Steve-
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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
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stephen.gue...@redfish.com
(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
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============================================================
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
