Google+ The Synchronetic ET, LLC Blog, brought to you by Etape Partners, LLC.: January 2014

Sunday, January 26, 2014

Practical Applications of Pure Unreasoning


Hyper Relaxivity Disorder:  The Paradox of Multi-Thrashing Uselessness

A Fictional Case Study of Peterson: A Potential Observation of Quantum Idiocy

Peterson was on all accounts no different than anyone else he socialized with or worked with professionally. His Midnight blue suit was fitted just where it should be, his tie knotted to a geometric perfection, his Allen Edmonds cap-toes, seem to defy scuffs like teflons protects dons. 

Saturday, January 25, 2014

The Business of Portals : Oh this used to be so topical, but is no less important now


Improving outcomes of virtual reality based protocol execution through a reduction of cognitive disintermediation caused by non-instinctive haptic input devices and cognitively inconsistent modal model interruptions

 

 A human brain assigned the task of completing a protocol is in State when it is processing through the modes that comprise the model.  The more that cognitive resources are in alignment with processing the modes, and the fewer State interruptions encountered by the brain, the greater the likelihood of positive outcomes in model completion.

            When models are developed for the completion of tasks using computer systems, the model is necessarily interspersed with tasks only indirectly relevant to the model that yields task completion.  However, the author of the model describing the task, will assume that the user is able to consciously insert the non-model related technology tasks as needed.  In fact, the fluid ability to follow a Modal Model protocol, while in addition processing the necessary(but indirect) insertion of technology tasks requires a great deal of cognitive resource, whether conscious or unconscious to the person performing the task.  As may be expected, the relative cognitive premium required to complete the model using technology, is a function of the performers proficiency with the tool, the intuitiveness of the tool, and the overall cognitive resources of the performer.

            In our application of virtual reality technology as a medium for education, communication, and task completion, we are motivated to render contexts for model execution that minimize the cognitive premium required to perform tasks that are not described in the model necessary for task completion.  In our study we look to articulate the impact on model outcomes when cognitive resources are preserved for model mode consideration.

            We will present a virtual reality environment that has been optimized for modal model completion and minimization of the cognitive premium required to interface with the technology.  Using virtual manifestations of the user(as a whole, or in part), minimization of proprioception, and replacement of inefficient haptic input devices, users of our environments will improve model outcomes through preservation and refocusing of cognitive resources.  We will deploy these methodologies into the contexts of education, business, and gerontechnology.

Cognitive and Computer science based learning theory applied to business, education and health


Improving outcomes of virtual reality based protocol execution through a reduction of cognitive disintermediation caused by non-instinctive haptic input devices and cognitively inconsistent modal model interruptions

 

 A human brain assigned the task of completing a protocol is in State when it is processing through the modes that comprise the model.  The more that cognitive resources are in alignment with processing the modes, and the fewer State interruptions encountered by the brain, the greater the likelihood of positive outcomes in model completion.

            When models are developed for the completion of tasks using computer systems, the model is necessarily interspersed with tasks only indirectly relevant to the model that yields task completion.  However, the author of the model describing the task, will assume that the user is able to consciously insert the non-model related technology tasks as needed.  In fact, the fluid ability to follow a Modal Model protocol, while in addition processing the necessary(but indirect) insertion of technology tasks requires a great deal of cognitive resource, whether conscious or unconscious to the person performing the task.  As may be expected, the relative cognitive premium required to complete the model using technology, is a function of the performers proficiency with the tool, the intuitiveness of the tool, and the overall cognitive resources of the performer.

            In our application of virtual reality technology as a medium for education, communication, and task completion, we are motivated to render contexts for model execution that minimize the cognitive premium required to perform tasks that are not described in the model necessary for task completion.  In our study we look to articulate the impact on model outcomes when cognitive resources are preserved for model mode consideration.

            We will present a virtual reality environment that has been optimized for modal model completion and minimization of the cognitive premium required to interface with the technology.  Using virtual manifestations of the user(as a whole, or in part), minimization of proprioception, and replacement of inefficient haptic input devices, users of our environments will improve model outcomes through preservation and refocusing of cognitive resources.  We will deploy these methodologies into the contexts of education, business, and gerontechnology.

The Post Beyond Reasonable Doubt, and Highly Dubious


Ok, so this is my blog, and I don't know how to create categories, so the absurd, get tossed into the blog-o-matic linearalization of my thoughts. Most are significant (likely), some are Absurd ( surely), and others retain a buoyancy akin to a flotsam and jetsam, but rarely travel in such tidy "Jeflotsam pairs. Like peeing in a pod ( sorry, it's a funny joke in Japan).

