Aim: To gain insight into what map and model representations in applied systems methods in IM-1267 can assist identifying and explaining the improvement strategies (leverage points) described by Donella Meadows Places to Intervene Article. The context is social learning for collective action to improve real world events. Information Sources are adapted from IM-920

From IM-731 to navigate components of ability

A simple SD model ​From alonge2017 health policy and planning article

Based on Mark Heffernan's ithink Model of Pharmacy Workforce Supply and Demand

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

From David Rees PhD dissertation "Developing a Theory of Implementation for Better Chronic Health Management" Health Services Research Centre, Victoria University of Wellington, New Zealand

WIP Map as a basis for a future simulation that extends IM-319 to include KPIs

Attempting to outdo an opponent leads to escalation. A weaker response leads to De-escalation. A slightly more complex  form of Insight 972.  ​Z508 p36-38 System Zoo 3 by Hartmut Bossel.

This simple high level model shows the basic feedback balancing loop for health services. There are many other loops and component interactions at multiple scales that add to the complexity See areas of expenditure IM for some component splits and hospital value IM for some service linkages

WIP based on Cultural Theory M Thompson, R Ellis and A Wildavsky 1982 Book p 137-140 Chapter 7 on Durkheim

Unfolding linked concepts story summary of C A Soper's 2018 Book : Human mismatch between the emotional brain and the thinking brain generated evolutionary mechanisms to avoid suicide; reframed as perceptual control theory.

A WIP Limited SD model of the core of IM-731 based on Mark Heffernan's interpretation

From p592 Doyle F et al.(2007) Journal of Process Control 17 571-594

abstract

Prochaska's transtheoretical model (TTM) of behavior change. See also Agent Based VersionIM-11578

WHO FBE WIP Hospitals Safe from Disasters

Adapted from Fig.3, 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

eHealth Project Development Roadmap from Center for eHealth Research and Disease Management http://www.ehealthresearchcenter.org/wiki/index.php/Main_Page

Adapted from Fig 2, 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

Based on Mangone 2018 Book on revisiting Sorokin's work

Go to Gene Bellinger's insight version with video link This common archetype of systems that include relapse or recidivism allows exploration of the unintended effects of increasing upstream capacity and swamping downstream capacity. The increase in the relapse rate eventually returns to swamp upstream capacity as well. A social welfare example, based on a TANF case study, from How Small System Dynamics Models Can Help the Policy Process. N. Ghaffarzadegan, J. Lyneis, GP Richardson. System Dynamics Review 27,1 (2011) 22-44 abstract Conference version here

WIP Ideas from Science Special Issue May 2014

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

Initial attempt to reduce confusion about risk and odds ratios.

WIP to show some relevant CLDs