Many individuals and organizations can integrate as one—a singularity. Attaining singularity may be the greatest challenge of our time. But its potential is vast. In a singularity, we tap our collective intelligence to crack tough problems. Groups coordinate work across collaborative platforms and cross the chasms created by geographic separation. Organizations that are not part of the same system collaborate to do together what none could do alone. Anything can happen anywhere as organizations intertwine with more partners in fluid combinations.
Something new is emerging. Catch its outline and you see something so profoundly different as to be almost unrecognizable. This new creature is the future form of healthcare. It arises only partly because of legislation and political mandate. The greater forces are powerful global shifts, technological breakthroughs, economic changes, and cultural trends. These usher in an era of precision medicine, new services, intertwined organizations, market upheavals, cheap and smart competitors, and advances in human enhancement. This is a time of radical deconstruction and rebirth.
View your organization's preferred future as a picture you create and then step into. The future is something you create. It is a work of art and imagination. Futuring permits your organization to invent its own destiny.
As we are able to anticipate serious clinical events before they occur, we rethink when to intervene. As big and expensive medical devices become portable or even implantable, we also rethink where to intervene. Ultimately we even rethink who should intervene and build new clinical teams with different people. In the new continuum of care, homes become extensions of hospitals, and smart phones connect patients and providers. Organizations win in new ways economically and collaborate across geography. The challenge is daunting, but the potential is compelling. It's time to rethink everything.
It is better to design out disease than treat it. Design is the ultimate stage of human evolution. Genetic design and habitat design are the two primary design initiatives that will decrease morbidity and evoke health potentials in our human population. The goal is simple - to achieve the highest level of health and wellbeing attainable in every community.
Aging is one of the largest growth fields of the future--the area where imagination, innovation, and investment intersect. Imagine what happens as health integrates with housing to create therapeutic villages, healthy living communities, spadominiums, smart habitats, and virtual villages. Anticipate the potential arising from the hundreds of companies developing assistive devices that extend and restore body function. Think about the way simple choices can combine with the science of longevity to shift how long and how well we live. Explore the movement toward meaning and peak contribution in later life. Look at the innovations already present and anticipate what is just ahead.
Most organizations learned to survive using an old-style ethic of individualism and domination. When confronting something different or threatening, they attempt to conquer or eliminate it. And every encounter is a contest. Although much of the world is still shaped by this approach, something profoundly new is also occurring. This new thing is often called a business ecosystem. Here everyone's fates are intertwined--the prosperity or demise of one impacts all. Individual entities learn to work with each other more intentionally. Although they may compete, they also collaborate and co-evolve. In the future, no one thrives alone.
Futurism is the art of both predicting and creating the future. Prediction is the beginning point. Many trends are visible as waves of momentum. But these waves do not impact all places at the same time. What is yet to sweep healthcare or one organization often already exists somewhere else. A futurist looks in different places--on the margins and edges.

Leland R. Kaiser
View your organization's preferred future as a picture you create and then step into. The future is something you create. It is a work of art and imagination.
Futuring permits your organization to invent its own destiny.
The big questions are - how do you want to be in the world? What do you want to be doing? Who do you want to be serving? What health services would you like to provide?
In past ages, health care providers did little more than adapt to their rapidly changing environment. They were shaped by powerful political, social and economic forces beyond their control.
Things have changed. We have entered the Integral Age. It is the age of design. The challenge is no longer adaptation. It is creation. Powerful health care organizations can now reshape their environments rather than be shaped by them.
Doing intentional design requires a whole new set of cognitive, affective and behavioral skills. It is no longer follow the leader. It is become the leader. Become the architect of your own organizational destiny and help set the standards for our new century health care industry.
It is time to reach out into the community to find needed allies and to build powerful organizational alliances and networks.
It is time to move upstream in healthcare and begin working with the major generators of disease and disability.
It will be necessary to develop new financial resources to enable your organization to rise above the competitive tangle of the marketplace.
The best future you can imagine can become a self-fulfilling prophecy if you are willing to act upon your visions and your preferences. This is the time for bold ventures.