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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
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
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
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
Background5
FLEET DOCTOR TM - A CAPABILITY IMPERATIVE
Project schedule (Primavera)
-
5000
10000
15000
20000
25000
14-Jan-04 28-May-05 10-Oct-06 22-Feb-08 6-Jul-09 18-Nov-10 1-Apr-12 14-Aug-13 27-Dec-14 10-May-16
Em
be
dd
ed
Hrs
Date
F111Rs
F111Cs
F111Gs
The right answer
5960
7401
7315
6596
7618
6390
7082
6923
6867
7146
7205
6697
4965
6742
7347
7608
7285
7177
7130
7503
7744
7194
7470
7824
7028
7888
7779
7091
5484
5443
7090
4000 4500 5000 5500 6000 6500 7000 7500 8000 8500 9000
AC
Total Airframe Hrs
0
100
200
300
400
500
600
050100150200250300350400450500
Hrs
to
Ra
mp
Se
rvic
e
Weeks to Ramp Service
Perfect Landing Metaphor
• Air frame Hours (distance to go) and Flying Hours (altitude) require balancing and spacing.
• A good death as a perfect landing?
From Concept Maps to Simulation Modelsand Pictures Online
SystemswikiInsightmaker (can share clone embed)
Google ImagesDiscussions in LinkedIn etc
http://cmap.ihmc.us/publications/researchpapers/theorycmaps/Fig1CmapAboutCmaps-large.png
Examples related to yesterday’sPresentations & Discussions
Love Affairs and Differential Equations
http://insightmaker.com/insight/759
Love Affairs and Differential Equations
http://insightmaker.com/insight/759
Love Affairs and Differential Equations
http://insightmaker.com/insight/759
Thinking in Circles about Obesity
http://insightmaker.com/insight/720
Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
Chronic Illness in a Complex Health Economy
http://insightmaker.com/insight/723
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Chris Argyris Organizational Traps
http://insightmaker.com/insight/670
Examples prepared prior to yesterday’s Discussions
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.
How does a Thermostat work?Initial Mind Map
http://insightmaker.com/insight/745
http://insightmaker.com/insight/745
How does a Thermostat work?Mind Map (1 expanded)
How does a Thermostat work?Mind Map (2 expanded)
http://insightmaker.com/insight/745
How does a Thermostat work?Mind Map (3 expanded)
http://insightmaker.com/insight/745
Thermostat Simulation with Loops
http://insightmaker.com/insight/393
Thermostat Simulation Output
http://insightmaker.com/insight/393
Thermostat Concept Map after Model
http://insightmaker.com/insight/736
Health Care Thermostat Metaphor
http://insightmaker.com/insight/737
Producing Health Consuming Health Care as a Mindmap
http://insightmaker.com/insight/745
Initial EBM Diagram as linked concepts rather than boxes or arrows
http://insightmaker.com/insight/424
Virtual Experiments Online 2
http://insightmaker.com/insight/425
Next Iteration Virtual Experiments
http://insightmaker.com/insight/451
What is exchanged in Social Interactions?
http://insightmaker.com/insight/767
http://insightmaker.com/insight/768
http://insightmaker.com/insight/775
http://insightmaker.com/insight/769
http://insightmaker.com/insight/770
http://insightmaker.com/insight/771
http://insightmaker.com/insight/772
http://insightmaker.com/insight/773
http://insightmaker.com/insight/777
http://insightmaker.com/insight/774
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
Additional Examples
http://insightmaker.com/insight/776
Single and Double Loop Learning
http://insightmaker.com/insight/619
Swimming Pool Metaphor ithink
http://www.systemswiki.org/index.php?title=Patient_Care_Flow_with_Awareness_and_Misdiagnosis
Swimming Pool Metaphor Insight
http://insightmaker.com/insight/763
Bathtub metaphors
Bathtub dynamics in Insightmaker
http://insightmaker.com/insight/150
Nutrient Flow Model(from Schon’s The Reflective Practitioner)
http://insightmaker.com/insight/766
Addition of Google Image Pictures
http://insightmaker.com/insight/766
Chronic Malnutrition Mapfrom Newman’s Chapter in Tracing Connections
http://insightmaker.com/insight/761