Replaced by IM-752 Causal Loop Rich Picture unfolding from Repenning, N. and J. Sterman (2002). Capability Traps and Self-Confirming Attribution Errors in the Dynamics of Process Improvement. Administrative Science Quarterly, 47: 265 - 295. http://jsterman.scripts.mit.edu/docs/Repenning-2002-CapabilityTraps.pdf
Capability Traps
WIP for LHN Individual Hospital O Month of October 2013 linking monthly NWAUs and same and overnight activities from ED and Elective Surgery (ES)
Individual Hospital Monthly Performance
An example of why it's so critical to understand where the boundaries are when considering a system. Go to Gene's version insight
Clone of Hospital Early Discharge Boundaries (Old version)
Detail from Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization article. See full overview at insight
Performance shaping factors
WIP Simplified Patient Flow map of features in a SD simulation model of performance of a City Hospital over 5 years. Built after a Regional 20 year planning model IM-10290 The simulation is a large ithink model built by Mark Heffernan
City Hospital Performance over 5 years
WIP for regional integration based on NHPA and IHPA activities in Australia
National Health Performance and Pricing
Map of Geoffrey M Hodgson's 2015 Conceptualizing Capitalism book summary pdf
Clone of Capitalism
Organization science 2014 article by anderson and lewis which won the 2018 Forrester award from the system dynamics society. Can add simulation experiments in separate insight using article and supplement
Individual and Collective Learning Amid Disruption
WIP Patient Flow improvement strategies for a City Hospital with 3 years historical data and two year planning horizon. Built after a Generic Teaching Hospital Model IM-10346 A simplified stock flow map is at IM-399
Hospital Seasonal ED and Ward Flow Improvement
From Margaret Stringfellow's PhD thesis from Nancy Leveson's Engineering a Safer World
Process Control Structure
Summary of Daniel Kim's System's Thinker
article What is your organization's core theory of success?
See also Barry Richmond's Systems Thinking Insight and Cross Functional planning Success IM
Core Theory of Success
WIP based on Raafat Zaini's 2015 Triple Helix article and PhD Colloquium and ISDC 2013 university growth paper ithink models as a starting point for health care systems science modelling growth dynamics
Startup University Model
Jenny W. Rudolph Nelson P.Repenning Disaster Dynamics: Understanding the Role of Quantity in Organizational Collapse Administrative Science Quarterly,47(2002):1-30 paper
Disaster Dynamics
Adapted from Systems approaches to public health by Alan Shiell and Penny Hawe See also Health System Efficiency IM and specific health outcome logic diagram example IM
Program Evaluation
From NAP Toward Quality Measures for Population Health and the Leading Health Indicators
Report with detailed Maternal Infant and Child Health Example Fig.3-5. Compare with WHO NCD Framework picture and IHI Whole system measures 2.0 (Added Nov 2016) See CLD conversion
insight
Health Outcome Logic Model
Unfolding story based on Emery Roe's 2013 book Making the Most of Mess, revised in 2026. See also Dynamics in Action IM-3239 for more on behavior and The Art of the State IM-11962 for more on Grid-Group Cultural Theory
Managing Mess
Business case for investment in national eHealth Infrastructure Programs
National eHealth Program Benefits
WIP based on conversations with Jim Rogers
Service Process Improvement
A simple SD model From alonge2017 health policy and planning article
Pay for Performance in Low Income Health Facilities
Simple exposition of going solid article by Cook and Rasmussen 2005 after reading p156 section 4.1 of Modelling in Healthcare by CSMG See also Resilience Cs IM
Cost Quality Workload Dynamics
Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowledge by turnover and goal erosion in places with harmful errors.
Medication error CLD
Clone of IM-10536 WIP for LHN Individual Hospital O Month of October 2013, with joined up flows
Individual Hospital Monthly Performance 2
Grid-Group Culture applied to Public Management based on Christopher Hood's 1998 book. plus excerpts from Schwartz and Thompson's 1990 Book Divided we stand. See also Managing Mess IM-11581 and FourCultures Blog and Wikipedia Cultural Theory of Risk
The Art of the State
WIP Book Summary see blog entry Also Chuang2009 ISDC P1127 paper, Newman2017 and Edmondson2014 papers
The Fearless Organization and Psychological Safety
