eoyang transforming care 2013

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1 © 2012. HSD Institute. Use with permission. Adaptive Action Navigating the Turbulence of Change Glenda Eoyang, PhD Founding Executive Director Human Systems Dynamics Institute www.hsdinstitute.org [email protected] www.Wiki.hsdinstitute.org @glendaeoyang

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January 2013, Eoyang made this presentation in Portland, OR to the Transforming Care Conference sponsored by Coordinated Care Organizations of Oregon. For more information about this and other human systems dynamics applications, refer to adaptiveaction.org.

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Page 1: Eoyang transforming care 2013

1© 2012. HSD Institute. Use with permission.

Adaptive Action

Navigating the Turbulence of Change

Glenda Eoyang, PhDFounding Executive Director

Human Systems Dynamics Institutewww.hsdinstitute.org

[email protected]

@glendaeoyang

Page 2: Eoyang transforming care 2013

2© 2012. HSD Institute. Use with permission.

Turbulence in Nature and Art

Page 3: Eoyang transforming care 2013

3© 2012. HSD Institute. Use with permission.

Turbulence in Life

Page 4: Eoyang transforming care 2013

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HealthcareThriving in Turbulence

Page 5: Eoyang transforming care 2013

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Turbulence in Oregon’s Coordinated Care System

Present

Quality

ExpenseExperience

Future

Coordinated Care

Dental

Mental Health

Primary Care

Past

Page 6: Eoyang transforming care 2013

6© 2012. HSD Institute. Use with permission.

Static ChangeSisyphus

Page 7: Eoyang transforming care 2013

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Dynamic ChangeRace to the Finish

Page 8: Eoyang transforming care 2013

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Dynamical ChangeChaos and Emergence

Page 9: Eoyang transforming care 2013

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Turbulence Is Natural when . . .

Yesterday Tomorrow

Local action—local effects Local action—global effects

Stable environment Unstable environment

Organizational monocultures Diversity of many kinds

Stable & predictable services Emergent needs & opportunity

Relative independence Massive interdependency

Controlled information Ubiquitous information

Ample resources Dwindling resources

And . . . And . . .

Page 10: Eoyang transforming care 2013

10© 2012. HSD Institute. Use with permission.

Finite Game Infinite Game

Defined field of playOpponents are knownRules are constantExpertise is clearBeen there beforeEasy to keep score

Purpose: To Win

Fuzzy boundariesEverybody playsChanging rulesLooking for fitNew territoryEverything may matter

Purpose: Keep Playing

The Rules Are Changing

Page 11: Eoyang transforming care 2013

11© 2012. HSD Institute. Use with permission.

Playing the Infinite Game

Page 12: Eoyang transforming care 2013

12© 2012. HSD Institute. Use with permission.

A collection of individual agents who have the freedom to act in unpredictable ways, and whose actions are interconnected such that they produce system-wide patterns.

How Does Complexity Emerge?Complex Adaptive System (CAS)

Agents interact

Page 13: Eoyang transforming care 2013

13© 2012. HSD Institute. Use with permission.

Complex Adaptive System (CAS)Self-Organizing System

Agents interact

Those system-wide patterns, in turn, influence the behaviors of the agents

System-wide patterns emerge

Page 14: Eoyang transforming care 2013

14© 2012. HSD Institute. Use with permission.

Thriving in Turbulence

Findpatterns

AdaptiveAction

Makesense

Takeaction

Page 15: Eoyang transforming care 2013

15© 2012. HSD Institute. Use with permission.

Thriving in Turbulence

What?

AdaptiveAction

So what does it mean?

Now what will we do?

Page 16: Eoyang transforming care 2013

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What?Adaptive Action and Personal Stress

Page 17: Eoyang transforming care 2013

17© 2012. HSD Institute. Use with permission.

So What?Adaptive Action and Collaboration

Page 18: Eoyang transforming care 2013

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Now What?Adaptive Action and Coordinated Care

Page 19: Eoyang transforming care 2013

19© 2012. HSD Institute. Use with permission.

More resources

BooksFacilitating Organization Change (Olson & Eoyang)Coping with Chaos (Eoyang)Patterns (Holladay & Quade)Adaptive Action:Leveraging Uncertainty in Your Organization (Eoyang & Holladay)

Webwww.adaptiveaction.orgWiki.hsdinstitute.orgwww.hsdinstitute.orgHsdcommunity.ning.comTwitter: #hsd #adaptact @GlendaEoyang

Out in April 2013

Preorder NOW

Page 20: Eoyang transforming care 2013

20© 2012. HSD Institute. Use with permission.

Even More Resources

TrainingWebinars (free monthly)HSD Professional Certification (Portland, 2013)Custom training

Adaptive Action LaboratoriesFocus on your own sticky issuesLearn HSD models and methodsBuild adaptive capacity for individuals and groupsInvolve large groups or smallAddress major issues or “trivial”Commit to half-day to three-day sessions

Page 21: Eoyang transforming care 2013

21© 2012. HSD Institute. Use with permission.

Remember . . .

Adaptive Action helps you thrive.

You are playing an infinite game.

Turbulence is the new normal.