Answer to Question 1
Correct Answer: 3, 1, 2, 4
At a meeting of the Institute for Alternative Futures (IAF) participants were asked to project what is needed to be done now to achieve the best status for health and health care by 2032. Scenarios were developed to be used as the basis of the discussions and are as follows: Scenario 1: Slow Reform, Better Health (zone of conventional expectation); Scenario 2: Health If You Can Get It (zone of growing desperation); Scenario 3: Big Data, Big Health Gains (zone of big data, high aspiration); and Scenario 4: A Culture of Health (zone of health high aspiration).
Answer to Question 2
Correct Answer: 5, 6, 4, 7, 2, 3, 1
The following actions must be taken in order to tap the potential of the technology sector to improve community health: (1) Define shared (community) health metrics and align payment systems for health outcomes. (2) Develop the business models that offer incentives for prevention and pre-disease diagnosis so that caregivers and scientists can work with communities to convert personal data clouds into actionable information for improving community health. (3) Use regional partnerships between major clinical institutions, systems biology institutes, and communities, with consumers and patients learning to improve population and individual health. (4) Build community storage systems for multisource integrated health data, including genomics, proteomics, sensors, lab data, pharmaceutical prescriptions, environmental data, social media data, and non-obvious health data that will emerge as we learn to improve community health. (5) Shape policies providing individual ownership of personal data while offering individuals and communities the ability to opt in for release of their data to technology vendors and entrepreneurs. (6) Establish sites for rapidly testing innovations in community health, and then distribute the evidence so that successes can be replicated in multiple communities. (7) Revamp regulations (e.g., FDA when regulating mobile apps, HIPAA Health Insurance Portability and Accountability Act) to make it conducive to the health technology sector's efforts to improve community health.