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YELP Holistic First Business Plan Defined Terms YELP Holistic First Business Plan SWOT Analysis Executive Summary Deliverables And Costs Snapshot Page To 10 Benchmark Techniques Second Business Plan Log of Correspondence Second Business Plan Detailed Summary Second Business Plan Summary of Annexures Second Business Plan Defined Terms Second Business Plan Safety First Cycling Website Third Business Plan Defined Terms Third Business Plan Summary of Annexures Third Business Plan Letter to Minister for Health and Ageing Defined Terms For Fourth Business Plan Fourth Business Plan Project "Aussie Green Team" Accreditation 5 Ronald Ave, Freshwater NSW 0412 045.224
(02) 9114.6689
(02) 9498.3684 23 July 2008
Dr Rob Moodie
(03) 8344 9299
Nossal Institute for
Global Health
Dear Dr. Moodie
Five YELP Business Plans which - (a) are Interdependent of each other; (b) fall within Terms of Reference for National Preventive Health Taskforce as explained in YELP Achieves All The Taskforce's Terms Of Reference; (c) is in accord with Taskforce's Discussion Paper as explained in YELP Is In Accord With Taskforce's Discussion Paper (d) YELP complements New Directions for Australia’s Health - Delivering GP Super Clinics to local communities; (d) are in accord with our Prime Minister's ethos for the 2020 Summit in particular "The Australian Government is committed to promoting a national culture of creativity, innovation and enterprise"; (e) Capture Complimentary Synergies of Four Public Sector Equity Holders under a JV which Harness Private Sector Infrastructure & PPP Skills Of 12 Private Sector Equity Holders to form a PPP administered by YELP SPV; and (f) heed IPCC's May 2007 recommendation for humans to exhibit a "shift in lifestyle" which leaves a small Personal Carbon Footprint: 1st Youthful Exuberance Lifestyle Programme ("YELP) YELP Holistic First Business Plan to materially reduce the >$155b annual cost of Fifteen Problems, which include the Taskforce's Three Public Health Risks - $19.4m budget over 4.9 years Propagation Phase 2nd Join a Green Team - Second Business Plan - limited to $36,500 marketing cost to health agencies due to 'user pays' cost structure 3rd Safety First Cycling Website - Third Business Plan - limited to $25,000 1st year cost to health agencies due to the mammoth information delivery capability of the internet 4th Fourth Business Plan - Project "Aussie Green Team" Accreditation to enable Interested Adults to attest on a Register of "Aussie Green Sporting Teams" to a Lifestyle Behaviour that involves regular exercise, Healthy Diet, living a Local Community Healthy Lifestyle which leaves a small Personal Carbon Footprint * Purpose Of YELP SPV is to cost-effectively reduce the >$155b annual cost of Fifteen Problems, which include the Taskforce's Three Public Health Risks, by treating some of the Causes of the Fifteen Problems, which include the Taskforce's Three Public Health Risks * YELP Holistic First Business Plan will Reduce Supplementary Patient Guidance Role of GPs * Pertinent co-ordinates for each of the Five Business Plans are at R&D Time, Budget Costs To Propagate and Project Life for Five Business Plans * AUD$19.4m Budget Costs for YELP proposed to be funded 50/50 between Four Public Sector Equity Holders and 12 Private Sector Equity Holders, as explained in the 50/50 Funding Model 1. Recent written communications with Department of Health & Ageing (A) Business Plan Developer's Letter to Secretary of the Department of Health and Ageing dated 28 March 2008 which provided in two CD ROMs a Business Plan for Youthful Exuberance Lifestyle Programme ("YELP") to reduce the >$155b annual cost of Fifteen Problems which each impact Health and Lifestyle Behaviour; (B) Business Plan Developer's Follow-up letter to Secretary of the Department of Health and Ageing dated 22 April 2008 which enclosed 2 CD ROMs and inter alia informed that the Business Plan Developer had prepared a Second Business Plan and Third Business Plan on CD ROM for two other Preventive Health projects as summarised herein; (C) Secretary of Federal Minister for Health & Ageing response letter dated 20 April [1 pg] which responds to (A) above which - (i) acknowledged merit of regular physical activity to combat Obesity and Depression; (ii) recognised proposal to conduct a Pilot initially; and (iii) acknowledged the unprecedented economic and fiscal health care burden of Obesity.