The point being that mixed in with the good, is something else entirely, and as someone(s) often said: "and now for something completely different"

Now I know I am not the first person to say this, but possibly I am the first person to say it today, and because it happens to be somewhere between the beginning and end of night for at least some of us, I feels this pressing sense of urgency to get these things said before either someone else says them, or I run out of time in which to say them, and with this winter chill, the pace at which I urgently put words to paper, or plastic to plastic, or skin to plastic, may be somewhat slower than it might be in a more or less favorable climate, but I can be certain of just one thing, and that one thing would be the conviction I feel to convert this expanse of white paper into an expanse of black and white paper.  And, should I be so fortunate as to be at least mildly coherent, it stands to reason, that at least someone, myself included, may in fact take the time to not only put these thoughts to paper, but to remove them as well.   Now that was a well-deserved little pause.  I don’t expect that anyone else took as much from that tiny round bit of guilty pleasure as I in fact did, but as someone may well have once refrained from (and wisely so I suppose), if a period divides a sequence of otherwise contiguous ramblings, and yet no one is there to read it, did the periodical pause exist, or was it stripped clean of it only true reason for being?  And to a lesser extent, the same could be said, of commas, I suppose. Unlike tower spires, or little piles of rocks, including those that may float, and of course those as well that don’t float, what could we say that would, in no uncertain terms, or even in certain terms, take up such a ubiquitous presence within the sightlines of our daily doings, and still, after testaments reaching to well about the almost inconceivable measure of a million comma march, could things, while possible having been slowed, now, as it were the second coming, coming, interject with such diminutive, yet iron clad insistence that a pause, is not a stop, while in fact a stop, especially is rather short, could assume the entirety of punctuational fluidity. Glory seeking, narcissistic, greedy fucking period, comma-wanna-be Period( and that was an intentionally denied, perfectly good opportunity to implant that ubiquitous, yet devious, cognitive-disintermediative, tiny round speck of nuisance, BUT, it was not to be, and thus :Denied ![ note the superiority of the exclamation points bar, standing square upon the undeserving, bottom-feeding, vermin of punctuation THE PERIOD])

It's about time: An Excerpt from an article I recently authored


"Beyond the 4th Dimension of Reason: Resetting the Dimensional Clock to Time Zero"

.....but time, seems to have the rather inconvenient characteristic of not wanting to stop, so for all of you so seriously litmusing and testing societal blocks to find out what time it is, best not to pause or lest you be left behind as time so indignantly waits for no "man".
Which leads me to believe that if you truly want to understand time, your efforts may be most productively applied to subjects for whom time does wait. And we can pretend that these anti-pendulous scoffers of sensorial narrative units don't exist, but now who’s being naive?
So let’s all close our eyes and each draw up a mental list of those things of which we know, that are neither concerned with time, nor impacted by it. And no, I am not accepting answers which include concepts like "Timeless Beauty", which is probably the most poorly named manifestation of universal progression....Absurdity!, Even the concept's name is derived from that construct from which it is claimed to be infinitely extracted from. "Timelessness" is a word.
And I really ought to simply leave it at that because any qualifier associated with it, even the seemingly nonsensical (e.g. Timeless Treasure perhaps? is just so plainly a reference to a far from chronologically ambivalent substance held in high regard by a temporary collective that clearly has the poor-boys half of the equation smudged out on the back of his coal shovel, while it apparently requires a large stone structure with windows, a quorum of some order often identified by the “timelessness” of their gray beards, to shuffle and mumble and hrrrfmmph around the room, *periodically" casting metered gazes at the black hole( helpfully drawn on cardboard with a sharpie and hung from the chalkboard), which is never there to explain itself when this quorum meets( because it wasn't timeless, or just wasn't on time?). But as they say, Absence makes the clock tick faster, at least in a black hole, where if you really think about it, it's far too dark to see clocks from within black holes, so who are we to say whether the sum of all time is singularly condensed down to an atomic unit, not really much larger in size or weight than the inherent value of a Bit coin on Chinese New Year. (So does that make Mr. Bit Coin stoic, or ignorant?) but more importantly, just the 30 seconds spent on a nonsensical vision of a personified Mr. Bit Coin is enough to 1) re-enforce the fact that we covet our 30 second fantastical escapades with C Bitty 2) run rough shod in our size 13EEE Geesus Ignorante moon boots over the tops of the truly time deifying list of entities existing within our realm.

