http://www.cognitive-edge.com/blogs/guest/ en Copyright 2010 Mon, 08 Feb 2010 19:22:17 +0000 http://www.sixapart.com/movabletype/ http://blogs.law.harvard.edu/tech/rss One pattern we saw in early SenseMaker projects was challenge and (on occasion) rejection of results by the end client. What I'd failed to do was spend enough time with them, ensuring that they "owned" the signifiers, saw the data coming in, got to play with SenseMaker themselves. My tendency had been to let them sit back early in the process, for fear of disrupting an early relationship with them. http://www.cognitive-edge.com/blogs/guest/2010/02/avoiding_client_rejection_late.php http://www.cognitive-edge.com/blogs/guest/2010/02/avoiding_client_rejection_late.php Mon, 08 Feb 2010 19:22:17 +0000 Having spent a couple of hours in the dentist's chair this morning, I feel like Faceache (from Buster, one of the great British comics of the 1970s). Uncomfortable enough to have necessitated a quick nap and turning down a chat with Steve in town this afternoon before he flies. If I can figure out how to add an image, I'll include that here too. ]]> http://www.cognitive-edge.com/blogs/guest/2010/02/post.php http://www.cognitive-edge.com/blogs/guest/2010/02/post.php Sat, 06 Feb 2010 00:39:03 +0000 The past week has been a major mix of approaches, headsets and sectors. I've run a masterclass on Internal Communications, been part of a two-day conference for the Medinge branding thinktank and done a day's intensive training on SenseMaker with Steve and Michael. One of the things that always feels like a challenge is the difference between the Cognitive Edge world and the others. It's easy to forget how different much of the world sees things. http://www.cognitive-edge.com/blogs/guest/2010/02/ahha_moments.php http://www.cognitive-edge.com/blogs/guest/2010/02/ahha_moments.php Thu, 04 Feb 2010 15:00:08 +0000 It's a little daunting to step up to take the microphone following on from Russell. I am, of necessity, going to focus more on the practitioner/commercial side of things. Having spent much of the past 15 months on narrative capture projects from around the world, I'm planning to share some of the thinking and some of the lessons from those in the next couple of weeks. http://www.cognitive-edge.com/blogs/guest/2010/02/its_a_little_daunting_to.php http://www.cognitive-edge.com/blogs/guest/2010/02/its_a_little_daunting_to.php cultural understanding SenseMaker Mon, 01 Feb 2010 17:21:06 +0000 I appreciate the opportunity to be the guest blogger on this site the past two weeks. The comments from the readers have been excellent! We need to make sure that ideas of Cognitive Edge are made known to the individuals in health care who now stand at the brink of making significant improvements in the lives of many people. In particular we need to make sure of the following: http://www.cognitive-edge.com/blogs/guest/2010/01/thanks.php http://www.cognitive-edge.com/blogs/guest/2010/01/thanks.php Health Care Sat, 30 Jan 2010 16:13:28 +0000 Academic Medicine is devoted to a post-Flexner perspective on the future of medical education. From what I've seen,this will indeed be complex!]]> http://www.cognitive-edge.com/blogs/guest/2010/01/the_approaching_rosyfingered_d.php http://www.cognitive-edge.com/blogs/guest/2010/01/the_approaching_rosyfingered_d.php Health Care Sat, 30 Jan 2010 01:01:22 +0000 http://www.heacademy.ac.uk/heca/manifesto. This crystalized a philosophy, the Capability Movement, that proved to be a long lived branching in how higher education viewed itself and its role. Now, somewhat late to the party, health care is "discovering" the same concept. Why is this important?]]> http://www.cognitive-edge.com/blogs/guest/2010/01/we_need_health_care_capitance.php http://www.cognitive-edge.com/blogs/guest/2010/01/we_need_health_care_capitance.php Health Care Fri, 29 Jan 2010 01:01:59 +0000 The comments shared yesterday from a well-respected Dean of a medical school highlight a collision of ideas. On the one hand, we have Complexity Theory attempting to "make sense" out of the complex problems in health care. On the other hand, we have another powerful force, "disruptive innovation", that maximizes value out of simplification of complicated and complex problems. Are these two apparently competing philosophies on a collision course? Will they demolish each other and leave us picking up the pieces? Perhaps, unless we can BE SMART. http://www.cognitive-edge.com/blogs/guest/2010/01/a_collision_of_ideas_synthesis.php http://www.cognitive-edge.com/blogs/guest/2010/01/a_collision_of_ideas_synthesis.php Thu, 28 Jan 2010 01:01:44 +0000 