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On
Patience, Flow and Relationships
"The best musicians are those who listen well."
"There's a disconnect between what the health care system provides
and what the community wants."
"Our process and meaningful outcomes require PATIENCE. Setting
the stage and expectations beforehand is critical."
"There must be space to promote information flow and connectiveness."
"You can't manage caring."
"We do not need to embrace complexity. We simply need to reveal
it to ourselves."
It
Matters How We Say It!
"Use this new language wisely!"
"The development of a common language that can be used by our
faculty and our management is important."
Embrace
Variability, Or Face Disease!
"We're
changing how we assess individual health. We're not just looking
to exclude disease, but to do a dynamical assay of the integrated
function of the organism."
"In organizations (as in individuals) lack of disease is not
necessarily health. In both, the creation and maintenance of health
can be very different than treating disease."
"Organizations have diseases."
"The intensified pace of organizations (floods of e-mail and
voice mail, quick decisions, etc.) is reducing variability within
my day or week. There's a need to re-introduce peaks and valleys
of pace."
"I should stop suppressing my natural irregularities."
"Why are Dardik's waves so symmetrical? It doesn't seem natural."
"Reduction in variation does not equate to health in the individual
or the organization."
"Organizational leaders can't smooth out all of the wrinkles.
They need to have a tolerance for some organizational wrinkling."
Organizational
Applications
"How do we get the doctors to be involved in the process?"
"If variability and complexity decrease with age, should the
organization target turnover to maintain a mix of age diversity
to encourage the growth of fractals, versus management layers?"
"Flat organization may be unhealthy; Hierarchy has its place."
"An organizational tree, not an organizational chart (linear-based.)"
"I want to play with the idea of nested hierarchies as a means
to promote organizational adaptability."
Paradox
"The paradoxes of life: Complexity and entropy; Variation and
predictability; Order and chaos; Life and death; Love and hate.
Why would we ever think that God would create a simple universe?"
"Nonlinear dynamics — counterintuitive to whom?"
"An Ah-Hah from the jazz group: The idea of collective individuality."
Complexity
as a lens
"Complexity is a perspective, not a program."
"Don't minimize linear approaches when they are the best solution.
Beware of the overly non-linear lens!"
"Complexity theory is a 3rd discipline in that it melds science
and intuition to create or open up a new and different framework
for knowing, understanding, interacting and growing."
The
Spiritual Dimension
"How does wisdom of Eastern philosophy inform superwaves?
(All things — waves? — in moderation.)"
"For complexity science to sustain and really make adifference,
it must incorporate the spiritual, with no mathematical dimension.
Must move beyond the more complex science base."
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"Love
is all you need."
"With age, our minds may be more able to 'hear' our internal
music. Strive for 'health' in a different sense -- understand
our internal balance and connectivity."
Linearity
& Nonlinearity Tension in Organization
"The regulated health care environment lends itself to rigidity
rather than spontaneity or irregularity. Too much focus on CAHM
standards and various regulation seems to be the antithesis of
complexity. Ah Hah!: The paradox is that these things actually
make the environment more complex!"
"Board thinks/wants the organization to be (it seems) a linear
system, very predictable. Management is charged with overseeing
a non-linear organization."
Health:
A New Definition?
"A new definition of health: poised for maximum adaptability."
"Care is access and connection to nonlinear, complex systems."
"What is the role of death in a healthy system?"
"It seems to me that complexity ideas have a lot to do with
reconnecting with our basic biological selves. Maximum health
may be as simple as relearning how to get in touch with the rhythms
and patterns in nature."
"Story telling (and dance and art, for that matter) as a
means of expressing complex ideas are as old as human language
and society. How much have we lost in a world driven 'by the numbers'?"
"Does complexity theory help to explain the Placebo Effect?
I.e., a body self-organizing to fight disease?"
"The idea of knowing when to disconnect is key to remaining
healthy in a complex environment."
"Question: How do we use superwave theory to improve health?"
Pattern:
It’s There
"There is hidden information in noise."
"We must look at patterns over time."
"We need to spend less effort collecting and reporting the
data... and much more time understanding, modeling and interpreting
it."
"Spend more time on the story rather than data collection."
"Small events and great catastrophes alike emanate from the
same causes."
Potpourri
"It took a while for me to figure out what the purpose
of this talk was. Luckily, the talk wasn't right after lunch,
or the diverse snores could have disrupted a complex ecosystem
of the meeting and its environment, causing global warming and
a prolonged NBA strike."
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