Faced with a performance gap the two most obvious responses are to work harder or work smarter. There are trade offs associated with each, some obvious, some not so obvious. Derived from  Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement  
Capability Roam Perspective Management Production Performance

Faced with a performance gap the two most obvious responses are to work harder or work smarter. There are trade offs associated with each, some obvious, some not so obvious.

Derived from Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement by Repenning and Sterman.

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Credit Never Happened/Simulation
Gene Bellinger
9
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
Performance Teamwork Success Organization
Summary of Daniel Kim's System's Thinker article What is your organization's core theory of success?
Core Theory of Success
Geoff McDonnell
5
This map is a WIP derived from the MIT D-memo 4641 presentation by Nelson Repenning 1996 and the paper "Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement" by Nelson P. Repenning and John D Sterman.  http://bit.ly/jCXGKL  See  Insight 9781  
Process Improvement Performance Health Care

This map is a WIP derived from the MIT D-memo 4641 presentation by Nelson Repenning 1996 and the paper "Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement" by Nelson P. Repenning and John D Sterman. http://bit.ly/jCXGKL See Insight 9781 for a simulation of this model. This map adds additional features mentioned in the article to the bare bones simulation in IM-9781

The Improvement Paradox Map WIP
Geoff McDonnell
5
WIP based on Emery Roe's 2013  book . 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
Reliability Resilience Multiscale Decision Making Complexity Politics Safety Policy Management Performance Culture Behavior
WIP based on Emery Roe's 2013 book. 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
Geoff McDonnell
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
Performance Hospital Regional Health Care Patient Flow Services
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
Geoff McDonnell
Based on Chris Argyris 2010 Book Organizational Traps Oxford University Press, built around  Insight 619  on single and double loop learning
Performance Rhetoric Learning Organization Health Care
Based on Chris Argyris 2010 Book Organizational Traps Oxford University Press, built around Insight 619 on single and double loop learning
Organizational Traps Argyris
Geoff McDonnell
3
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 Health Care Regional Patient Flow Performance Services
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
Geoff McDonnell
WIP for LHN Individual Hospital O Month of October 2013 linking monthly NWAUs and same and overnight activities from ED and Elective Surgery (ES)
Services Health Care Pricing Hospital Performance Regional Patient Flow IHPA
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
Geoff McDonnell
From Nancy Leveson Vioxx Recall Study in CH8  Engineering a Safer World  and Couturier's MIT ESD Thesis
Medicines Health Care Performance Safety
From Nancy Leveson Vioxx Recall Study in CH8 Engineering a Safer World and Couturier's MIT ESD Thesis
Prescribing and Drug Recall Pressures
Geoff McDonnell
From Margaret Stringfellow's PhD thesis from Nancy Leveson's Engineering a Safer World
Governance Health Care Performance Safety Control Health System

From Margaret Stringfellow's PhD thesis from Nancy Leveson's Engineering a Safer World

Process Control Structure
Geoff McDonnell
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
Planning Performance Health Care Project

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

Firefighting in Product Development
Geoff McDonnell
From PLOS One  Article  April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Safety Policy Funding Clinical Care Surgery Quality Performance Unintended Consequences Health Care
From PLOS One Article April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Payment Policy Unintended Consequences
Geoff McDonnell
Replaced by  IM-9781  Clone of  IM-752  map for working simulation model This model is derived from " Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement " by Nelson P. Repenning and John D Sterman. An expanded map is at  IM-1918 .
Learning Process Improvement Performance Capability

Replaced by IM-9781 Clone of IM-752 map for working simulation model This model is derived from "Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement" by Nelson P. Repenning and John D Sterman. An expanded map is at IM-1918.

Credit Never Happened Simulation
Geoff McDonnell
Regulation of resource allocation to service in response to service quality. A non-price-mediated resource allocation system. From Sterman JD Business Dynamics p172 Fig 5-27
Performance Control Quality Services Health Care Economics Governance

Regulation of resource allocation to service in response to service quality. A non-price-mediated resource allocation system. From Sterman JD Business Dynamics p172 Fig 5-27

Service Quality Balancing Loops
Geoff McDonnell
4
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
Performance Health Care University Organization Workforce Education Capability
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
Geoff McDonnell
5
Grid-Group Culture applied to Public Management WIP 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
Group Management Performance Behavior Culture Safety Resilience Grid Politics Reliability Policy
Grid-Group Culture applied to Public Management WIP 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
Geoff McDonnell
5 months ago
Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization Zahra Mohaghegh, Reza Kazemi, Ali Mosleh Reliability Engineering and System Safety (2009) 94 5 p1000–1018 http://www.sciencedirect.com/science/article/pi
Performance Capability Technology Methods Systems Risk Health Care

Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization Zahra Mohaghegh, Reza Kazemi, Ali Mosleh Reliability Engineering and System Safety (2009) 94 5 p1000–1018 http://www.sciencedirect.com/science/article/pii/S095183200800269X. THis overview has a more detailed area in Insight 1077

Socio Technical Risk Assessment
Geoff McDonnell
4
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
Regional Child Prevention Program Health Framework Capability Social Performance Population Health System
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
Geoff McDonnell
3 8 months ago
Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization Zahra Mohaghegh, Reza Kazemi, Ali Mosleh Reliability Engineering and System Safety (2009) 94 5 p1000–1018 http://www.sciencedirect.com/science/article/pi
Health Care Behavior Risk Work Systems Technology Human Action Performance Ability Capability

Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization Zahra Mohaghegh, Reza Kazemi, Ali Mosleh Reliability Engineering and System Safety (2009) 94 5 p1000–1018 http://www.sciencedirect.com/science/article/pii/S095183200800269X. More detailed part of Insight 1074

Performance shaping factors
Geoff McDonnell
3
Test Sensitivity and Specificity see ROC wikipedia  and Tom Fawcett's 2006  article  introduction to ROC Analysis, Can be linked to Brunswik Lens IM-1401
ROC Clinical Care Diagnosis Screening Test Health Care Decision Making Performance Investigation
Test Sensitivity and Specificity see ROC wikipedia and Tom Fawcett's 2006 article introduction to ROC Analysis, Can be linked to Brunswik Lens IM-1401
Test ROC Curves
Geoff McDonnell
WIP based on conversations with Jim Rogers
Performance Services Health Care Methods Learning
WIP based on conversations with Jim Rogers
Service Process Improvement
Geoff McDonnell
3
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 knowled
Medicines Safety Informatics Performance Health Care Clinical Care
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
Geoff McDonnell
Summary of Thorstein Veblen's 1916 Book The Higher Learning in America  pdf
Learning Organization University Methods Inquiry Education Performance
Summary of Thorstein Veblen's 1916 Book The Higher Learning in America pdf
Higher Learning
Geoff McDonnell
WIP based on Geoffrey Brennan's Selection and the Currency of Reward chapter expanded from  IM-396  
Performance Management Health Care Education University

WIP based on Geoffrey Brennan's Selection and the Currency of Reward chapter expanded from IM-396 

Scholars and Expedients 2
Geoff McDonnell