January 9, 2016

Strengthening the Network Meeting

Posted in Uncategorized at 2:13 pm by chads

Dr. Swanson will be hosting a meeting on BYU campus from 9 to 11 am on January 15th to discuss how we can strengthen the systems thinking network. Come if you can! Everyone is encouraged to attend.

*Location will be posted early next week.

January 5, 2016

Weekly Meetings on BYU Campus

Posted in Uncategorized at 5:32 pm by chads

We will continue holding a weekly, student-led meeting on BYU campus. Meetings for this semester will be held Wednesday evenings at 5:30 pm.

Jan 6th- 3331 HBLL

**Note: These meetings are intended as a discussion group for learning about CST concepts in an environment for catalyzing ideas and initiatives. People with little experience in CST will find these meetings helpful. Bring a friend! If there is enough interest from UVU, we may begin hosting meetings there as well.

December 18, 2015

BYU Meeting today at 10 in LSB 2037

Posted in Uncategorized at 8:54 am by chads

December 11, 2015

BYU Meeting Location is now posted in “Calendar”

Posted in Uncategorized at 9:55 am by chads

127 MARB.  Sorry about the delay!

December 8, 2015

A Bunch of Resources that I think are worth glancing over

Posted in Uncategorized at 8:57 pm by chads




























December 1, 2015

The Calendar Page has been updated

Posted in Uncategorized at 6:33 am by chads

November 24, 2015

These 5 Simple Rules Could Apply to our Network

Posted in Uncategorized at 3:30 pm by chads

See this link:  Fostering Systems Change

November 23, 2015

11/23 BYU Meeting

Posted in Uncategorized at 12:46 pm by chads

Thanks, Tom!  Here it is.

November 20, 2015

Fee for service in a complex health system

Posted in Uncategorized at 6:40 am by chads

A student recently sent me an email about fee-for-service, pay-for-performance, and unintended consequences. I thought that was a question that would be best answered in a blog post, so here it is.


The first thing to keep in mind is that considering issues such as payment reform through a a complex systems lens is very, well, complex. As such, I do think it will take months or even years for one to make a shift in thinking, and grasp the concept adequately to understand this issue. I still feel like I’m on that journey.


A key concept when considering  complex systems is that “context is king.”  Every clinic, community, hospital system,  district, nation, etc. has a unique history, culture, political environment,  set of policies and social norms, etc.  As such, there is rarely a “one-size fits all” approach.  There are an almost limitless number of payment options (salary, salary with incentives, fee for service, pay for performance, bundled payments, global payments, capitated payments, any combination of the above, etc).  What works in one context may backfire in another.


Another important point is the idea of leverage points that can lead to phase transitions.  Within any system, there are decisions, policies, or ideas that – if implemented or applied – could lead to significant, enduring changes.  In my view, changing fee for service is a significant leverage point in the US Healthcare System.  An even greater leverage point is shifting our mindset to include more complex social systems thinking.  But I could be wrong…


I do think that it’s safe to say that the more incentives are aligned with a shared vision, the “stronger” the system will be.  Perhaps the “triple aim” is emerging as a shared vision in the United States??


Here are some organizations and networks where you might be able to learn more and/or connect with people that are interested in change in payment strategies:  ReThink Health, IHI, and Beyond Flexnor.  (There are lots more).  I hope that helps!

November 19, 2015

Shift in Focus

Posted in Uncategorized at 9:51 am by chads

Given some unexpected (yet welcome for the long-term network!) developments (see the recent blog posts on academic co-authors, and the number of students that I will likely hire), preference will be given to proposals that contribute to the academic papers.  If interested, please come to the meetings and/or review the blog posts that summarize the meetings.  I won’t likely have time to discuss the specifics of this opportunity individually.

(This development, by the way, is a prime example of emergence, a key complex systems concept: unexpected, sometimes surprising relationships, opportunities, roles, developments, etc that arise without central control)

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