If man made time, would that not suggest that before the age of man, there was no linear sequences of events that could be expressed in some other way than: all happening at once? is time a measure of history? a purely relativistic measure of some sequence of events happening not all at the same time? And if this is the case that before man came along and began "timing" everything, there was no essence( there's that word again) of time? we as humans have devised all manners of mechanics to monitor time, but is time not an inherent quality of all life? If something has a beginning and an end, does that require that the middle section is filled with time? this i think is not a question of whether a being needs to be able to contemplate time, it is a question of relativity, only, e.g.: what exactly is a "dog year" and who decided it was seven years of human time? do dogs know this? do they work faster to accomplish more given that their relative lifespans are somewhat shorter than their human companions? did early humans with life expectancies of only about 30 years, live their lives as fast as they could, knowing that they only had about 30 years to live? do fruit flies know that they have 1 day to live? If man made time, then how do other beings instinctively know when it is "time" to migrate, or create offspring, or challenge the leader of their group for supremacy? How much better would man be at keeping "time" if all mechanical instruments of time were stripped away? Surely some would be better than others. Primitives don't generally wear watches, but time is a very meaningful concept to them: when will the ice melt? When will wild game arrive, when will the 18 hours of sunlight in the far North begin and end? Do these events not occur according to a routine schedule? Time has existed long before man. But the mistake that is so often made by man is that they confuse meta-cognition with invention. Time knew man, long before man used mechanicals to count the ticks of life

Sunday, January 19, 2014

Three Lefts don’t make a Right, but they do make a Square, and may even be potentially responsible for the genesis of Digitized Circles


Three Lefts don’t make a Right, but they do make a Square, and may even be potentially responsible for the genesis of Digitized Circles

Lately I’ve been thinking a lot about little squares.  Little squares are easily constructed using very simple mathematics. If we agree( at least in the alien world of computer innards), that little squares, built by 0 and 1 constructors, are capable of manipulating sensory perception to such an extent that most people don't ever consider basic concepts like "curved is a sequence of straights".  "Arcs" are manifests of carefully arranged straight lines, with enough straight lines, we can create such a density of "straights", that Sensorially, we perceive what appear to be images that look nothing like squares or straight lines.

Saturday, January 18, 2014

From the Archives: Written in September, 2009 - Online Consultations are an essential form of patient care

Online Consultations are an essential form of patient care
 
Doctors Provide the Service
§  31 % of physicians reported using online communication with their patients in 2007, 25% in 2006, 24% in 2005, 19% in 2003 [1]
 
Payers Recognize the Service
§  The top 5 health insurance companies ( United Health Group, WellPoint, Aetna, Humana, Cigna) cover online consultations [2]
§  More than 100 commercial payers around the nation reimburse one or more telemedicine procedures  [3]
§   The top 5 health insurance companies reimburse doctors for online consultations [4]

Patients Like the Service
§  76% prefer online consultations to interact with their doctors [5]
§  62% of patients said the ability to talk to a physician electronically would affect their choice of doctors [6]
§  57% of those with commercial insurance said they would use online consultations [7]
§  75 % would like to be able to e-mail their doctors for consultations [8]
§  1 in 2 consumers surveyed said they’d be likely to seek healthcare through online consultations [9]
§  Patients ranked the virtual mode of online consultations as valuable as face-to-face consultations [10]
§  35% of Medicaid respondents indicated they would likely use online consultations [11]
§  37% of adult internet users are willing to pay to communicate online with their physicians, corresponding to $4 billion in 2002 [12]
 
Drivers to improve current state Online Consultation Technology
-          50% of text based consultations yield an in-office visit
o    Serialized, time-lapse communication impedes the Doctors ability to create a “differential moment”
-          Doctors are motivated to maximize Online Consultations, thus freeing precious in-office visits for their most serious, and highest paying patients. They demand the most comprehensive form of Online Consultation available
-          Much of the online communication with patients today is unreimbursable(email) because the structured communication necessary to meet Payer requirements is not conducive to effective patient care
o    Doctors communicate without reimbursement because
§  They care
§  Customer Service/Competitive Advantage
§  They want to keep their waiting room unclogged(but at the expense of not getting paid)
 
Why VR Improves Online Consultations
-          Voice communication coupled with unlimited access to Charts & History, create a comprehensive, yet extremely efficient context for diagnosis
o    Virtual Online Consultations can be as simple as quick Q/A, or as involved as complete EMR review with physiology simulations
o    VR efficiently creates a real-time, multi-sensory, intuitive context for diagnosis
o    If we agree that the best way to diagnose a patient is to consult with them in the office
§  And if we can further agree that in-office visits could be improved for enabling diagnosis
·         Can we then say that an environment that simulates a doctor’s office, but vastly improves on shortcoming of the doctor’s office, would provide an environment capable of producing better diagnosis and treatment recommendations?
o    Simulation(75% as good as in-office) + 50% VR Improvement(by doing things not possible in the doctor office) = %125 as good as in office
§  Excluding diagnosis that require specialized equipment or visual exam
-          Doctors who communicate online with patients in most cases are not reimbursed for the consultation
o    Doctors are using available forms of communication, but are not getting paid for the service
o    VR creates a structured environment in which a payable transaction occurs, and effective diagnosis and treatment can be administered
-          Current State Online Consultations are rigid, and require the patient to do some self-diagnosis in order to begin the process: Fatigue, Sore throat, etc.
o    In many cases, patients are not able to accurately self-diagnose, but are aware of a problem
o    While statistically in may be true that many diagnosis can be classified into a few categories(Cold, Flu, etc.), this is the result of diagnosis, and not where the process begins.  A vast variety of symptoms may present, but after consultation can be slotted into a few categories
-          Online Questionnaires are confusing to the patient
o    Autonomous Virtual Nurse greets the patient, and solicits patient information using a combination of keypad entry and voice recognition
§  A friendly voice, a clinical atmosphere, a person of authority/assistance
o    This can be the reception when you arrive for a scheduled visit
o    This can also be the new questionnaire

