Health: less “R”, more “D”

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Much modeling is done in NHS to understand issues, but few developed solutions on offer.

I just left the Press launch for the Cumberland Initiative – an effort to bring clinicians, academics and business people together to use modeling to tackle NHS issues – especially the crisis in A&E [emergency or unscheduled care]. A great aim, but modeling has already clarified many issues for many years; ambulance scheduling, resourcing for dementia treatment, stroke-response … and emergency admissions. So it looks ...

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Weather hits utilities

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See class and model on asset strategy and a paper and model on risk/resilience, for my colleague and utility expert Bob Thurlby. More …

Recent bad UK weather has caused another round of severe damage and disconnections for households and businesses. For suppliers, increasingly frequent and serious events pose major challenges. These concern not just how to respond when events occur, but also how to set a mid- to long-term strategy for most reliable service, most resilient to ...

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Managing messes

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Making the Most of Mess suggests we manage strategy/policy the same way control engineers manage complex physical systems … which is exactly what system dynamics has made possible for the last 50 years, since it is precisely the use of control-theory principles for understanding and managing social systems. It has its limits but we can go a long, long way …

We may need first to clarify what we mean by “mess”. I haven’t been all through the book, but ...

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Benchmarking danger!

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Big accounting firm asked about staffing models [see video, from time 22.00 ] to replace dumb benchmarking [that is: best-in-class leverage – partners:juniors ratios – for each type of business?] Benchmarking is worse than useless, it is dangerous.

Like all these big accountants and other professional firms they have several lines of business [audit, tax, advisory, M&A …] each needing a different mix of juniors, managers and partners. This is a classic dynamic-model issue, with ...

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Models improve culture?

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Smart folk can crack complex challenges if working in a supportive culture, but dynamic models may help with that.

A contact in New Zealand recently highlighted a case where an IT group in a big mess cracked the quite complex challenges they faced with my friend’s help in building a culturally supportive team environment, so maybe they didn’t need the kind of quant-modeling that SD can offer.

But … I recently had a high-tech start-up case where sales/service/tech-development were at each others’ throats about ...

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