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System Dynamics and Modeling

 

 

The field of systems dynamics is growing rapidly, especially since popularized by Peter Senge of MIT in his book The Fifth Discipline and its successors. One reason for this growth is the increasing realization of how really powerful is this strategic way of thinking about and assessing our businesses and the world in which they exist, especially with its growing complexity. Another reason is the availability of increasingly friendlier and more powerful simulation software tools.

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Such tools enable the analyst, in collaboration with domain experts and policy makers, to dynamically model hypothesized sets of interacting factors, all interacting in very complex ways. Static models such as spreadsheets simply cannot emulate these complex dynamic interrelationships.

 

Yet another advantage of these tools is the learning that takes place as the organization thinks about, hypothesizes, and models dynamic relationships that affect its world and discovers the unintended consequences of its own behavior. Many students of this field argue that it is the learning that takes place that is the most significant value for the organization. Michael Shrage, MIT Media Lab Research Associate and a long term student of prototyping, modeling and simulation, in his new book, Serious Play, stresses his growing conviction (coupled with research evidence) that organizations that routinely use models and prototypes as a way of business have a substantial strategic advantage because they improve the organizational learning and understanding concerning the world of the organization. In fact, he considers it a core competency. The model or prototype also creates “shared space” around which the organization can collaborate and learn, thereby improving and even accelerating its learning dynamics.

 

Furthermore, researchers in this field have long known that the human mind cannot anticipate the behavior of even very simple dynamic systems! Even simple systems often behave in counterintuitive ways. Consequently, we see the growing use of, and dependence upon, simulation modeling to aid in explaining or going so far as predicting the behavior of key components, (e.g., our market, or our own market position), of our business environment.

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Simulation modeling has not extended as far into the health care industry as it has into business and industry. Nevertheless, its potential is great. It can be used for econometric analyses (and has) of assessing disease control strategies, and combining disease control modeling with econometric analysis as well as its application in all the other business uses to which industry has put modeling.

 

Simulation software is also capable of modeling discrete processes used throughout health care (e.g., patient flow, claims processing, laboratory flow, etc.). This enables saving significant amounts of time and money (and arguments) over what is the best process structure. Coupling process modeling with lean thinking (streamlining) gives a powerful edge on forecasting process behavior and determining the best structure prior to the investment in implementing the changes.

     

What in health care, particularly, is strategically powerful is the synthesis of systems dynamics, prevention science with its understanding of epidemiology, and quality science with its understanding of process behavior and variation. Several consulting firms have expertise in these fields individually; we know of none other than ourselves with expertise in all three.

 

 

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