Table Of ContentHEALTHCARE’s
OUT SICK - PREDICTING
A CURE - Solutions that
WORK !!!!
Predictive Analytic Modeling, Decision
Making, INNOVATIONS, and Precision
Medicine Necessary to Correct the
Broken Healthcare Delivery System
Featuring
“Ask Dr. Dean”
Examples
HEALTHCARE’s
OUT SICK - PREDICTING
A CURE - Solutions that
WORK !!!!
Predictive Analytic Modeling, Decision
Making, INNOVATIONS, and Precision
Medicine Necessary to Correct the
Broken Healthcare Delivery System
By
Gary Miner, Linda Miner, and
Darrell Dean
A PRODUCTIVITY PRESS BOOK
Contents
First edition published in 2019
by Routledge/Productivity Press
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© 2019 by Gary Miner, Linda Miner, and Darrell Dean
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Library of Congress Cataloging‑in‑Publication Data
Names: Miner, Gary, author.
Title: Healthcare’s out sick - predicting a cure - solutions that work !!!! :
predictive analytic modeling, decision making, innovations and precision
medicine necessary to correct the broken healthcare delivery system / Gary
Miner, Linda Miner, Darrell Dean.
Description: Boca Raton : Taylor & Francis, 2019. | Includes bibliographical
references. |
Identifiers: LCCN 2018048183 (print) | LCCN 2018051895 (ebook) | ISBN
9780429506932 (e-Book) | ISBN 9781138581098 (hardback : alk. paper)
Subjects: LCSH: Integrated delivery of health care--United States.
Classification: LCC RA971 (ebook) | LCC RA971 .M517 2019 (print) | DDC
362.1--dc23
LC record available at https://lccn.loc.gov/2018048183
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
Contents Contents
Contents
Foreword by John Cromwell, MD .....................................xi
Foreword by Daniel Robitshek, MD ...............................xiii
Reviewer’s Preface by Thomas Hill, PhD .......................xv
Author’s Preface ................................................................xix
About the Authors ...........................................................xxv
1 Medical (Madness)—Mistakes Throughout
History .....................................................................1
Introduction .........................................................................1
We’ll Start with a Personal Account (Actual Doctor
Names Not Used) ................................................................7
Historical Medical “Practices” That Seem Horrific Today .......9
Bloodletting, a Common Historical (but Gross)
Treatment ............................................................................12
Trepanning—Want a Hole in Your Skull? .........................12
The Sad Story of King George III (1738–1820) .................12
President Garfield—How His Doctors Killed Him ...........16
Medicine and Surgery in Ancient Times ...........................18
Anatomy—The Ins and Outs of Cadaver Dissection
in Medical Training and Advancements or
Lack Thereof ......................................................................19
In More Recent Times ....................................................21
Symphysiotomy ..................................................................22
v
vi ◾ Contents
References ..........................................................................27
Additional Resources for Chapter 1 ...................................29
2 The “OUT OF CONTROL” SPIRAL: (Cost to
Patients—Costs to Medical Facilities—Spiral
of “Tests”—Including “Un‑Needed Tests”—
Spiral of People/Patients Demanding MORE—
IMMEDIATE CURES … etc.) OF THE PAST
40 YEARS and the Current Situation.....................31
The “Most Bitter Pill”—MEDICAL COSTS .........................34
Reference ............................................................................49
3 Successful Healthcare Delivery Systems Around
the World: Today’s Patient Safety Concerns and
Poor Delivery Methods in the USA—What Is
Needed in the USA Today to Provide Successful
Delivery of Safe, Needed, and Cost‑Effective
Healthcare ..............................................................51
DALE System ......................................................................58
Successful Healthcare Delivery Systems ...........................59
Japan ...................................................................................59
United Kingdom ................................................................64
Germany .............................................................................65
Taiwan ................................................................................75
References ..........................................................................79
4 Current and Future Trends: Rectifying the
Crisis–Chaos of the Past Few Decades Through
Medical and Healthcare Research That Uses
Quality Control, Predictive Analytics, and
Decisioning That Is More Powerful Than
Previous Methods in Leading to Accuracy and
Correct Actions ......................................................83
Medical Research Articles Are Likely Flawed....................87
Why Did Watson Lose in Medicine? ..................................91
Disruption—Research Is Needed at the Individual
Level Rather Than the Group Level ..................................92
Contents ◾ vii
Disruption—Make the Data Available ...............................93
Disruption—Interoperability ............................................. 96
Disruption—Need for Quality Control ............................. 96
Quality Control ................................................................. 98