(D) Business Plan Developer's Letter to Minister for Health and Ageing dated 23 June 2008 which requested that letter and the then enclosed two identical CD ROMs be passed onto Dr Rob Moodie so that his Taskforce may evaluate the Business Plan Developer's Five YELP Business Plans The Business Plan Developer had not received a response from (D) above. Hence, he sent this Letter to Taskforce Member dated 23 July 2008 directly to you because each of the Business Plan Developer's afore-referenced Five YELP Business Plans - (I.) falls within the National Preventive Health Taskforce's below Terms of Reference: 1. support the further development of the evidence base on Preventive health, to inform what works and what doesn’t; 2. provide advice for policy makers on what strategies work best at a population level, and on the best buys for government investment in primary prevention; 6. support the development of inter governmental and public-private partnerships on Preventive health; II.) complements New Directions for Australia’s Health - Delivering GP Super Clinics to local communities in particular Primary Care for the YELP Holistic First Business Plan which makes "Preventive health care..... more accessible to ordinary Australians struggling to find the time in their busy lives to look after their own health". 2. Background to the Business Plan Developer The Business Plan Developer retired early (55) from a 37 year career in banking to utilise his Project Development Expertise (built up over 18 years working on infrastructure projects) to pursue his true passion. He expended the initial 21½ months conducting R&D in Preventive Health - set out in the Five YELP Business Plans because the Business Plan Developer has -
(A) played sports all his life - completing onerous sporting Challenges like IronMan triathlons which hardened his resolve to handle the stresses of professional life - sport has been more appealing than excessive Recreational Drug Use etc; and
(B) assisted lots of Australians to participate in a RREA within a LCCBSG, including 8 vision impaired cyclists, which -
(i) is, for them, heaps of Fun & Addictive, character building, and fosters a Sense of Community - "Regular, rigorous, challenging, recreational exercise, in the great outdoors, within a collegiate, caring, social environment is equally beneficial for mental toughness as physical fitness."; (ii) will achieve Fifteen Benefits Of Materially Altered Lifestyle to materially reduce the >$155b annual cost upon the Australian economy of Fifteen Problems, which include the Taskforce's Three Public Health Risks, by treating some of the Causes; and (iii) is satisfying to evidence people 'turn their lives around' by developing a dependence on Challenging RREA(s) within a LDRREG.
The last few years of the Business Plan Developer's banking career was directly involved in PPPs where the private sector and the public sector share risk and return on major infrastructure projects because of complementary synergies and enhanced innovation. The YELP Budget in his YELP Holistic First Business Plan 4.9 years To End-June 2016 is AUD$19.4m to Propagate YELP to the 7 Australian States and our ACT capital city - being shared 50/50 (as explained in the 50/50 Funding Model) with 12 Private Sector Equity Holders because of Four Benefits To 12 Proposed Private Sector Equity Holders to measure the Economic Return On YELP Capex.
3.
