20 Point List to Improve the Health Care System

by Otto H. Schmitt

1. Optimization. Optimization requires at least the following:

1. An agreed on, or at least. An identified attribute, property or quality to be optimized
2. An identified beneficiary of the optimization
3. An algorithm for scaling or at least ordering
4. A mechanism for dimensional analysis and rationalization or conversion
5. A procedure for parametric adjustment of the optimization algorithm

2. Santosha indices and individually parameterized health optima. Origins of the Santosha Index and its applications to health care delivery.

3. The logistics of health-medical records:

1. Central repository
2. Distributed repositories
3. Personally carried individual records
4. Combinations
5. Trade-off s between duplication of medical data and extended storage.

4. Life-long health trajectories and their optimization by matching. Eirgodic procedures and stochastic stationarity.

5. Data bases of patient satisfaction and dissatisfaction with health care. Comparative dollar and economic cost of satisfaction.

6. Individually associated data dispersions relative to optimized care.

7. The medical supermarket. Bargain shopping for health with dignity and economy appropriate to available resources.

8. Confidentiality of Health and Personal data. What constitutes confidential data, from whom is it being protected, to whom should it be available with permission or without.

9. Personal participation in health care (with advice and guidance). Multilevel and multimedia.

10. Large systems compatibility and efficiency for facilitating, operating and policing health care delivery.

11. Feedback Feedforward modulatory and adaptive control. Loop-opening or internal checking in health optimization and diagnosis.

12. Designs for establishing a sub optimal medical health system and its hierarchical subsystems. Flexible adaptability without unstructured chaos.

13. Adaptive multilevel language in medical communication.

14. Biomimetic computer-aided diagnostic analysis.

15. Industrial, governmental and medical optimization. Are they intercompatible, and compatible with individual, family, and community optimization motivations?

16. The impact of available PROM oriented microcomputer LSI on medical Health System Optimization.

17. Stimulation of public “Demand” for a system too advanced to be medically attractive.

18. Development of a medical-technical specialty to man and implement an optimized health system. The education and research to support it.

19. Computers biomimetically structured to support an optimal medical and health system.

20. Extending health monitoring and assistance into the home and into the job. A problem in systems optimization and technological initiative.