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title: "MTL Session 10 - Facilitator Say Checklist" | ||
author: "Team PSD" | ||
date: "Edited 10/7/2019 by LZ" | ||
output: | ||
github_document: default | ||
html_document: default | ||
pdf_document: default | ||
word_document: default | ||
ioslides_presentation: default | ||
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<img src = "https://github.com/lzim/teampsd/blob/master/resources/logos/mtl_live_sq_sm.png" | ||
height = "175" width = "290"> | ||
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# [MTL Live Session 10](https://github.com/lzim/mtl/blob/master/session10/s10_learner/mtl_session10_see.md "MTL Live Session 10") | ||
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# Today we're modeling to learn how to use systems thinking. | ||
Hello! I'm __________ and I'm __________ [Co-facilitators introduce themselves]. | ||
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## Navigate to the SEE guide to show Done and Do | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:00-00:05** | ||
- [ ] <img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/done.png" height = "45" width = "45"> **Done** We ran a third experiment in our individual world. | ||
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- [ ] <img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/do.png" height = "45" width = "45"> **Do** We will run exp 3 and discuss the bc, exp 1, exp 2 and exp 3 using Complex, Feedback, Behavior, Time (CFBT) systems thinking skills. | | ||
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## Emphasize team priority with the learning objectives on the screen | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:05-00:10** | ||
- [ ] <img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/learning_objectives.png" height = "45" width = "45"> | ||
**Learning Objectives for Session 9** | ||
1. Describe the decisions you experimented with and how they are intertwined with other decisions and clinic outcomes over time. | ||
2. Test your understanding of the causal system story by describing what’s happening when it produces a system behavior over time. | ||
3. Apply your thinking to anticipate the short and long term trends in your team's care quality under different decision scenarios. | ||
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## Facilitator provides rationale: We've been _Modeling to Learn_ how to improve our use of systems thinking when making care decisions in our team. | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:10-00:15** | ||
- [ ] Show the Systems Thinking Table in the SEE guide. | ||
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Systems Thinking | Definition | ||
-- | -- | ||
Complex | **Forest not trees.** Relationships among two or more **units** (patients, weeks), **variables** (_stocks_: patients waiting to start, _flows_: improvement rate), or two or more **settings** (primary care, general mental health). | ||
Feedback | **Loop not line.** Not simple cause and effect. The end of the story often influences the beginning, and is strengthened (**reinforcing**) or reduced (**balancing**) around the loop. | ||
System Behavior | **Movie not snapshot.** Trends over time. Systems _cause_ their own behavior through feedback. | ||
Time | **Short and long term.** Better understanding of change over time (e.g., worse before better, better before worse, better before a lot better, worse before a lot worse). | ||
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## Team lead navigates using Chrome to log in to the Team world at **mtl.how/sim** | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:10-00:15 - Team's Session 06 Question** __________________ | ||
- [ ] Join current session to pick up where the team left off in Session 09. | ||
- [ ] On **Main Page** team lead navigate to **Experiment Section** to **pull up previous experiment values & text** to review Experiment 2, and Experiment 1 as compared to the Base Case. | ||
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## Pull up **q/h/f/d** from session 09 and ask **team lead** to review the rationale for the relative differences among **Experiment 2,** **Experiment 1,** and the **Base Case** findings from the "Findings" Text | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:15-00:20** - Team-specific **caual system story for findings** __________________ | ||
_If you did not reset the Team World at the end of Session 9:_ | ||
- [ ] Log in to mtl.how/sim and join the current session, which should be at the end of the **Experiment 2.** | ||
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_The advantage of starting **session 10** at the end of the Experiment 2 run in the Team World, is that you can compare the **system behaviors** of Experiment 2 (the current run) against both the Base Case (alternative 1) and Experiment 1 (alternative 2)._ | ||
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## Review how the causal feedback explains why the simulated **team practice decisions** produce the specific **variables and values** produced in the system behaviors over time. | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:20-00:25 - Team Priority Causal Loop**__________________ | ||
- [ ] Minimize **Outputs and Text** and move the text to the **Right** to reveal the causal system diagram. | ||
- [ ] **Refine/edit Experiment 2 text** to capture the causal explanations for the differences between the Base Case, Experiment 1 and Experiment 2 entered for Hypothesis, Findings and Decisions. | ||
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## **Paste the Decision Text** in the **Question Box** for Experiment 3. | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:25-00:30** | ||
- [ ] Refine the text as necessary to reflect today's learning goal to combine the team decisions reflected in Experiment 1 and 2. | ||
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## Use then causal system story in the model diagram to craft a **Dynamic Hypothesis** | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:30-00:35** | ||
- [ ] Use the **causal system story** in the **model diagram complexity reveal for the team's priority** that explains the expected system behaviors that will be produced under the combined decisions reflected in Experiment 3. | ||
- [ ] Example question: "As compared to the Base Case, Experiment 1 and Experiment 2, what happens to ____________ [**key output value from the team's priority**], over the next two years if our team **practice decisions follow __________________[combined experiment 3]**?" | ||
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## Move Text to left and refine/enter _specific values_ for experiment 3 in *hypothesis text* as you adjust sliders and run experiment 3 | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:35-00:40 - Team Priority**__________________ | ||
- [ ] **Specific variables and values for combined experiment 3 _______________ | ||
- [ ] Set all other **red** and **green** **experiment sliders** to **"bc" or "zero"** except **purple sensitivity sliders**, which start with a default middle value of **"1"**. | ||
- [ ] Hit the **Green Run Button**! | ||
- [ ] Go to the **Expanded Outputs** section and **Save** (without resetting) our run. | ||
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## Use Systems Thinking to explain **Combined Experiment 3** as compared to **Base Case** and **Experiments 1 and 2** output charts of the _specific variables_ and _values_ related to the team's highest priority need ________________[output variable] | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:40-00:50 - Team Priority**__________________ | ||
- [ ] **Results Dashboard** review how the causal feedback explains why the **combined team practice decisions** produce the **relative differences in specific variables and values** produced in the system behaviors over time. | ||
- [ ] Model for the team, and highlight the C.F.B.T. systems thinking concepts and add explanations in q/h/f/d text boxes. | ||
- [ ] Dominant causal feedback that produces the system behaviors _______________ | ||
- [ ] Highest leverage (high yield) decisions that are most clinically feasible for the team to implement in their care _______________ | ||
- [ ] **Enter Decisions Text** to reflect **new practice decisions the team would like to consider next** and then click **Save** to save the text edits for Experiment 3. | ||
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## Have Team Lead pull up the session 09 SEE guide Done/Do review. | ||
<img src = "https://github.com/lzim/teampsd/blob/master/resources/icons/timestamp.png" height = "40" width = "40" style ="display: inline-block"/> _____________ **Time 00:50-00:55** | ||
- [ ] Done: We ran exp 3 and discussed the results using **C.F.B.T. systems thinking skills.** | ||
- [ ] Do: Review and compare the bc, exp 1, exp 2 and exp 3 and think about possible new decisions team could make in their daily clinical care. | |