Systemic Transformation

Understanding the inner workings of a man-made system involves Systems Thinking.

Improving how a man-made system works requires Systems Engineering.

Human systems have "hard" (process) and "soft" (people) components.

A health care system is complicated combination of people and processes.

Systems Engineering

Systems Engineering is a validated framework for designing and delivering a fit-for-purpose system.

Systems Engineering has a domain-agnostic standard ISO/IEC 15288:2015.

ISO/IEC 15288 requires a domain-specific methodology.

Complex Adaptive Systems

A complex adaptive system defies dissection into its parts.

A complex adaptive system co-evolves with its context.

A complex adaptive system is a dynamic network of influences.

Health Care Systems Engineering (HCSE)

HCSE is the application of systems engineering (SE) in the health care domain.

HCSE is a synthesis of 'soft' and 'hard' improvement-by-design methods.

HCSE projects span all scales from microsystems to macrosystems.

HCSE uses the Agile framework to deliver SFQP outcomes in a required timebox.

Safety-Flow-Quality-Prosperity (SFQP)

Safety means cause no avoidable harm.

Flow means right amount, right place, right time.

Quality means experience exceeds expectation.

Prosperity means everyone wins.

Complex Adaptive Systems Engineering (CASE)

CASE sees a system as a combination of people and processes.

CASE focusses on designing a conducive context for the people to create effective and efficient processes.

Seven Flows Design

When designing a process or a system we need to consider seven interconnected flows:

1. The Requests - for our products, i.e. our goods and services.
2. The Consumables - the resources we use to deliver our products.
3. The Skills - the knowledge and experience of all the people in the system.
4. The Equipment - the tools we use.
5. The Estate - the places that we work in.
6. The Data - the information that links and synchronises the steps.
7. The Cash - the 'fuel'.

Each of these seven flows has its own style and pace. Each connects to all the others in complicated ways.

The whole can behave better than the sum of its parts - so long as the seven flows are designed to work in synergy.

Seven flows design is an effective framework for processes that deliver products or services.

Seven flows design is particularly useful for complex service delivery, such as health care.

Seven flows design applies equally to private (for profit) and public (not for profit) organisations.