Lifescripts is not cost-effective in GP's motivating GP's Patients to desist from
Negligent Lifestyle Behaviour The YELP First Business explains that it is highly cost-effective for health authorities to Outsource the Final Three Stages of Australia's Lifescripts programme of applying Five Basic ‘Stages of Change’ (developed by Zimmerman/Olsen/Bosworth of Wright State University School of Medicine, Dayton, Ohio) by employing lower cost RECs who possess Eleven Sports Administration Attributes which have achieved Accreditation Benchmarks to Take Charge Of Interested Adults to commence a REA within a LDREG under the Optimum, Uniform Delivery Model which incorporates a LCCBSG. GPs under Lifescripts are entrusted to use Motivational Interviewing Techniques to work through Five Basic ‘Stages of Change’ to induce GP's Patients with a Negligent Lifestyle Behaviour to desist. However, stretching health care budgets to treat the Adverse Effects of Five Lifestyle Risk Factors For Chronic Diseases in the main caused by human's penchant for Economic Materialism shows Lifescripts in Australia is unsuccessful. A litany of research in Reference Documents, Health Agencies, Health Programmes and Websites attest that "regular exercise", together with a Healthy Diet, is the cornerstone of a healthy Lifestyle Behaviour. Alas, entrusting carriage to higher cost GPs via Lifescripts the vital task of encouraging GP's Patients with a Negligent Lifestyle Behaviour to carryout the Final Three Stages of the Five Basic ‘Stages of Change’ is not effective, because GPs don't have the time or possess Eleven Sports Administration Attributes required to perform the Final Three Stages. Presently, unless many GP's Patients who suffer from Obesity, Depression, excessive Recreational Drug Use, CAD etc have a close friend or associate with regular exercise in their lifestyle who is willing to assist them reduce their Sedentary Leisure Activities by taking-up eg. Recreational Road Cycling, Bushwalking/Hiking, Ocean Swimming, Kayaking etc, it is often beyond many of them to Materially Alter Lifestyle - such GP's Patients simply believe it is past them, particularly as there is inadequate promotion of those who have successfully swung their lives around. Or other GP's Patients who do walk away from their GP highly motivated to get exercise back into their Lifestyle Behaviour often soon become distracted when commencing a regular exercise activity with a LDREG is not as straight forward as they had hoped. RECs would perform the Final Three Stages of Australia's Lifescripts programme of applying Five Basic ‘Stages of Change’ in lieu of GPs at lower cost and materially more effectively, due to the mammoth power of the Internet via a YELP Website which utilises e-Learning and e-Research Techniques - explained at Twelve Low Cost Propagation Initiatives, thereby reducing the 'Supplementary Guidance Role' of GPs. 4. It takes a seasoned sports administrator a lot of time to Take Charge Of an Interested Adult to Materially Alter Their Lifestyle, and it rarely happens unless the Interested Adult perceives the REA as Fun and Addictive Having assisted over 100 adults commence Recreational Road Cycling over the last 12 years through Muggaccinos.com, and other similar sports beforehand, the Business Plan Developer knows that it takes a lot of his time to transition an Interested Adult into Recreational Road Cycling, Bushwalking/Hiking, Ocean Swimming, Kayaking etc, but the rewards of developing new friendships and evidencing people turn their lives around for the better are worth the effort. One such person the Business Plan Developer assisted, and encouraged is Andrew aka Tugboat who dropped from 110kg to 57.4kg and now weighs 63kg. Andrew fastidiously watches his diet due to his - (i) new found love for rigorous, Challenging, Recreational Road Cycling; and (ii) desire to improve his KOM Climb Times on a website that the Business Plan Developer built as a motivational tool - King of the Mountain performance measurement. 5. YELP Holistic First Business Plan includes within the Pilot a Primary Research Programme
