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 framework and methodology for improving Safety, Flow, Quality and Prosperity.

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

HCSE projects span all scales from microsystems to macrosystems.

HCSE uses an agile and adaptive framework to deliver improvements in a required timebox.

Purposeful Design

Design requires purpose.

Purpose is future focussed.

People value clarity of purpose.

Effective and economical is good design.

Liberation from constraints is good design.

Liberating Structures

Organisations fail to achieve their full potential because of inherited beliefs that become ossified as business-as-usual conventions and policies .

One of these is the command-and-control paradigm that is the legacy of centuries of human warfare. Its purpose is to concentrate decisions and influence.

The Information Revolution has changed the World so much that these historical organisational structures are no longer fit-4-purpose.

Adaptive evolution of more effective and economical working relationships requires innovative designs that are validated in actual use.

Prosperous future organisations need safe environments for learning and fun (SELFs).

Liberating Structures are a set of simple, validated processes that are designed to make meetings more purposeful, productive and enjoyable for all participants.

Each process is a tool that is designed to provide just enough structure to liberate the collective energy of the participants without dissolving into messy chaos.

Each tool is simple enough to learn, apply and practice quickly.

Each is a set of rules for a game that is safe, fun, effective, economical, teachable and scalable.

Liberating Structures are an excellent example of a disruptive innovation in action.

One application liberating structures is as part of a design for a SELF:

Safe Evironment for Learning and Fun.