Facilitating Change With Metaphors Presentation: Larry Raymond, June 6, 2014

In the June 6 BFR workshop, Larry Raymond presented led the group through a very engaging exercise in which teams developed Village Maps representing the current state of the U.S. Health Care system.  Each map was used to elicit key points in the system.  (To enlarge a map, click on a map image.)

 

U.S. Healthcare System Village Map

U.S. Healthcare System Village Map

Key Points:

  • Insurance companies drive too many decisions
  • Most roads are 2-way
  • Service providers and patients make too few decisions
  • Strongest block is between insurance companies and providers
  • Patients are not at the center

 

 

U.S. Healthcare System Village Map

U.S. Healthcare System Village Map

Key Points:

  • Patient not at center of the system
  • Big gap between insured and uninsured
  • Money! Bog business, lucrative to some
  • Complex and interdependent

 

 

U.S. Healthcare System Village Map

U.S. Healthcare System Village Map

Key Points:

  • Timely access is a persistent issue
  • Inequality continues to be a persistent issue
  • Medical research and innovation continue to exist
  • Cost (and understanding of cost) confounds consumers
  • Physician training is a strength
  • Complexity (intra) confounds service delivery
  • Workforce inequality increases costs and decreases happiness

 

 

U.S. Healthcare System Village Map

U.S. Healthcare System Village Map

Key Points:

  • Consumers are in a swirl and in a swamp
  • The system has many battles and rocky roads
  • Insurers and suppliers driving too much activity
  • ACA creating new bumps for insurers and suppliers
  • Smooth road to potentially great place too infrequently traveled
  • We need to figure out a road between insurance and alternative health

 

 

U.S. Healthcare System Village Map

U.S. Healthcare System Village Map

Key Points:

  • Complexity with patient care
  • Variations in experience
  • Lack of alignment between health and profit

 

 

Village Map: U.S. Healthcare System

Village Map: U.S. Healthcare System

Key Points:

  • Healthy people fund system
  • Many relationships are clear but fraught with problems
  • Wellness programs represent an opportunity for a better future state
  • Government and insurance are currently at the center of the system
  • Thanks to the healthy people funding the system