Re: [FRIAM] Healthcare as a CAS
--- / --. --- -.. / -. --- / -- --- .-. . / ..-. .. ... If you're lazy ... see http://morsecode.scphillips.com/jtranslator.html http://morsecode.scphillips.com/jtranslator.htmlit 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 --- -. . ..-. .. ... - .-- --- ..-. .. ... stephen.gue...@redfish.com mailto: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 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 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
Re: [FRIAM] 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 --- -. . ..-. .. ... - .-- --- ..-. .. ... 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 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
Re: [FRIAM] 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 --- -. . ..-. .. ... - .-- --- ..-. .. ... 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 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
