ABSTRACT

Scaling Agile has great potential, as an agent-based model, to unleash the innovative potential of the whole organization to define and leverage a framework that addresses the big issues challenging survival in healthcare – both for the patients and the organization. To access that opportunity, executives must consider the entire system as an integrated whole with the capacity to be more than the sum of its idealized bits and pieces. They must recognize that the marketplace is not in a state of equilibrium, and never will be again, so future success can only be achieved with an evolving enterprise whose systems embed emergent properties and optimize the underlying interactions between all the actors. That means a crucial requirement is the specification of the rules for decision-making, and those rules must support the experience, intuition and insight of everyone in the practitioner environment so that critical information, fundamental principles and meaningful use are optimized as a whole.