» 2010 » April Marc Pierson's Community Weblog

Feed on: Posts; comments

Archive for April, 2010

Elinor Ostrom on Governing the Commons

Posted in Cooperation in Health Care, Critical Junctures Institute, Learning Organization, Transformation on Apr 6th, 2010 Comments Off

Governing the Commons: an important idea for communities and the management of the limited resources for health and wellness along with illness. Here are Elinor Ostrom list of rules for successful governance of a common pool resource: 1. Clearly defined boundaries Individuals or households who have rights to withdraw resource units from the CPR must [...]

Read Full Post »

A3 Problem Solving in Healthcare

Posted in Uncategorized on Apr 5th, 2010 Comments Off

Here are notes from a talk on a simply powerful way for those working at the front line to solve problems. A3 Problem Solving Below is a link to a PDF that can be printed on 11 X 17 paper (A3). Do your work in pencil. Make lots of changes. With an eraser in hand, [...]

Read Full Post »

Crystalizing Healthcare in a Community?

Posted in Cooperation in Health Care, Critical Junctures Institute, patient centered, Systems, CAS, Transparency, Uncategorized, Whatcom County Health on Apr 3rd, 2010 3 Comments »

Upon what can the parts of health care come together into a coherent whole. No metaphor works well if extended very far; certainly not inorganic crystals. But let’s play with this for a moment to get some use from it. There are a lot of parts of health care swirling in the community. How can [...]

Read Full Post »

Rule One–Highly Specified work with SIGNALS built in.

Posted in Problem Solving on Apr 3rd, 2010 Comments Off

I am answering my own question in the post down the page, on Toyota and Chasing the Rabbit by Spear. I am reading Atul Gawande’s The Checklist Manifesto. I get it. Check lists are a way to build signals in to the work in real time. When the step on the check list is missed [...]

Read Full Post »