metaphors maps and models for sharing health systems insights · metaphors maps and models for...
TRANSCRIPT
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Metaphors maps and models for Sharing Health Systems Insights
Can we persuade and Inspire?
Geoff McDonnell UNSW
Systemswiki Health Care Section
http://www.systemswiki.org/index.php?title=Health_Care_System_Dynamics_Insights
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Take Home Message
• Models are like children, not very attractive unless they’re your own.
• “We are going to have to gather up the fragments of knowledge and responsibility that we have parceled out to the bureaus and the corporations and the specialists, and we are going to have to put those fragments back together again in our own minds and in our families and households and neighborhoods.” –Wendell Berry The Art of the Commonplace p86
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My Journey Through Modeling
• Data to Information to Knowledge
• Dynamic Models to Understand Complex System Interactions
• Models to Persuade Others to Act Effectively
• Improving Systems by Collective Action
• Tools to Improve our own Mental Models
• Models that Generate and Inspire Commitment to Teaming
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Models to Produce Effective Action
• Mark Heffernan: ithink Mentor and farmhand
• Getting the right answer -10%
• The other 90% is convincing others it’s the right answer
• Aircraft Fleet Maintenance
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Background5
FLEET DOCTOR TM - A CAPABILITY IMPERATIVE
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Project schedule (Primavera)
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The right answer
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Perfect Landing Metaphor
• Air frame Hours (distance to go) and Flying Hours (altitude) require balancing and spacing.
• A good death as a perfect landing?
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From Concept Maps to Simulation Modelsand Pictures Online
SystemswikiInsightmaker (can share clone embed)
Google ImagesDiscussions in LinkedIn etc
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http://cmap.ihmc.us/publications/researchpapers/theorycmaps/Fig1CmapAboutCmaps-large.png
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Examples related to yesterday’sPresentations & Discussions
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Love Affairs and Differential Equations
http://insightmaker.com/insight/759
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Love Affairs and Differential Equations
http://insightmaker.com/insight/759
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Love Affairs and Differential Equations
http://insightmaker.com/insight/759
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Thinking in Circles about Obesity
http://insightmaker.com/insight/720
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Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
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Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
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Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
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Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
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Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
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Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
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Examples prepared prior to yesterday’s Discussions
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Producing Health Consuming Healthcare Maps and Models
• http://www.systemswiki.org/index.php?title=Producing_Health_Consuming_Health_Care
• “It is the mark of an instructed mind to rest satisfied with the degree of precision which the nature of the subject admits and not to seek exactness when only an approximation of the truth is possible.” -Aristotle 384 - 322 B.C.
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How does a Thermostat work?Initial Mind Map
http://insightmaker.com/insight/745
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http://insightmaker.com/insight/745
How does a Thermostat work?Mind Map (1 expanded)
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How does a Thermostat work?Mind Map (2 expanded)
http://insightmaker.com/insight/745
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How does a Thermostat work?Mind Map (3 expanded)
http://insightmaker.com/insight/745
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Thermostat Simulation with Loops
http://insightmaker.com/insight/393
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Thermostat Simulation Output
http://insightmaker.com/insight/393
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Thermostat Concept Map after Model
http://insightmaker.com/insight/736
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Health Care Thermostat Metaphor
http://insightmaker.com/insight/737
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Producing Health Consuming Health Care as a Mindmap
http://insightmaker.com/insight/745
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Initial EBM Diagram as linked concepts rather than boxes or arrows
http://insightmaker.com/insight/424
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Virtual Experiments Online 2
http://insightmaker.com/insight/425
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Next Iteration Virtual Experiments
http://insightmaker.com/insight/451
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What is exchanged in Social Interactions?
http://insightmaker.com/insight/767
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Acknowledgements
• Mark Heffernan ithink mentor and farmhand
• Gene Bellinger for Systemswiki
• Scott Fortmann-Roe for Insightmaker (and Simgua)
• My iThink and Anylogic colleagues
• My HPSIG,Skype and UNSW colleagues
• My kidney donor’s family
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Additional Examples
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Single and Double Loop Learning
http://insightmaker.com/insight/619
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Swimming Pool Metaphor ithink
http://www.systemswiki.org/index.php?title=Patient_Care_Flow_with_Awareness_and_Misdiagnosis
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Swimming Pool Metaphor Insight
http://insightmaker.com/insight/763
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Bathtub metaphors
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Bathtub dynamics in Insightmaker
http://insightmaker.com/insight/150
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Nutrient Flow Model(from Schon’s The Reflective Practitioner)
http://insightmaker.com/insight/766
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Addition of Google Image Pictures
http://insightmaker.com/insight/766
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Chronic Malnutrition Mapfrom Newman’s Chapter in Tracing Connections
http://insightmaker.com/insight/761