title: Innovation cycle for small- and large-scale change.
abstract: In today's complex healthcare systems, transformation requires 2 major efforts: (1) a fundamental changes in the underlying beliefs and assumptions that perpetuate the current system and (2) a fundamental redesign of the multiplicity of diverse and complex subsystems that result in unpredictable aggregate behavior and outcomes. Through an Intelligent Complex Adaptive System framework combined with an innovation process a transformation process and cycle was created for a large healthcare system that resulted in both small- and large-scale changes. This process not only challenges the underlying beliefs and assumptions but also creates new possibilities and prototypes for care delivery through a change-management process that is inclusive and honors the contributions of the entire team.
authors.affiliation: Banner Health, Phoenix, Arizona 85006, USA. Kathy.scott@bannerhealth.com
authors.forename: Kathy
authors.initials: K
authors.lastname: Scott
authors.forename: Amy
authors.initials: A
authors.lastname: Steinbinder
mesh_terms: D000223:Adaptation, Psychological; D004059:Diffusion of Innovation; D006801:Humans; D009718:Nurse Administrators; D009741:Nursing Staff, Hospital; D015279:Organizational Culture; D009936:Organizational Innovation