only you can prevent px wildfires (vanderklipp-fortin-moroney) · tiffany fortin, sheila moroney,...

Only You Can Prevent PX Wildfires:Systems Thinking and the Patient Experience

Presenters:Tiffany Fortin, Sheila Moroney, Mark VanderKlipp

AgendaHandout

Wildfires

Systems Thinking

System Stories

PX 9-1-1

201766,131 Wildfires in continental U.S.

9,781,062 acres burned

147.9 average acres per fire

$2.5 Billion+ in fire suppression efforts

Source: National Interagency Fire Center

Source:

2017

Source: EcoWest https://vis.ecowest.org/interactive/wildfires.php

Source:

2017

Source: EcoWest https://vis.ecowest.org/interactive/wildfires.php

Source:

2017

Source: EcoWest https://vis.ecowest.org/interactive/wildfires.php

2017“Forest Service spending on fire suppression in recent years has gone from 15 percent ofthe budget to 55 percent … which means we have to keep borrowing from funds that are intended for forest management”

Sonny PerdueU.S. Secretary of Agriculture

Source: USDA Press Office, September 14 2017

VisualizationSystem mapping is used to model management practices:

• Physical/political dynamics affect suppression and prevention policies

• Too much suppression reinforces further suppression and crowds out prevention

• A balanced approach minimizes the feedback cycle and long-term damages

Source: Journal of Environmental Management

Element CategoriesStructural: can be measured or quantified

Attitudinal: mindsets that influence

Transactional: catalysts that cause transition

Source: Journal of Environmental Management

Systems ThinkingSeek sustainable health, not only “mission accomplished.”

See patterns, not just problems.

Unlock change, don’t impose it.

Plan to adapt. Don’t stay the course.

Source: The Omidyar Group https://vimeo.com/212281432

“Peace Lantern”Tiffany Fortin

Escape Fire“It’s just tragic to think of the answer beingthere, but in the moment not being able to see it. That’s how embedded people get in the status quo: they can’t recognize an invention when it’s among them and they can’t give up their old habits. ”

Dr. Don BerwickHead of Medicare and Medicaid

2010-2011

“I wasn’t present”Sheila Moroney

Escape Fire“People think it has to be a new drug or a new laser or something really high tech to be powerful. They have a hard time believing that these simple choices that we make in our lives every day can make a powerful difference.”

Dr. Dean OrnishFounder and President of the

Preventive Medicine Research Institute

“Bioopsie”Tiffany Fortin

Photo by Ousa Chea on Unsplash

Escape Fire“Everyone is trying to do what makes sense to them. Everybody’s doing their jobs, it’s just that we design the jobs wrong.”

Dr. Don BerwickHead of Medicare and Medicaid

2010-2011

“We are more the samethan different”

Sheila Moroney

Photo by Gades Photography on Unsplash

Experience Based Design“Design used to be the seasoning you’d sprinkle on for taste; now it’s the flour you need at the start of the recipe.”

John MaedaDesigner and Technologist

Your Stories

Systems ThinkingSeek sustainable health, not only “mission accomplished.”

See patterns, not just problems.

Unlock change, don’t impose it.

Plan to adapt. Don’t stay the course.

Source: The Omidyar Group https://vimeo.com/212281432

Thank you!

tfortin@mhc.net

sheila.moroney@hcmed.org

markv@connect-cx.com