[FRIAM] Healthcare as a CAS

[Stephen Guerin]

Russ,

I would agree with you.

I would be interested to see an interactive visualization of the  
current healthcare system with approximate patient and dollar flows. I  
think this would be valuable before diving into the engineering phase  
of a new one.

-Steve
--- -. .   ..-. .. ... ....   - .-- ---   ..-. .. ... ....
stephen.guerin at redfish.com
(m) 505.577.5828  (o) 505.995.0206
redfish.com _ sfcomplex.org _ simtable.com _ lava3d.com








On Jul 21, 2009, at 12:40 PM, Russell Gonnering wrote:

> In Appendix B of "Crossing the Quality Chasm: A New Health System  
> for the 21st Century" (2001), Paul Plsek wrote:
>
> It is more helpful to think like a farmer than an engineer or  
> architect in designing a health care system. Engineers and  
> architects need to design every detail of a system. This approach is  
> possible because the responses of the component parts are mechanical  
> and, therefore, predictable. In contrast, the farmer knows that he  
> or she can do only so much. The farmer uses knowledge and evidence  
> from past experience, and desires an optimum crop. However, in the  
> end, the farmer simply creates the conditions under which a good  
> crop is possible. The outcome is an emergent property of the natural  
> system and cannot be predicted in detail.
>
>
> Any thoughts on health care as simple, complicated or complex, the  
> current debate on HR 3200 and the above quote, emergent versus  
> imposed order and the future??
>
>
>
> Russ #3
>
>
>
>
>
>
> ============================================================
> FRIAM Applied Complexity Group listserv
> Meets Fridays 9a-11:30 at cafe at St. John's College
> lectures, archives, unsubscribe, maps at http://www.friam.org