Given that the health care ecosystem is vast and complex, scenario planning gives organizations and institutions a path to exploring this space. Scenario planning , leading to more resilient business models, has a long history in the business community beginning with Shell Oil in the 1950’s where prediction from past events, matched the forecasted effect of “Black Swan” events. In the health care space, rising costs become a black swan event for businesses and individuals. Stepping back and looking at the ecosystem in 3 Dimensions will empower less powerful organizations and institutions, as well as individuals, to counter the influence of organizations managing their slice of the health care pie. This is the crux of monopolistic power. 

Value as an objective of the 3-Dimensional health care space draws potentially on all the information in this vast space. The method from HealthCare in 3 Dimensions may customize Value measures to match the needs of the scenario plan. The ability to do this comes from the power of counterfactual analysis. Because the pathways of HCn3D originate from the smallest organic scale, holistic if you will, and flow to the largest scale, the scope and power of the largest organizations will not prevent value measures from leaving out the organic information of the 1st Dimension. This dynamic is reflected graphically in the Topology of HCn3D and supports the interoperability function of counterfactual analysis. The other counterfactual property of possibility also arises organically in the Moment of the care event. The range of what is possible includes the counterfactuals of cost reduction behavior that may occur but have not necessarily occurred in the past. The role of scenario planning is to isolate these possibilities as a reduction step from the 3-Dimensional ecosystem to actionable possibilities in the moment.  The logical process of analogy proposes these possibilities as real actual and possible options. Value arising organically will migrate health care from black swan cost growth pressures to desirable and beneficial “pink flamingo” cost reduction events. 

 Query Schema: Hip Fracture Cluster Primary Diagnosis on Patient at Segmented Intervals