David Aylward

Wellbeing: A Systems Approach.

Sickcare Falls Far Short

Photo: Sunita Bai sharing knowledge of soya & wheat, Rajasthan

Radical Transformation Required

Critical Trends

▪ Infectious disease and trauma shifting to chronic

illness, indeed MCC, and trauma

▪ Personal behavior and environment become key

drivers

▪ Ubiquity of mobile IT, mobile diagnostics, big data

▪ Truth: specialist and acute care are very expensive

▪ Truth: investments upstream of acute care save $

and suffering

Person-Centered Vitalness: 4 Key Sources

Health

Food Systems

Community

Environ-ment

Person Family

Water

Sanitation

Air

Institutions and professionals

Frontline/information

Education

Workplace

Security

Nutrition

Agriculture

We must

think in

systems:

Complex

Adaptive

Systems

Letting IT Lead; Ignoring IT’s

Power

Exploit Economics

and the Private

Sector

Focus on

people, on

demand:

students,

workers, on

consumers

Takeaways

• Develop new metrics for well being

• Pay for wellbeing outcomes

• Emphasize and reward person/patient engagement

• Shift health investment upstream where there is far greater return

• Empower patients and frontline, less skilled providers

• Create coalitions for wellbeing: don’t expect medical professionals to deliver it

• Architect IT system underlying the complex system required to create well being – not the system to produce profits

David K. Aylward

david@daylward.org