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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 No Comments »

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 [...]

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A3 Problem Solving in Healthcare

Posted in Uncategorized on Apr 5th, 2010 No Comments »

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, shop it [...]

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Crystalizing Healthcare in a Community?

Posted in Cooperation in Health Care, Critical Junctures Institute, Systems, CAS, Transparency, Uncategorized, Whatcom County Health, patient centered 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 [...]

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Rule One–Highly Specified work with SIGNALS built in.

Posted in Problem Solving on Apr 3rd, 2010 No Comments »

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 [...]

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