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Healthcare as a CAS

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Russell Gonnering

Healthcare as a CAS

In Appendix B of "Crossing the Quality Chasm: A New Health System for the 21st Century" (2001), Paul Plsek wrote:

It is more helpful to think like a farmer than an engineer or architect in designing a health care system. Engineers and architects need to design every detail of a system. This approach is possible because the responses of the component parts are mechanical and, therefore, predictable. In contrast, the farmer knows that he or she can do only so much. The farmer uses knowledge and evidence from past experience, and desires an optimum crop. However, in the end, the farmer simply creates the conditions under which a good crop is possible. The outcome is an emergent property of the natural system and cannot be predicted in detail.

Any thoughts on health care as simple, complicated or complex, the current debate on HR 3200 and the above quote, emergent versus imposed order and the future??

Russ #3

============================================================
FRIAM Applied Complexity Group listserv
Meets Fridays 9a-11:30 at cafe at St. John's College
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Stephen Guerin

Re: Healthcare as a CAS

Russ,

I would agree with you.

I would be interested to see an interactive visualization of the
current healthcare system with approximate patient and dollar flows. I
think this would be valuable before diving into the engineering phase
of a new one.

-Steve
--- -. . ..-. .. ... .... - .-- --- ..-. .. ... ....
[hidden email]
(m) 505.577.5828 (o) 505.995.0206
redfish.com _ sfcomplex.org _ simtable.com _ lava3d.com

On Jul 21, 2009, at 12:40 PM, Russell Gonnering wrote:

> In Appendix B of "Crossing the Quality Chasm: A New Health System
> for the 21st Century" (2001), Paul Plsek wrote:
>
> It is more helpful to think like a farmer than an engineer or
> architect in designing a health care system. Engineers and
> architects need to design every detail of a system. This approach is
> possible because the responses of the component parts are mechanical
> and, therefore, predictable. In contrast, the farmer knows that he
> or she can do only so much. The farmer uses knowledge and evidence
> from past experience, and desires an optimum crop. However, in the
> end, the farmer simply creates the conditions under which a good
> crop is possible. The outcome is an emergent property of the natural
> system and cannot be predicted in detail.
>
>
> Any thoughts on health care as simple, complicated or complex, the
> current debate on HR 3200 and the above quote, emergent versus
> imposed order and the future??
>
>
>
> Russ #3
>
>
>
>
>
>
> ============================================================
> FRIAM Applied Complexity Group listserv
> Meets Fridays 9a-11:30 at cafe at St. John's College
> lectures, archives, unsubscribe, maps at http://www.friam.org

Russell Gonnering

Re: Healthcare as a CAS

Steve-

.-. . -.. / ..-. .. ... .... / -... .-.. ..- . / ..-. .. ... ....

Russ #3

On Jul 22, 2009, at 2:04 AM, Stephen Guerin wrote:

Russ,

I would agree with you.

I would be interested to see an interactive visualization of the current healthcare system with approximate patient and dollar flows. I think this would be valuable before diving into the engineering phase of a new one.

-Steve
--- -. . ..-. .. ... .... - .-- --- ..-. .. ... ....
[hidden email]
(m) 505.577.5828 (o) 505.995.0206
redfish.com _ sfcomplex.org _ simtable.com _ lava3d.com

On Jul 21, 2009, at 12:40 PM, Russell Gonnering wrote:

In Appendix B of "Crossing the Quality Chasm: A New Health System for the 21st Century" (2001), Paul Plsek wrote:

It is more helpful to think like a farmer than an engineer or architect in designing a health care system. Engineers and architects need to design every detail of a system. This approach is possible because the responses of the component parts are mechanical and, therefore, predictable. In contrast, the farmer knows that he or she can do only so much. The farmer uses knowledge and evidence from past experience, and desires an optimum crop. However, in the end, the farmer simply creates the conditions under which a good crop is possible. The outcome is an emergent property of the natural system and cannot be predicted in detail.

Any thoughts on health care as simple, complicated or complex, the current debate on HR 3200 and the above quote, emergent versus imposed order and the future??

Russ #3

============================================================
FRIAM Applied Complexity Group listserv
Meets Fridays 9a-11:30 at cafe at St. John's College
lectures, archives, unsubscribe, maps at http://www.friam.org

============================================================
FRIAM Applied Complexity Group listserv
Meets Fridays 9a-11:30 at cafe at St. John's College
lectures, archives, unsubscribe, maps at http://www.friam.org

Robert Cordingley

Re: Healthcare as a CAS

--- .... / --. --- -.. / -. --- / -- --- .-. . / ..-. .. ... ....
If you're lazy ... see http://morsecode.scphillips.com/jtranslator.html it works well.
Robert C

Russell Gonnering wrote:

Steve-

.-. . -.. / ..-. .. ... .... / -... .-.. ..- . / ..-. .. ... ....

Russ #3

On Jul 22, 2009, at 2:04 AM, Stephen Guerin wrote:

Russ,

I would agree with you.

I would be interested to see an interactive visualization of the current healthcare system with approximate patient and dollar flows. I think this would be valuable before diving into the engineering phase of a new one.

-Steve
--- -. . ..-. .. ... .... - .-- --- ..-. .. ... ....
[hidden email]
(m) 505.577.5828 (o) 505.995.0206
redfish.com _ sfcomplex.org _ simtable.com _ lava3d.com

On Jul 21, 2009, at 12:40 PM, Russell Gonnering wrote:

In Appendix B of "Crossing the Quality Chasm: A New Health System for the 21st Century" (2001), Paul Plsek wrote:

It is more helpful to think like a farmer than an engineer or architect in designing a health care system. Engineers and architects need to design every detail of a system. This approach is possible because the responses of the component parts are mechanical and, therefore, predictable. In contrast, the farmer knows that he or she can do only so much. The farmer uses knowledge and evidence from past experience, and desires an optimum crop. However, in the end, the farmer simply creates the conditions under which a good crop is possible. The outcome is an emergent property of the natural system and cannot be predicted in detail.

Any thoughts on health care as simple, complicated or complex, the current debate on HR 3200 and the above quote, emergent versus imposed order and the future??

Russ #3

============================================================

FRIAM Applied Complexity Group listserv

Meets Fridays 9a-11:30 at cafe at St. John's College

lectures, archives, unsubscribe, maps at http://www.friam.org

============================================================
FRIAM Applied Complexity Group listserv
Meets Fridays 9a-11:30 at cafe at St. John's College
lectures, archives, unsubscribe, maps at http://www.friam.org
============================================================
FRIAM Applied Complexity Group listserv
Meets Fridays 9a-11:30 at cafe at St. John's College
lectures, archives, unsubscribe, maps at http://www.friam.org