Size of the Market
§  70% of all doctor visits are for information only or for matters that can be handled over the phone [13]
§  79% said that they would not like to use their mobile phones as an alternative method to contact their doctor [14]
§  57% said that they would be likely to use an online forum or chat room monitored by their doctor technology for consultations[15]
§  50% said they would be likely to access their healthcare via Internet or other computer technology [16]
§  35% said they found getting through to someone via online methods the most Frustrating about e-Health Care Experiences [17]
§  50% said they would be unlikely to access their healthcare via telephone consultations [18]
§  25% said it takes more than 30 days to get an appointment with their doctors & 10% said they’ve had to wait 3 months or longer [19]
§  90% of the visits patients made needed to be made in person. The remaining 10 percent fell into a category where the doctor’s diagnosis relied largely on a patient’s description of the ailment. (list included conditions such as headaches, certain urinary tract infections, dermatitis, and back pain)
 
 
Accessibility
§  81% of household within the US have some sort of PC in their home, 92% of which have internet [20]
§  90% of US physicians have high speed internet  [21]


[1]  Manhattan Research Survey, 2007 ; EmaxHealth, 2006, TransformerMED
[2]  PWC, 2009, etc.
[3]  HealthCare Industry, 2008
[4]  Dallas News,2008
[5]  PWC, 2009
[6]  AM NEWs, 2007
[7]  PWC, 2009
[8]  Health Tracking, 2005; RelayHealth 2007; Business Tech, 2009; PWC, 2009; KP, 2009
[9]  PWC, 2009; 2006 Harris Interactive/Wall Street Journal survey
[10]  Boston Globe, June 09; HealthCare Blog, April 2009
[11] PWC, 2009
[12]  Science Direct Text
[13] PRLog, 2007
[14] PWC, 2009
[15]  PWC, 2009
[16] PWC, 2009
[17] TransformerMED
[18] PWC, 2009
[19] PWC, 2009
[20]  PWC, 2009
[21] EmaxHealth, 2006

And in the begining there was....... The Étape Partners Credo from 2009

I have no idea why this is all caps, but I must have had a reason 5 years ago....


Étape Partners Credo 2009

Innovation does not go into recession

Good ideas are immune to depression

The economy does not inhibit leadership from the front

There is no suspension of business, only business as we know it today

While others are retreating and waiting for what they perceive to be the end of the modern world,

We also prepare for the dawning of a new day,

We prepare by sharpening our weapons, stretching our minds and feeding our instincts

Yes, we also see the sun rising on a new day.

 

The 10 Point Guide to Real Innovation in Medication-based Healthcare Services:


The 10 Point Guide to Real Innovation in Medication-based Healthcare Services:

1.      Don’t wait for change. Use Phases to achieve the Strategic Goal

a.      Regulations, Meaningful-use, Reimbursement Models,

2.      “Different” does not equal Innovation

a.      Innovation will be different, but Innovation will also deliver improved Outcomes

3.      Do not target “Behavior Change” as a critical Objective

a.      Better targets are those things that shape behavior

4.      Human Centric Design

a.      Think of your end-user as a person, not as an Agent

5.      The Elegance of Assembly

a.      Large amounts of anything inherently contain empowerment. The amount of this power that can be unlocked is a function of elegance.(kinetics and Conservation)

6.      Frictionless Processes

a.      The quickest path to effectiveness is the one of least resistance

7.      Digital Brand Personalities

a.      A dynamic set of digital instances that uniquely influences: Cognitions, Motivations, and Behaviors towards an Essential Transaction

8.      Put Patient Empathy into the Money Flow

a.      Drug Discovery, Adherence, Support = Empathy and Transactions

9.      Understand who measures success, and how they measure it

a.      Scientist, Sales, HCP, Patient, Payer, Government

10.  The common denominator of cohesion is not a compromise.

a.      The greatest innovations waiting to happen will be derived from a better understanding of ourselves, and the action we take with this new found wisdom