Putting Systems and Complexity Sciences Into Practice

Discusses how to successfully achieve change and avoid change fatigue Describes why change is necessary but not sufficient and elucidates understanding the how and how to Presents scale-free system redesign and how it affects the continuum from the local to the global

Joachim P. Sturmberg, MBBS, DORACOG, MFM, PhD, FRACGP, is conjoint associate professor of General Practice in the School of Medicine and Public Health, Faculty of Health and Medicine, at The University of Newcastle in Newcastle, Australia. He is a graduate of Lübeck Medical School in Germany, where he also completed his PhD. Since 1989, Sturmberg has worked in an urban group practice in the Central Coast of New South Wales. His research focuses on understanding the complex interconnected features of person-centered healthcare. Together with his collaborators, Sturmberg proposes that a truly functional health system ought to always focus on the needs of the person/patient across all domains affecting health -- local health delivery services, local and regional social and economic infrastructure and services, as well as in all portfolios at the national policy levels. These complex interdependent features of a person-centered healthcare system are described by the health vortex model. Sturmberg's current research focuses on operationalizing the health vortex model, integrating the physiology of health with health care delivery, the socioeconomic domains affecting health, and the impact of policy decisions on health and the healthcare system.  Together with Howard Federoff, Sturmberg organized the 1st International Conference of System and Complexity for Healthcare. Sturmberg and Carmel Martin are joint co-editors in chief of the Forum on Systems and Complexity in Medicine and Healthcare as part of the Journal of Evaluation in Clinical Practice. Sturmberg co-chairs the Complexities in Health Special Interest Group in WONCA (World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians) with Martin and Jim Price.

Introduction.- Learning: Contemplating the Unexamined Core of Learning Health Systems.- From Clinical Ethics to Big Data Analytics: Applying Systems and Complexity Science to the Care of Hospitalized Patients.- Visualisation in Simulation of Complex Systems in Healthcare.- Social and institutional change in complex health systems: Lessons learned.- The Complex Relationship Between Health Outcomes and Health Factors in the Pacific Northwest.- Pitfalls in Identifying High Performers in Diabetes Overtreatment: Positive Deviance may be neither Positive nor Deviant.- Why the Interdisciplinary Team Approach Works: Insights from Complexity Science.- The multiple networks of multimorbidity Jones - Changing the Medical Paradigm: Why the Allostatic Model Makes More Sense.- New Ways of Knowing and Researching: Integrating Systems and Complexity into a Translational Health Sciences PhD.- Transforming Monitoring and Improving Care with Variability-derived Clinical Decision Support.- Merchant -The Impact of Relational Coordination on Collaboration, Care, and Thinking.