I have asked some of my colleagues to read this blog and offer their comments. The following comes from one of the brightest thinkers in medical education I know. He is the Dean of a medical school, and I have always respected his judgement. His comments have some important implications. I ask you to read them, and try to answer the questions he poses. They will form the basis of what we will discuss tomorrow. http://www.cognitive-edge.com/blogs/guest/2010/01/important_comments.php http://www.cognitive-edge.com/blogs/guest/2010/01/important_comments.php Health Care Wed, 27 Jan 2010 01:01:54 +0000 Yesterday we explored how recognition of the importance of attractors allowed the Plexus Institute to produce nonlinear positive results in the reduction of MRSA in health care settings. Complexity Theory really works! How can organizations amplify attractors and increase their productivity, effectiveness and have enjoyment in the process? No, you're not dreaming. It's a "tribal" thing. Read on..... http://www.cognitive-edge.com/blogs/guest/2010/01/its_tribal.php http://www.cognitive-edge.com/blogs/guest/2010/01/its_tribal.php Health Care Tue, 26 Jan 2010 01:01:07 +0000 http://www.fastcompany.com/magazine/41/sternin.html They are stories of simple realizations that, once implemented, had massive nonlinear results. To anyone interested in understanding an "attractor" and how amplification of a positive attractor can have immense significance, read on.]]> http://www.cognitive-edge.com/blogs/guest/2010/01/being_smarterthe_plexus_instit.php http://www.cognitive-edge.com/blogs/guest/2010/01/being_smarterthe_plexus_instit.php Health Care Mon, 25 Jan 2010 01:01:47 +0000 In the last blog post, we took a look at the results obtained by Safeway: an effective 40% reduction in cost and high patient satisfaction. Smoking and obesity in their employees is 70% the national average. All the more remarkable, this was done without any direct intervention in the delivery of "medical" care. No mandates on hospitals, no physician incentives for "performance", no imposition of order. What is this telling us?? http://www.cognitive-edge.com/blogs/guest/2010/01/health_care_or_medical_care.php http://www.cognitive-edge.com/blogs/guest/2010/01/health_care_or_medical_care.php Health Care Sun, 24 Jan 2010 01:01:50 +0000 The health care debate has occupied much of our energies this past year in the United States. We have seen multiple plans, arcane exceptions and a whole lot of opinion on what should, and what should not, be done to remedy what has been termed an intolerable situation by any number of talking heads. In even the somewhat "soft" science of medicine, opinion should be tempered by reality. If someone has a plan, has used it for years with 30,000+ patients, 80% of them like it and it has reduced cost by 40%, shouldn't it be explored with more than just a little enthusiasm? http://www.cognitive-edge.com/blogs/guest/2010/01/reality_by_decree.php http://www.cognitive-edge.com/blogs/guest/2010/01/reality_by_decree.php Health Care Fri, 22 Jan 2010 20:56:28 +0000 Yesterday, I briefly discussed evidence based medicine. I hope I left you with the understanding that I firmly believe in EBL, but I believe in it as a tool, not an end in itself. In "Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like" (Changing Health Care in Canada: The Romanow Papers, 2004) Glouberman and Zimmerman point out that Complex Adaptive Systems, like health care, exhibit a "great deal of noise, tension and fluctuation as they interact with the rest of the environment" and that this represents not a negative, but an opportunity! Let's explore this Yin and Yang of metacognition and intuition in medical practice and education. http://www.cognitive-edge.com/blogs/guest/2010/01/metacognition_and_intuition.php http://www.cognitive-edge.com/blogs/guest/2010/01/metacognition_and_intuition.php Health Care Fri, 22 Jan 2010 01:01:48 +0000 If you are doing almost anything related to health care today, being “evidence based” is de rigueur. Even when it is not obligatory to do so, claiming to be “evidence based” conveys a measure of credibility nowadays that is valuable to have. So state Earl Steinberg and Bryan Luce in "Evidence Based? Caveat Emptor!" (Health Affairs 2005;24(1):81-92. If you Google for "evidence based medicine", 1.3 million hits pop. Something is afoot, and patients and providers need to understand it.]]> http://www.cognitive-edge.com/blogs/guest/2010/01/evidence_based_medicine_and_yo.php http://www.cognitive-edge.com/blogs/guest/2010/01/evidence_based_medicine_and_yo.php Health Care Thu, 21 Jan 2010 01:01:34 +0000