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### Revolutionizing Healthcare: Genetics, Innovations, and Systemic Reform Insights ###

This article delves into the intersection of genetics and healthcare reform, exploring historical innovations that have shaped medical practices and potential future transformations. It discusses the evolution of technology and communication, the shift from empirical to precision medicine, and the new business models emerging in the healthcare landscape. Furthermore, it addresses pressing issues like quality discrepancies in care, insurance models, and the necessity for reform in medical delivery systems. With insights from industry leaders, it poses critical questions for the future of health and wellness. ###

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### Revolutionizing Healthcare: Genetics, Innovations, and Systemic Reform Insights ###

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  1. Genetics and Health Care Reform The Long View From…a novice non-crystal baller John J. Mulvihill, Heartland (Thanks to ACMG President Bruce Korf)

  2. Disruptive Innovations Over Time Computers: Abacus; IBM/DEC main frame; HP calculator; PC/Mac; massively parallel processors Communication: Smoke signals; pony express; telegraph; wired telephone; cellular telephone; Internet Education: Tutor; University; Community College; On-line Access by wealthy to access by all

  3. Disruptive Innovations: Elements 1. Technology enabler 2. Business model 3. Valued network

  4. Disruptive Innovations 1 Technology Enabler Intuitive medicine What’s the diagnosis? Past: Infectious disease; Future: All diseases Empirical medicine What to do? How to fix? Past: Trial-and-error; Future: Mechanism based Precision medicine Exact diagnosis and therapy Past: Strep throat; Future: Genetic diagnosis and Rx

  5. Disruptive Innovations 2 Business model Solution Shop Hospital/clinic Mayo/Cleveland Fee-for-service; complex; no guarantee Value-added process Hospital/clinic Heart Hospital Eye Institute MinuteClinic Fix it; fee-for-output; simple; guaranteed

  6. Disruptive Innovations 2 *But, Crossing the Quality Chasm; To Err is Human; cost Business model Solution Shop Hospital/clinic* Mayo/Cleveland Fee for service; complex; no guarantee Value-added process Hospital/clinic* Heart Hospital Eye Institute MinuteClinic Fix it; fee-for-output

  7. Disruptive Innovations 3 Value Network Insurance Mutual help Health Club; WebMD Membership fee Profit for wellness

  8. Disruptive Innovations Gene Diagnostics Gene therapy, pharmacogenomics Business model Solution Shop Hospital/clinic* Mayo/Cleveland Fee for service; complex; no guarantee Value-added process Hospital/clinic* Heart Hospital Eye Institute MinuteClinic Fix it; fee for output

  9. Disruptive Innovations Anticipatory guidance; EMR; Genetic Alliance; Social networking Value Network Insurance Mutual help Health Club; WebMD Membership fee Profit for wellness

  10. Other thoughts* Forced productivity gains Cadillac coverage Simplified forms Electronic medical records Reform of delivery system Independent commission Managed competition A public plan/option Comparing treatments Negotiating drug prices Malpractice reform *New York Times November 15, 2009 Editorial, p 9

  11. Other thoughts* Forced productivity gains Cadillac coverage Simplified forms Electronic medical records Reform of delivery system Independent commission Managed competition A public plan/option Comparing treatments Negotiating drug prices Malpractice reform *New York Times November 15, 2009 Editorial, p 9

  12. Questions? Comments?

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