Eoyang transforming care 2013
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Transcript of Eoyang transforming care 2013
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1© 2012. HSD Institute. Use with permission.
Adaptive Action
Navigating the Turbulence of Change
Glenda Eoyang, PhDFounding Executive Director
Human Systems Dynamics Institutewww.hsdinstitute.org
@glendaeoyang
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2© 2012. HSD Institute. Use with permission.
Turbulence in Nature and Art
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Turbulence in Life
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HealthcareThriving in Turbulence
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Turbulence in Oregon’s Coordinated Care System
Present
Quality
ExpenseExperience
Future
Coordinated Care
Dental
Mental Health
Primary Care
Past
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Static ChangeSisyphus
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Dynamic ChangeRace to the Finish
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Dynamical ChangeChaos and Emergence
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Turbulence Is Natural when . . .
Yesterday Tomorrow
Local action—local effects Local action—global effects
Stable environment Unstable environment
Organizational monocultures Diversity of many kinds
Stable & predictable services Emergent needs & opportunity
Relative independence Massive interdependency
Controlled information Ubiquitous information
Ample resources Dwindling resources
And . . . And . . .
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Finite Game Infinite Game
Defined field of playOpponents are knownRules are constantExpertise is clearBeen there beforeEasy to keep score
Purpose: To Win
Fuzzy boundariesEverybody playsChanging rulesLooking for fitNew territoryEverything may matter
Purpose: Keep Playing
The Rules Are Changing
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Playing the Infinite Game
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A collection of individual agents who have the freedom to act in unpredictable ways, and whose actions are interconnected such that they produce system-wide patterns.
How Does Complexity Emerge?Complex Adaptive System (CAS)
Agents interact
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Complex Adaptive System (CAS)Self-Organizing System
Agents interact
Those system-wide patterns, in turn, influence the behaviors of the agents
System-wide patterns emerge
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Thriving in Turbulence
Findpatterns
AdaptiveAction
Makesense
Takeaction
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Thriving in Turbulence
What?
AdaptiveAction
So what does it mean?
Now what will we do?
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What?Adaptive Action and Personal Stress
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So What?Adaptive Action and Collaboration
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Now What?Adaptive Action and Coordinated Care
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More resources
BooksFacilitating Organization Change (Olson & Eoyang)Coping with Chaos (Eoyang)Patterns (Holladay & Quade)Adaptive Action:Leveraging Uncertainty in Your Organization (Eoyang & Holladay)
Webwww.adaptiveaction.orgWiki.hsdinstitute.orgwww.hsdinstitute.orgHsdcommunity.ning.comTwitter: #hsd #adaptact @GlendaEoyang
Out in April 2013
Preorder NOW
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Even More Resources
TrainingWebinars (free monthly)HSD Professional Certification (Portland, 2013)Custom training
Adaptive Action LaboratoriesFocus on your own sticky issuesLearn HSD models and methodsBuild adaptive capacity for individuals and groupsInvolve large groups or smallAddress major issues or “trivial”Commit to half-day to three-day sessions
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Remember . . .
Adaptive Action helps you thrive.
You are playing an infinite game.
Turbulence is the new normal.