1. A theoretical and empirical Approach: Multiple Cases October, 2001 Ignacio J. Martinez Decision and Policy Sciences Modeling and Simulation Track System Dynamics Group University at Albany Helping to uncover Organizational Intelligence: Understanding the Structure that drives the Dynamics of Best Practices.

3. Interesting Questions Who gets to say what practices are the “best” practices, when, and how. How do these practices “make it” to become in-practice best practices and eventually “standard” practice. If a certain practices “evolves” into a best practice and then into standard practice who gets to govern it(them) and how? (and perhaps enforce them if necessary?)

4. Projects Best Practices: A constructivist approach A Professional Organization case. (System Dynamics Society) Best Practices: An implementation approach A small private health service case. (Adirondack Oral & Maxillofacial Surgery) Best Practices: A structural approach Theory building Best Practices: A standard making approach The establishments of international standards in the regulation of financial markets

5. General View Governing Structure Regulatory Committee Regulatory Area in Org Operational Area in Org Legislative Regulatory Agency Regulatory Area in Financial Institution Traders

6. Model Sectors of Best Practices Model (Knowledge1)

7. Best Practices Model

8. Importance Best Practices How are they generated Who gets to pick them Why do they pick them and how How are they implemented How are they transferred across organizations and sectors. (public, private, professional, industrial, services, etc)

9. A Small Health Care Practice Case: Adirondack Oral & Maxillofacial Surgery Modeling the Impact of Knowledge- Based Innovations (Best practices implementation) in the Health Care Sector

10. Behavior… Stress Motivation t Perception Of Quality Reputation And Trust Workload

11. Purpose… This study is set up to generate an endogenous dynamic theory of the behavior of a small health care practice centered in innovations implementation, customer value, service quality, and community relationships.

12. Questions to be answered 1.What systemic structure is conditioning the behavior of the system? 2.Does the structure that we have right now can deliver what we want in the future? 3.What future can we expect if we do nothing but the same?

13. Methodological Approach The health care model will be approached using SD (System Dynamics) as the base approach to generate a dynamic hypothesis of the behavior and the University at Albany’s Group Modeling Techniques will be used.

14. Overview of the System Dynamics Modeling Approach [Adapted from (Richardson and Pugh 1981)]

15. Products to generate 1. Structural Understanding of the elements that causes the behavior of the practice. 2. Dynamic Understanding of the practice. 3. A transitional learning object to connect efforts across the organization and to enhance the practice’s strategic planning capabilities through policy testing.

16. Human Factor Administrative staff Doctors Skills & Knowledge Stress & Motivation Training Performance Measurement System Culture Financial Cash flow Investments Profitability Sustainability Operations Administrative and operational standards Capacity Quality of Service Resource Load Balance Community Patients Families, relatives, and friends Referring Doctors Insurance Companies Professional Assoc. Reputation and trust Brand recognition Knowledge-Based Innovation Projects Change Programs Administrative improvement Doctors involvement Intensity of projects Intelligence generation

17. Model

18. Expectations for the future Visually and emotionally understand the interconnectedness of the system. Generate a shared vision of the structure and purpose of the practice. Express their perceptions of how their work affects to the whole.

19. Accomplishments Employee awareness of their individual impact has increased. General impact captured in the first model. Behavior generated useful to identify the important sectors up to now.

20. Future Directions What to explore further? (In group) Dynamics (Behavior) Structure Grow the scope Grow the detail Data Soft. Qualitative assessment Hard. Quantitative measurements

21. Projects Best Practices: A constructivist approach A Professional Organization case. (System Dynamics Society) Best Practices: A standard making approach The establishments of international standards in the regulation of financial markets Best Practices: A structural approach Theory building Best Practices: An implementation approach A small private health service case. (Adirondack Oral & Maxillofacial Surgery)

22. Pieces… International Professional Organization International Services Organization Theoretical Model Empirical Model of Implementation

23. A possible new approach? How to uncover Organizational Intelligence: Understanding the Structure that drives the transformation of Best Practices into Standards of Practice. (??) Assumption: Assuring (through standards) that the organization practices (doing) the “best” practices (knowledge) closes the knowing-doing gap and leads to intelligent behavior influencing successful outcomes.

24. Another new approach? Uncovering Organizational Intelligence: Understanding the evolutionary nature of Standards of Practice.