Miscellaneous Essays and Notes
These are general essays and notes; please feel free to send me your reactions, comments, or any other
associations they may trigger.
(co-authored with Rob Kolodner) in :
Person-Centered Health Records : Toward HealthePeople, by James E.
Demetriades (Editor), Robert M. Kolodner (Editor), Gary A. Christopherson
(Editor), Springer-Verlag, 2005
||Some early thoughts on the notion of creating a
"space" rather than a "system" of health.
|Some Applications of Complexity
Theory to Health Care (93kb)
||Discusses the concepts of Dee Hock's "Chaordic"
thinking to health care, as well as general complexity theory issues
|Shared Meaning and Health
||Discusses some of the challenges of overspecific standards
efforts, as well as some of the underlying philosophies.
|Concepts of the Data Vault (57kb)
||Introduces the notion of a personal data vault as a key
component of a personal health space per patient.
|From Enterprise to
Person-Centric Health Information Systems(54kb)
||Discusses the shift from enterprise-based health care to
|Health as a Medium (241kb)
||Portrays health as a medium, and many health problems as a
"failure to communicate."
|Personalizing Health (107kb)
||Discusses the issues of personalization at several levels
|Steps towards an Epidemic of Health
||Discusses some of the initial conditions required to create an
epidemic of health.
|Design Patterns for Health
||Explores the application of architect/philosopher Christopher
Alexander's ideas to health
|New Health and the New Economy
||Compares a new vision of health with the "New Rules of
the New Economy" book by Kevin Kelly
|Rethinking Complexity (63kb)
||Discusses issues of complexity and how to circumvent them
using "space" metaphor.
|Health and the Devil's Staircase
||Applies fractal thinking to health
|Systemic Issues of Patient Safety
||Introduces a spectrum of scales to think about health, relates
this to the notion of patient safety.
|Tipping an Epidemic of
||Discusses why the connectivity provided by the
Internet is on the verge of creating an epidemic of health
||Introduces ensembles as communities of interest
which provide a context for transformations.
|Health and Positive
||Examines notions of Appreciative Inquiry,
positive discourse, and optimism in light of Internet technology
|Flipping from Negative
to Positive Discourse (25k)
||Examines the effects of negative discourse, how
naming a problem can make it worse, and examples of positive discourse.
|Assumptions of the
Transactional Health Model
||Examines some of the assumptions of the
transactional model of health, such as linearity, the economics of
scarcity, and deficit discourse.
Notion of Health
||Discusses transformational concepts in health,
flipping assumptions of the above transformational model
||Discusses the inversion of
enterprise/person relationship, complementary currencies, and
language of Health (122K)
||Proposes Genos, a language which would
allow expression of health and genomic information for clinical use. (html)
|Can Health Care
IT Adapt? (800K)
||Discusses issues for adaptation in our
information technology infrastructure, in light of prospective
advances in Genomics and Proteomics (html)
|From Systems to
||A space-based metaphor for patient health
information systems (htm) (pdf)