Marcus Pierson, MD: Systems, CAS

We will soon Complete the Initial Staffing for Project

For this project to truly be succefful, these typse of staff positions will need sustainable funding. A daunting thought for a cottege industry. It's a system. The only question is whether the stakeholders can create infrastructure to support a system.

Recruitment and Hiring of Project Staff (Data Analyst, Project Manager, Project Coordinator)
Hire Grant Writer
Recruitment and Hiring of information technology staff (Web Content/patient Education; Programmers)
Recruitment and Hiring of Team and Process Improvement Facilitator and Organizational Development (OD)
Recruitment and Hiring of Care Managers
Consultants and Contractors may be hired

We will use Simulation and System Models to understand and advocate for reimbursement alignment

Our task list includes the following:

Engage the other grantees in system dynamics effort, sharing knowledge with them as it accumulates
Follow up on HBOC Offer
Develop a contract with System Dynamics folks
Scoping Meeting in June.
Identify community business participation
Week long SYS Dynam meeting with the local Systems Team
Conduct community data analysis and costing for diabetes and CHF
Identification and contact with employers and community resources for support
Identification and contact with payors, national representatives for support in change in reimbursement model

Leadership in truly complex organizatons.

When asystem becomes more complex than the complexity of the individuals, "leadership" needs sotmething more than just individual leaders. Complex systems can be structured with a few simple rules which allow them to evlove toward their goals.

High Level model of Whatcom Co, Pursuing Perfection approach

Key Components of Whatcom Consortium's approach to Pursuing Perfection in Healhtcare.

Pursuing Perfection Components in Whatcom County.

We will use this or a similar graphic on the home page of the future to guide users to the parts they are interested in. We will also add search capabilities by these categories... in the future, the near future I hope.

Complex Times call for Simplicity

Complex times demand greater simplicity, Steve Novick.. Complex Times Demand Greater Simplicity, Steve Novick

Simple rules are a type of simplicity that apply to complex systems.

Complex Adaptive Systems, Simple Rules and a Definition

Complex Adaptive Systems, a definition.

Health care is a complex apaptive system. The outcome of CASs is shaped by the simple rules that the agents follow. The simple rules are the most important feature of any complex system.

Here is a nice definition of CAS.

6 Aims and 10 Simple Rules for more perfect heathcare, Institute of Medicine

The key ideas behind this entire Institute of Medicine approach includes six goals:
1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable; and ten simple rules:

1. Continuous healing relationships
2. Customization
3. Patient control
4. Shared information
5. Evidence-based decision-making
6. Safety as a system property
7. Transparency
8. Anticipation of needs
9. Continuous decrease in waste
10. Cooperation among clinicians

Stop Energy vs. Forward Motion

Too often the culture and organizational inertia brings innovation to a halt before it can germinate.

Communities of Learning, Apply to Healthcare?

Please read this.