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7. Organizational Performance Measurement

Issues…Do current organizational performance measurement systems give an adequate picture of how our Organization-As-CAS (OACAS) is performing? What new measurements, and what new thinking about measurement, can we get from a complexity perspective?

Complexity-Inspired Measurement Dashboards… General agreement that a "collage" of measurements are needed. Suggestions thus far: Dartmouth value compass; # of generative relationships; level of experimentation and fringe activities; degree of diversity; fractalness of system; level of anxiety; # of identifiable barriers to self-organization; # of identifiable "chunks" that could be used as future building blocks... We need more ideas here.

Steve Larned's 3/9/98 post suggests that the framework of agents, tagging, etc. in John Holland's Hidden Order might be helpful for seeing how to act on new measures and what new measures are needed.

Kevin Dooley suggested that measurement is largely a psychological issue. Get people to accept a new philosophy/framework and measurements will follow. (Plsek's comments: Is this a chicken and egg issue? Could it be a circular system of measurement and philosophy and, therefore, you can start with either one as long as you keep moving to the other one?)

Thoughts About Demonstration Projects… Need to do more thinking.

Ultimate Goal of This Line of Thinking… To develop significant, complexity-inspired additions to the current work in healthcare QI involving organizational measurement dashboards.

Note… Need more ideas and some demonstrations of new measurements in practice. But first we need to address the philosophy/framework question that has been raised. Spending a lot of time on new organizational performance measures for OACAS could be a waste of time if we are not careful.

 

 

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