Personal Health: From Systems to Spaces

Prepared for

Enterprise Strategy

Veterans Health Administration

Department of Veterans Affairs

810 Vermont St., N.W.

Washington, DC. 20420

Tom Munnecke

Science Applications International Corporation

10260 Campus Point Ct.

San Diego, Ca. 92121

(858) 756 4218

munnecket@saic.com

Version 1.1 July 19, 2002

Available at http://www.munnecke.com/papers/D24.doc

Table of Contents

Introduction.................................................................................................................... 2

Historical Model of DHCP.............................................................................................. 2

Design Pressures on the Current System.......................................................................... 3

The Enterprise-Centric Approach.................................................................................... 5

Future Technologies........................................................................................................ 5

Inverting to the Personal Health Perspective..................................................................... 6

A Future Model.............................................................................................................. 8

The Patient-Centric Approach....................................................................................... 10

Eras and the Flow of Knowledge................................................................................... 12

Lessons Learned from Y2K.......................................................................................... 12

Looking Forward.......................................................................................................... 13

From “Systems” Thinking to “Space” Thinking...............................................................