(A) to measure the Hypothesis' scope to reduce the Fifteen Problems, which include the Taskforce's Three Public Health Risks; (B) will involve 50 Volunteers, both Abled or Disabled who are all leading a Sedentary Lifestyle and afflicted by at least one of the Taskforce's Three Public Health Risks, with at least half the Volunteers drawn from the Disadvantaged and marginalised, where the Research Programme Team will Evaluate Lifestyle Behaviour Of Each Volunteer whereupon the 50 Volunteers will complete 4 Hypothesis Test Reports to enable the Research Programme Team produce Two Primary Research Programme Progress Reports which measure/quantify, using Return On YELP Capex Software, the scope of the Hypothesis to materially reduce the Fifteen Problems, which include the Taskforce's Three Public Health Risks; (C) which explicitly targets the Disadvantaged in lower socio-economic regions with 20% of the 50 Volunteers, namely 10 Volunteers being Indigenous Australians - explained in Primary Research Programme; and (D) to achieve the Two "Deal Breaker" Purposes Of The Primary Research Programme. By marshalling the enthusiasm, dedication, proven track-record, networking and professional indemnity Liability Risk Management Acumen of seasoned sports supervisors who have given a lifetime to voluntary sports administration (known as Eleven Sports Administration Attributes) 20 RECs (who are around retirement age) to work in a 21½ Months Tenure Of Pilot of YELP, then a very low cost "new industry" can be "created" and fostered within a social and physical environment deploying new products, new therapies, which utilises evidence informed policy development, and evidence based best practice in care delivery......". The YELP Pilot will enable the below two groups of Interested Adults to contact a REC to Supervise or Refer each Interested Adult in order to commence one of 15 Recreational Exercise Activities - A. GPs Patients who are - (a) suffering Obesity and possibly correlated Type 2 Diabetes; and/or (b) using excessive Recreational Drug Use; and/or (c) experiencing lethargy, anxiety, Depression; and/or (d) Chronic Pain; and B. other Adult Enquirers. During the Pilot, Interested Adults may commence one of 9 RREAs and 6 MREAs presently available at 900 existing LDREGs (in the case of NSW) many of which already incorporate a LCCBSG ie. akin to playing outdoors with your mates as most of us did as kids - the genesis of many a local support network: The Pilot group of 20 RECs would - (I) need to achieve Accredited Benchmarks approved by Federal Department of Health & Ageing as RECs for up to a max of 4 years employment, contingent upon the 21½ months Pilot achieving the Pilot Goals, Forecasts and Predictions within the Pilot Budget and the Primary Research Programme Forecast Results; and
(II) utilise
Eleven Sport Administration Attributes to
Supervise
Interested Adults to commence a
REA in one of
900+
existing LDREGs
(in the case of NSW)
which incorporates a
LCCBSG with a
Social Theme:
6. Health Programmes researched in YELP Holistic First Business Plan Reference Documents, Health Agencies, Health Programmes and Websites lists over 70 health programmes, recreational exercise information and Climate Change reports, across Australia, NZ, Europe and USA which the Business Plan Developer has read and separately summarised many of them in the First Business Plan. The best is Boston Marathon Challenge Template Of YELP Primary Research Programme because invariably too many of the others merely inform/warn of the pitfalls of Obesity, not maintaining a Healthy Diet, excessive Recreational Drug Use, Sedentary Lifestyle, "all work and no play" etc. Many programmes in Australia target youth Obesity and youth binge drinking seemingly because it is easier to visit the schools. The initiatives that target adults fail to deliver a programme "that you can feel and scratch" with a delivery time-line, and Budget Costs, which will make Interested Adults want to ‘jump out of bed on the weekends to hang out with their exercise buddies' by re-igniting the skills they learnt during their Youthful Exuberance growing phase, and thereby achieve Fifteen Benefits Of Materially Altered Lifestyle. 7. Benchmark Techniques to appraise economic merit of YELP Snapshot Page To 10 Project Benchmark Techniques To Appraise Economic Merit Of YELP provides URLs to five different 'Project Benchmarking Techniques' to appraise the economic merit of the YELP Holistic First Business Plan. Detailed analysis entails reading the YELP First Business Plan 'in toto' which the Business Plan Developer has expended almost a thousand hours preparing, employing disciplines used by the likes of Macquarie Bank and Investec to write 'Information Memoranda' for new Greenfield projects which cover every facet of each project and establish they are cost-effective.
