: Operate A Fleet of Mobile Clinics (aka “Clinics On Wheels”) for MUAs!

Mo’ better wheels! Have wheels, will travel.

E.g., How to Provide Care for Patients with Diabetes?

E.g., How to Provide Standard Lab Tests, Complete Physical Exams, Physiotherapy or Homeopathy?

Broken bones…?

E.g., How to Provide Accessible Pediatric Care?

E.g., How to Bring Vision and Dental Services to Kids?Do you see what I see?

E.g., How to Provide Care to Women: Mammography, Pregnancy Testing and Ultrasound?

E.g., How to Provide Imaging Services (MRI) On-The-Go?

E.g., How to Provide Mobile PET or CT Scan Services?(The Trucks are Really Getting Big Now…!)

“Healthcare In A Box”: Operate a Satellite-Linked Network of Portable Clinics (aka “Clinics In A Can”)…

Satellite Communication Link

“Healthcare In A Box”: Self-Sustainable Portable Clinics Inside MUAs Where Sunshine is Plentiful!

I just need water…

Standard Shipping Containers(Modular and Portable)

“Doctors Without Borders”: Go Where the Patients Are!“It’s simple really: go where the patients are. It seems obvious, but at the time it was a revolutionary concept because borders got in the way. It’s no coincidence that we called it ‘Médecins Sans Frontières’ ”

– Bernard Kouchner (MSF Founder)

I had this great idea

back in 1971...

Don’t ask where I got my medical degree…

I’m your doctor!

Mo’ better talent next!

“Mobile Care Coordination”: Mobility Improves Outcome!

“Timing is everything.”

One Last Thing: How Does Everything Fit Together?(Hint: Another Old Idea of “System Backplane”…)

Standardized Communication Protocols + Plug-and-Play Modular Design.

Introducing MISO: A Healthcare Information Backplane That Ties Everything Together!

MSI

Management Service Infrastructure (MSI)

Management Service Organization (MSO)

MSO

for MUAs

“Plug-and-Play EHR”

“Global New Talent Source”“Tele-Medicine

Comm. Link”

“Mobile & Portable Clinics”

Small Steps: Delivering Behavioral Health Services(“BHS-On-Wheels”) Around IHS Heathcare Centers

Creating A New Patient-First Organization (PFO)By Combining the Best Features of PPO and HMO

Feedback and comments to: chief@buddyspace.net.

Timely Access via real-time logistics

of Wheels + Talent.

Best in class? Japan? Taiwan?

Singapore?

Affordable Quality via single payer only paying for performance.