QUESTIONS WITH SOLUTIONS GRADED A+
◉ vertical thinking. Answer: about control
◉ horizontal thinking. Answer: about relatedness
◉ Leadership rules. Answer: 1. wholes are made up by parts
2. all healthcare is local
3. adding value to a part adds value to a whole
4. simple systems make up complex systems
5. diversity systems make up complex systems
6. error is essential to creation
7. systems thrive when all of their functions intersect and interact
8. equilibrium and disequilibrium are in constant tension
9. change is generated from the center outward
10. revolution results from the aggregation of local change
◉ key drivers of change. Answer: -cost
-cost shifting
-demand w/ accountability
,-partial measurement and avoidance of ambiguous evidence
-using evidence is optimal
◉ phenomena of complex systems. Answer: 1. connectivity &
interdependence
2. emergence
◉ value transformation strategies. Answer: 1. document the story
2. extend additional tools to manage and oversee complexity
3. quantify the value of teamwork
4. focus on engagement of providers and patients
5. begin locally with change
6. plan and budget for course correction work
7. create the business case for the healthcare story and course corrections
◉ context. Answer: circumstance of your work, referring to the
multifaceted climate, background, domain, and terrain of service
◉ past vs current medicine. Answer: past was linear and simple, current
medicine is complex
◉ chaos theory. Answer: -this theory comes from biology and physics
, -this perspective provides for underlying natural phenomena as
appearing disordered, chaotic or confused but are actually processes of
emerging order.
◉ quantum theory. Answer: -this theory comes from physics
-this perspective require leaders to let go of traditional notions of
building blocks of systems, and instead, adopt a perspective of ever-
changing fluid integration of units as part of a whole
◉ complexity science. Answer: -focusses on the interaction elements of
systems, seeking to identify principles and processes that explain how
order emerges from change within systems.
-change is desirable and a natural way of being. interacting elements of
chaos may appear to be without order but actually occur in pattern
although not predictable in traditional ways of thinking.
◉ complex adaptive systems. Answer: -"the edge of chaos", lies n/t
stability and chaos where creativity thrives
-open, dynamic and flexible network that is considered complex due to
its composition of numerous interconnected, semi-autonomous
competing and collaborating members
◉ leadership items to remember while living in change. Answer: -
manage your own time and stress
-stand strong to your values and maintain your change model