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Only You Can Prevent PX Wildfires: Systems Thinking and the Patient Experience Presenters: Tiffany Fortin, Sheila Moroney, Mark VanderKlipp

Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

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Page 1: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Only You Can Prevent PX Wildfires:Systems Thinking and the Patient Experience

Presenters:Tiffany Fortin, Sheila Moroney, Mark VanderKlipp

Page 2: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1
Page 3: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

AgendaHandout

Wildfires

Systems Thinking

System Stories

PX 9-1-1

Page 4: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

201766,131 Wildfires in continental U.S.

9,781,062 acres burned

147.9 average acres per fire

$2.5 Billion+ in fire suppression efforts

Source: National Interagency Fire Center

Page 5: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Source:

2017

Source: EcoWest https://vis.ecowest.org/interactive/wildfires.php

Page 6: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Source:

2017

Source: EcoWest https://vis.ecowest.org/interactive/wildfires.php

Page 7: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Source:

2017

Source: EcoWest https://vis.ecowest.org/interactive/wildfires.php

Page 8: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

2017“Forest Service spending on fire suppression in recent years has gone from 15 percent ofthe budget to 55 percent … which means we have to keep borrowing from funds that are intended for forest management”

Sonny PerdueU.S. Secretary of Agriculture

Source: USDA Press Office, September 14 2017

Page 9: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

VisualizationSystem mapping is used to model management practices:

• Physical/political dynamics affect suppression and prevention policies

• Too much suppression reinforces further suppression and crowds out prevention

• A balanced approach minimizes the feedback cycle and long-term damages

Source: Journal of Environmental Management

Page 10: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1
Page 11: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Element CategoriesStructural: can be measured or quantified

Attitudinal: mindsets that influence

Transactional: catalysts that cause transition

Source: Journal of Environmental Management

Page 12: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1
Page 13: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1
Page 14: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Systems ThinkingSeek sustainable health, not only “mission accomplished.”

See patterns, not just problems.

Unlock change, don’t impose it.

Plan to adapt. Don’t stay the course.

Source: The Omidyar Group https://vimeo.com/212281432

Page 15: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

“Peace Lantern”Tiffany Fortin

Page 16: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Escape Fire“It’s just tragic to think of the answer beingthere, but in the moment not being able to see it. That’s how embedded people get in the status quo: they can’t recognize an invention when it’s among them and they can’t give up their old habits. ”

Dr. Don BerwickHead of Medicare and Medicaid

2010-2011

Page 17: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

“I wasn’t present”Sheila Moroney

Page 18: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Escape Fire“People think it has to be a new drug or a new laser or something really high tech to be powerful. They have a hard time believing that these simple choices that we make in our lives every day can make a powerful difference.”

Dr. Dean OrnishFounder and President of the

Preventive Medicine Research Institute

Page 20: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Escape Fire“Everyone is trying to do what makes sense to them. Everybody’s doing their jobs, it’s just that we design the jobs wrong.”

Dr. Don BerwickHead of Medicare and Medicaid

2010-2011

Page 22: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Experience Based Design“Design used to be the seasoning you’d sprinkle on for taste; now it’s the flour you need at the start of the recipe.”

John MaedaDesigner and Technologist

Page 23: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Your Stories

Page 24: Only You Can Prevent PX Wildfires (VanderKlipp-Fortin-Moroney) · Tiffany Fortin, Sheila Moroney, Mark VanderKlipp. Agenda Handout Wildfires Systems Thinking System Stories PX 9-1-1

Systems ThinkingSeek sustainable health, not only “mission accomplished.”

See patterns, not just problems.

Unlock change, don’t impose it.

Plan to adapt. Don’t stay the course.

Source: The Omidyar Group https://vimeo.com/212281432