8. Why is YELP Holistic First Business Plan called Youthful Exuberance Lifestyle Programme?
The Youthful Exuberance Theme, drawn from the Youthful Exuberance development phase in most mammals, is the ideal 'Hot Button' label to -
(i) instil confidence within Interested Adults from all socio-economic groups, Abled, Disabled and Disadvantaged, be they in good physical and mental health or afflicted by any/all of the Taskforce's Three Public Health Risks, that they can draw back on the intuitive skills they learned during their Youthful Exuberance; and
(ii) re-introduce outdoor exercise to Materially Alter Lifestyle by commencing a REA because most can recall inquisitively and confidently exploring the great outdoors when pushing the boundaries, often many years ago with childhood friends.
The YELP First Business Plan - (a.) has adopted the Youthful Exuberance Theme as its catchphrase in order to instil confidence within Interested Adults that they are capable of incorporating outdoor exercising in their Lifestyle Behaviour; and (b.) forecasts that many Interested Adults, upon commencing a RREA, will re-ignite Youthful Exuberance to implement Positive Lifestyle Changes into their Lifestyle Behaviour which Change Social Values to Materially Alter Lifestyle and 'inter alia' Improve Personal Health & Fitness.
9. YELP is highly cost-effective and will measure the Economic Return On YELP Capex as measured by the Return On YELP Capex Software which feeds into the Base Case Financial Model YELP Business Plan entails quantifying the cost-benefit of the Hypothesis using Return On YELP Capex Software to quantify by "inter alia" Ascribing An Economic Value the Economic Return On YELP Capex which will establish inter alia which socio-economic groups YELP will harvest the greatest Economic Return On YELP Capex. Measuring Quality-Adjusted Life Years, as supported by Professor Leonie Sega, is incorporated within Return On YELP Capex Software.
10. Twelve Low Cost Propagation Initiatives The mammoth 'information delivery' power of the internet through a proposed YELP Website will achieve enormous economies (not open to GPs on a one-on-one basis) for RECs to Supervise or Refer Interested Adults to commence an existing REA to reduce Negligent Lifestyle Behaviour to achieve Fifteen Benefits Of Materially Altered Lifestyle. RTV Promotion of Interested Adults who have Materially Altered Lifestyle and enjoyed the Challenge and Beneficial Effects Of Exercise Induced Drugs by Overdosing EIDs Only in the Pilot and Primary Research Programme is a powerful and cost-efficient medium to motivate others to want to similarly reignite their Youthful Exuberance. YELP Website would utilise e-Learning, e-Training and e-Research Techniques to materially reduce data dissemination, collection and analysis costs. 11. Health authorities need to Compete For Market Share toe-to-toe with the Causes of the Fifteen Problems in particular those due to Negligent Lifestyle Behaviour - research and health warnings haven't been enough YELP will Compete For Market Share by applying the same 'Advertising Media Spin' that is 'Spun' by the global advertising agencies to promote Recreational Exercise Activities As Fun And Addictive which were employed by NOVA and the Tufts University Clinicians in Marathon Challenge (Section 6 above), rather than merely relying on the perpetuation of health agencies funding lots of research only to merely warn of the health risks, because the very health problems warned about continue to escalate, as is the associated economic burden on Australia's GDP - patent testimony that warning alone has proven an unfortunate, costly indictment on the Traditional Role of Democratic Government. 12. Two enclosed CD ROMs CDs auto open at this Letter to Taskforce Member dated 23 July 2008 and provides over 5,000 circa URLs to the Five Business Plans comprising more than 500 Defined Terms within the Five Business Plans and 30+ Section Titles within the YELP Holistic First Business Plan (much fewer in Second, Third and Fourth Business Plans) which ensure clarity and enables analysis of all statements made therein. Please ignore any opening warning message from Internet Explorer about restricting ActiveX Content from your computer. And hit Yes to allow ActiveX, because ActiveX won't damage your computer. ActiveX merely allows drop down menus. The - A. updated YELP Holistic 'Hub' First Business Plan to materially reduce Adverse Costs to the Australian economy which exceed $155 billion annually of Fifteen Problems, which include the Taskforce's Three Public Health Risks, by achieving Fifteen Benefits Of Materially Altered Lifestyle by Improving Personal Health & Fitness which Materially Alters Lifestyle to lead a Local Community Healthy Lifestyle which leaves a small Personal Carbon Footprint; and B. afore-mentioned Second Business Plan and Third Business Plan will -
