Glossary

Healthcare in 3D Terms and Phrases

  • Ecosystem — The entirety of the health care universe (everything), complex and stratified. Provides a mechanism to locate any health care organization both broadly with many entities, and locally with few entities. This context affords structure for measuring change over time of an entity within a stable ecosystem. The overall complexity when structured by place and time opens the door to other levels of complexity; network relations among entities, motion of patients in journeys, and importantly outcomes. Conceiving all this as an ecosystem enables complexity and stratification to be systematically built into a framework that comprises a broad view making cost effective decisions possible. In addition to a geographic frame of reference for an ecosystem, this term includes information generated from hierarchical structure by logic and topology applied to any part of the ecosystem.
  • Transformation (Ecosystem) — Frame for change of all entities of the health care Ecosystem. HCn3D assembles Logic and Topology, loosely understood as finance and information, as integral high level frames to link entities as organization that channel finances with clinical activities that at a fundamental level create information. If this separation of finances from information applies to scenarios intended to transform organizations, which is always understood at an operational transactional level, then information transformation will be a primary essential step in leading organizational transformation. Any change with financial implications will be met with resistance, however change can be imagined and tested before putting organizations at risk financially. Episode based and accountable value based purchasing may work better if the purchasing part is left out of initial plan for transformation.
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