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Systems (Upper part Systems and Lower part Drivers)

The first part of profound knowlege is knowledge of systems

This video introduces the team to a very basic question:  "What is a system?"
Answers to this question as well as the follow up, "What is the aim of a system?" can be very revealing.
It also answers the question,  "How to catch a mouse?".

A System

        Has an aim
        Has processes to reach the aim
        Makes common sense a problem when used in the system (Every dysfunctional system that                        you use is the result of someone using common sense!)
        Has boundaries
        Has limitations if one part of the system is unwilling to take a loss for the whole system to do better
        Has to have management responsible for the total system
                    Not be in the system but to be responsible for it


Aim of Patients for Their Care Givers

        Focus on suffering
        Build and use knowledge
        Cooperate with each other
                So I do not wait
                So you can tell me things right away
                So that you all speak in one voice and so I get one answer
        Help me to live longer and have well being
        Help me so I die less lonely and less afraid
        Listen to me because I may know some things that will help you
        Do things only once

                                    From Don Berwick's book Escape Fire
                                    
            It is a wonderful book Escape the Fire.  He asks the patients what they want.
These are a good way of making sure your priorities match our patients

VIDEO
http://www.youtube.com/watch?v=00aa6xcOXf4

We could be a lot better  


How to Describe your system:
MAPPING DRIVERS

1.     A Really cool way to map out processes is by using drivers.  Go to Excel, Click insert Smart art icon

2.     Click on hierarchy

3.     Click on horizontal hierarchy

4.     On the first box type your aim

5.     On the second column type in the 2-7 primary drivers (There is an outline view)

6.     On the third column type in the other drivers
 
BELOW SHOWS THE DRIVE DIAGRAM DONE BY IHI OPEN SCHOOL


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