From fighting lions (fight or flight) to fighting feedbacks in complex systems. A single person cutting the Gordian knot to the dynamic complexity of rubik's cube. Think of multiple players with multiple misperceptions of the faces on the cube and conflicting goals about what the desired solution is. Worse still, without an accepted framework we dont even know if it's a cube or another structure. See also policy resistance IM-697

Rich Picture Version of Insight 386 The Dynamics of Human Service Delivery General Theory from the Book by Levin, Roberts, Hirsch et al. Ballinger 1976 ISBN 0-88410-132-0. See also Services Intro IM

This is a launchpad for patient flow insights for flows through the emergency department and hospital, including the broader community context. It also includes links to other insights relevant to ED flow improvement.

From FIg.2 Past the Tipping Point:THe Persistence of Firefighting in Product Development by Nelson Repenning, Paulo Goncalves and Laura Black. Calif. Mgt. Review 43(4) p44-63 (2001). Also  From William E. Novak and  Linda Levine CMU SEI Sept 2010 Success in Acquisition: Using Archetypes to Beat the Odds paper and see webpage

Adapted from Fig.5, from Ana V Diez Roux (2011) Complex Systems Thinking May Help Us Transcend Current Impasses in Health Disparities Research Am J Public Health 2011;101 1627-1634  http://ajph.aphapublications.org/cgi/content/abstract/101/9/1627?etoc

From MIT ESD work (de Weck Ilities ) esp on Survivability (Medecki) http://bit.ly/HVsceb and Unarticulated Value (Ross) 2006 PhD pdf

Effect of rewards on the selection promotion and retirement of scholars in universities. Based on Geoffrey Brennan's Selection and the Currency of Reward chapter10 in The Theory of Institutional Design ed. RG Goodwin Cambridge University Press 1996 See also IM-2016

WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys

Interacting nested fast and slow adaptive cycles from Panarchy Book  ,Resilience thinking Book Brian Walker and David Salt Island Press 2006 and the http://www.resalliance.org/ Website, See also What is Panarchy at http://bit.ly/H9RFkL

ithink example from isee systems using receptors

Kidney replacement therapy dynamics simple model

Minimal model of glucose kinetics by Bergman, used to calculate insulin sensitivity from an Intravenous Glucose Tolerance Test (IVGTT). Plasma insulin I(t) enters a remote compartment X(t) where it is active in accelerating glucose G(t) disappearance into the periphery and liver, and inhibiting hepatic glucose production. Adapted from Minimal Models for Glucose and Insulin Kinetics: A Matlab implementation by Natal van Riel, Eindhoven University of Technology 2004 by Mark Heffernan.