A New Health Ecosystem based on 95 Theses

95 ThesesBlog post by Colin Hung

Recently two of healthcare’s leading out-of-the-box thinkers teamed up to create a set of principles designed to guide health/healthcare into the next decade. Called the 95 Theses, Leonard Kish and Dave Chase have created and curated a list of 95 ideas that can and should shape the health industry for the next 10 years.

You can read Dave Chase’s wonderful introduction to the 95 Theses here and you can read them all here.

In the 95 Theses you will find many ideas including:

  • Patient centeredness
  • Patient engagement vs empowerment (yes they are different)
  • Payment reform
  • Quadruple aim
  • Health data ownership
  • Insurance/payer transformation
  • Individualized medicine
  • Social determinants of health

When I read the 95 Theses, I got the same goosebumps that I did when I read the Cluetrain Manifesto in 2001. Cluetrain was an amazing collection of ideas and thoughts on what the future of business was going to look like given the business and Internet memes of the time. Cluetrain is as relevant today as it was 14 years ago when it was first published. To me, 95 Theses is to healthcare what Cluetrain is to tech businesses.

Kish and Chase have made 95 Theses completely open source. They encourage anyone and everyone to incorporate the principles outlined in their document into new works and innovations (with appropriate attribution of course). They themselves have created to projects from 95 Theses: Health Rosetta (healthrosetta.org – not up just yet) and the Health Data Ownership Manifesto (over at upatient.org)

Here are three of my favorite statements from 95 Theses:

  • #7 – Individuals have the right to make choices and control their health destiny with the best information available
  • #40 – The effectiveness of engagement is tightly aligned with how convenient it is, how easily it integrates with where we live, work and play, how culturally relevant it is, and how cost effective it is.
  • #61 – Individuals have a right to any data that comes from a measurement of an internal state of their body, including medical devices.

We could have a whole series of chats based on the content in 95 Theses (and maybe Kish and Chase will agree to be #hcldr guests again in the future, if this first collaborative chat goes well). So to make things a bit more manageable, I thought we’d focus on one particular set of principles for next Tuesday’s #hcldr chat. You can find them in the section called “New choices for individuals and care teams” (principles 29-38).

Join the #hcldr weekly tweetchat on Tuesday June 9th at 8:30pm Eastern (for your local time click here) where we will discuss the following topics with special guests Leonard Kish (@LeonardKish) and David Chase (@ChaseDave):

  • T1 Foods devoid of nutrition & inactivity are “the tobacco of this generation”. How can we change this behavior on a broad basis?
  • T2 Health is not limited to “clinic time”. What is working in your opinion to engage/communicate outside the clinic?
  • T3 What motivates you to be engaged in your health? Knowing the risks? Financial rewards? Peer pressure?
  • T4 We have defined sick care very well, but not wellness. How can we shift our healthcare system towards wellness?


“95 Theses for a New Health Ecosystem”, Dave Chase and Leonard Kish, May 2015, https://medium.com/@healthrosetta/95-theses-for-a-new-health-ecosystem-b32d0cdce2ce, accessed June 7 2015

“ClueTrain Manifesto”, Levine, Lock, Searls, Weinberger, 2001http://www.cluetrain.com/#manifesto, accessed June 7 2015

“Inactivity kills more than obesity”, James Gallagher, BBC News, January 15 2015, http://www.bbc.com/news/health-30812439, accessed June 7 2015

“Nutrition Information for Raw Fruits, Vegetables, and Fish”, US Food and Drug Administration, http://www.fda.gov/Food/IngredientsPackagingLabeling/LabelingNutrition/ucm063367.htm, accessed June 7 2015

“The Blockbuster Drug of the Century: An Engaged Patient”, Leonard Kish, HL7 Standards, August 28 2012, http://www.hl7standards.com/blog/2012/08/28/drug-of-the-century/, accessed June 7 2015

“The 7 Habits of Highly Patient Centric Providers”, Dave Chase, Forbes, February 18 2013, http://www.forbes.com/sites/davechase/2013/02/18/the-7-habits-of-highly-patient-centric-providers/, accessed June 7 2015

“Patient Engagement, Negaclaims Can Rehabilitate Health Insurance”, Dave Chase, Forbes, September 30 2013, http://www.forbes.com/sites/davechase/2013/09/30/patient-engagement-negaclaims-can-rehabilitate-health-insurance/, accessed June 7 2015

“Healthcare: The Biggest Front in the Coming Jobs War”, Dave Chase, Forbes, April 20 2015, http://www.forbes.com/sites/davechase/2015/04/20/healthcare-the-biggest-front-in-the-coming-jobs-war/, accessed June 7 2015

Image Credit

Cover art from 95 Theses – https://medium.com/@healthrosetta/95-theses-for-a-new-health-ecosystem-b32d0cdce2ce

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