Root Cause Analysis .........................................................100
We Need to Think—It’s Not All Up to Quality Control ....101
Disruption—Need to Reduce Our High Rate of
Medical Errors ..................................................................103
Patient Tales of Errors ......................................................103
Facebook Contributions to Discussion of Current
Medical Errors ..................................................................106
Again, Predictive Analytics Are Needed .........................121
Could Greed Ever Play Into Medicine? ........................122
It Is Time for Medical Procedures Costs to Be
Negotiated and Standardized .......................................122
Think: What Could Go Wrong? .......................................123
Need for More Research and Innovation ........................124
Disruption—Change How We Define the Funding
Model ................................................................................125
Disruption—Change How We Conduct Medical
Research........................................................................127
The New Paradigm: Predictive Analytics ........................128
Definitions ........................................................................130
BAD STATISTICS—GOLD STANDARDS—MODERN
PREDICTIVE ANALYTICS ...............................................137
Bad Statistics .................................................................137
Gold Standards .............................................................138
Source for Data: Portals and Wearable/Handheld
Devices .............................................................................139
Data Solution—The Need for Interoperability with
Data Among Healthcare Delivery Facilities ....................140
CORE COMPONENTS Needed for SUCCESSFUL
HEALTHCARE SOLUTIONS ............................................140
CHANGE IS COMING: Patients First—Patients at the
Center of Their Healthcare—The Patient as CEO ...........141
References ........................................................................143
viii ◾ Contents
5 The “Right” Paradigms for Maintaining One’s
Best Health ..........................................................145
Directing Our Health: Threats to Our Health—And
Some Solutions .................................................................147
Age ....................................................................................148
High Cost of Medications ................................................148
Lack of Exercise; Easy Chairs; Sitting at Work ................149
Overeating—Especially Sugar and White Flour ..............151
Physician Burnout ............................................................152
Super Germs ....................................................................154
World Wide Transportation (Spread of Epidemics).........155
Salad Bars and Church Buffets ........................................159
Stress .................................................................................160
Insomnia and Sleep Deprivation .....................................164
Pharmaceutical Advertisements .......................................170
HIGH FAT—LOW CARB Diets May Be “More in
Tune” with GENETICS OF HUMANS—OBESITY and
DIABETES ........................................................................174
Complications ...................................................................175
Bad Science and the Low-Fat Diet? .................................179
References ........................................................................182
6 Person Centered Medicine and Person‑Directed
Medical Care: Personalized Medicine ..................185
Examples of Personalized Medicine ................................187
Patient-Directed Medical Care .........................................188
CEOH ................................................................................189
Chief Executive Officer for Our Own Health:
Communication and Collaboration .................................197
Assumptions and Communication when Consulting
with a Doctor ...................................................................198
Finding One’s Advisor Physician .....................................199
Two Special Areas of Concern for Patient
Involvement in Healthcare Decisions ..............................208
What Patient-Directed Medicine, CEOH, Is NOT ...........208
Directing Our Health: Consumerism and Payment ........213
Contents ◾ ix
Directing Our Health: Education .....................................213
Directing Our Health: Future Trends ..............................221
References ........................................................................233
7 The CURE—SOLUTIONS to Make Healthcare
Delivery in the USA ACCURATE, EFFECTIVE,
and COST‑EFFICIENT ..........................................235
Evidence-Based Medicine (EBM) .....................................257
Predictive Analytics ..........................................................258
In Conclusion ...................................................................259
References ........................................................................261
Additional Resources for All 7 Chapters of
this Book ....................................................................263
Appendix ....................................................................269
Index ..........................................................................275