(i) assist
ordinary Australians struggling to find the time to look after their own health
by a
Community Bicycle Group supervising their transition into
Recreational Road Cycling to - (ii) overtly promote a Green Australia to live a Local Community Healthy Lifestyle which leaves a small Personal Carbon Footprint; (iii) reduce sporting accidents in an era when health and Climate Change Agencies are encouraging cycling and walking in lieu of some motor vehicle transport; (iv) reduce remedial health costs from exercise related accidents; (v) reduce litigation between an injured third party and a negligent participant; and (vi) reduce insurance premiums for third party and income protection cover for accidents during sporting activities due to improved bicycle training/knowledge which will reduce trauma accidents. The Fourth Business Plan will overtly mandate Australian governments to make sometimes unpopular decisions to reduce the Average Australian's Current Carbon Footprint.
13. Summary
The Primary Purpose Of YELP SPV under the YELP Holistic First Business Plan is to reduce the >$155b annual cost to the Australian economy (fiscal Health Care Costs, other fiscal costs and foregone productivity) of Fifteen Problems in the main due to the Taskforce's Three Public Health Risks, by regarding Australia's 22m population as Human Brownfield Infrastructure to inject Capex via YELP to achieve Fifteen Benefits Of Materially Altered Lifestyle incl improved Personal Health & Fitness and productivity by Materially Altering Lifestyle.
The nub of this analysis is:
"Is Outsourcing to RECs with Eleven Sports Administration Attributes, in particular Talk The Walk Motivational Skills and a manifest Sense Of Community, to perform the Final Three Stages of the Lifescripts programme of Five Basic ‘Stages of Change’ which utilise Twelve Low Cost Propagation Initiatives, better and cheaper than leaving it to GPs under Lifescripts?
The First Business Plan contends that Outsourcing the Final Three Stages to RECs is highly cost effective, due to - a) very few GPs possess Eleven Sports Administration Attributes in order to - * Supervise an interested GP's Patient into a RREA; or
*
Refer an
interested
GP's Patient
into a
MREA, b) YELP will reduce the 'Supplementary Guidance Role's of GPs due to Outsourcing the Final Three Stages; c) RECs drawing on the mammoth information delivery power of the internet which is not available to GP's on a one-on-one consultation basis; and d) RTV Promotion similar to PBS' Marathon Challenge, such as proposed Hilly Rides Challenge which highlights that REA is Fun and Addictive. 14. Could the Business Plan Developer meet with a member of the Taskforce to discuss YELP? The Business Plan Developer is keen to meet and discuss the above Five Business Plans, in particular the YELP First Business Plan, with a member of the Taskforce because each plan is testimony to his lifetime conviction to the physical and mental health benefits of regular, rigorous, Challenging recreational exercise as espoused in YELP, not limited to improved Personal Health & Fitness, enhanced self-esteem, Cognitive Development and greater Sense Of Community which - * reduce private and public Health Care Costs by reducing the Fifteen Problems, which include the Taskforce's Three Public Health Risks; and * increase QOL and productivity, incl Income Tax Contributions and Extend Labour Force Participation of Australia's 22m Human Brownfield Infrastructure. NB: The Business Plan Developer has - (a) reviewed the background and sporting/exercise interests of other members of National Preventive Members of Preventive Health Taskforce; and (b) posted a similar letter, including two CD ROMS, to those members who seem explicitly interested in the merits of regular recreational exercise and quantifying associated cost savings and productivity gains. Yours sincerely
Phil Johnston |
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