System Thinking at Hospital: Value Stream Map Analysis Report

This report delves into the application of system thinking within a hospital setting, emphasizing the importance of analyzing systems and frameworks for effective business operations. The report explores various system archetypes, demonstrating their patterns and principles, and examines the current value stream map within the emergency department. It then recommends a new value stream map to improve patient turnaround time. The analysis includes expected and unexpected outcomes of the modified systems, providing a comprehensive overview of how system thinking can be used to optimize processes, enhance stakeholder management, and mitigate risks. The study concludes with recommendations for deploying a holistic approach to problem-solving, defining purposeful tasks, and analyzing system-wide effects, ultimately aiming to improve the hospital's overall performance and patient care.

Running head: SYSTEM THINKING AT HOSPITAL
System thinking at hospital
Name of the student:
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Author Note

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Executive summary
The system thinking is an essential tool to evaluate the system and frameworks. This is also used by
the any individual to understand the systems of any business. Apart from this, the value stream map
calculates the team management. In this report, the various system archetypes are determined. Then,
a discussion is made that involves the assessment of the present value stream-map during
emergency. Moreover, an investigation is done on different types of expected and unexpected
outcomes of the latest systems.

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Table of Contents
1. Introduction:......................................................................................................................................3
2. Discussion on the system archetypes:................................................................................................3
3. Demonstration of the value stream map present currently:...............................................................6
4. Evaluating the value steam map recommended:..............................................................................6
5. Understanding the expected and unexpected results for the systems modified:...............................7
6. Conclusion:........................................................................................................................................8
7. Recommendations:..........................................................................................................................10
8. References:......................................................................................................................................12

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1. Introduction:
The system thinking indicates to the vital tools that are helpful for analyzing any system
effectively. This is helpful for any person to assess the framework of business.
Again, the value stream mapping is the tool that is helpful for manage tools. It can be used
for witnessing various phases needed to undertake the product development. It is also used to
investigate the process and development of analysis.
In this study, the analysis and identification of the system archetypes has been impeding the
performance. It has also included the analysis of the current value stream map relevant to different
emergency departments. Then, the latest value stream maps are suggested to have the expected
decline of the patent turnaround time. Here, ta demonstration is done on the various types of
expected and unexpected of the changed system.
2. Discussion on the system archetypes:
In the current system ten types of the system archetypes are seen. It is seen from various set
of the tools and highlight the behavior patterns under the systems. They are helpful to choose various
aspects.
Principles of attractiveness:
Here, the idea has involved the facts of the kind of business and the products that has never been all
the elements for all the people. Besides, they have been eager to go behind a particular channel. In
this case one needs to consider essential decisions as far the product characteristics are considered.
Accidental adversaries:

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The system archetypes are found to be demonstrating various patterns. Further, the two subjects are
been decided for functioning together. The reason is that this has been bringing benefits for those
alliances. Further, there are concerns that has been coming out of various subjects. This has required
fixing different gap of performances (Stalter et al., 2017). Again, the outcomes has been found to be
giving rise to the idea of resentment taking place between types of subjects.
Underinvestment and development:
This has consisted to reinforce loop. This has been a types of loop to provide feedback. In this case a
positive advent of particular variable is also witnessed.
Fixing the fail:
This involves the system archetypes within the dynamic of the system. It has been used to discuss
and analyze the cases. This has comprised of duration of short-term. This has given rise to various
side effects regarding different prolonged behaviors of any systems(Chung, Lim & Lee, 2016).
Concern of commons:
This has been within the shared-resource systems. In this case, different users has been within
independently according the self-interest to behave the contrary the common good for all the users.
Success to become successful:
This indicates to various structures of reinforcing. It has been within the delicate balance. This has
been occurring as one has been gaining few advantages to allocate the resources.
Escalation:
It is a possible type of the behavior of the system. This is denoted as the system archetypes.
Moreover, the escalation has been common regarding different cases of various games that are non-

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cooperative. Here, all the players has been undertaking the distinct decisions. This has been giving
rise to effective results for the players.
Eroding the aims:
Here, the changing archetypes has been the burden. The current problems has needed to get
controlled as prolonged aims that has been minimizing constantly. It can be neglected through
getting stuck for the vision (Best et al., 2016). Here, for example this has included the limits of
sliding regarding environmental pollution that balances the public of debt.
Changes in burden:
Here, the structure is the important remark for the system dynamics and system thinking. It can be
used to detect various patterns of social systems including the business, communities, states and
economies. It can be used as the tool of evaluation for the current states and tool to look for future
enhancements of the systems. It has been useful for e managers to achieve the view-points of the
internal framework of the systems. It has included the helping and functioning for achieving the
ideas for the current state of the system. This is a prospective calculation that has been used to plan.
Moreover, the managers has been found to be formulating the goals for the future (Fischer, 2015).
This is to understand the activities of business. In this way, they can help to find out the measures
smartly. This is with the help of the objective attained.

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Growth Limits:
In this case the first leap is to make use of various barriers in the system archetypes. It is useful to
identify the increase of the engines. With the advent of the rise of the restrictions of success are been
within the loop of reinforcement. It is shown as various processes to reinforce that are found to be
giving fuel for the success at the first time.
3. Demonstration of the value stream map present currently:
The present map of the emergency department has been found to be on the basis of various
system archetypes. At first, different data has been found to be moving externally. Further, the data
has been involving the data for patients, data about the healthcare. Information presence of nurses,
physicians and insurance agencies (Ahluwalia, Gimpel & Varshney, 2015). Apart from this, different
flow of materials are involved under the present map. Here, different maps of the flow of materials
are involved at the out patent registrations. They are been moving to area of waiting and
consideration of ER rooms. This also involves the patient examined by sectors and patients
examined by nurses. Moreover, there various departing instructions and the at last it seen that the
patient has reached home safely (Carey et al., 2015). Apart from this, various instructions of
departing has included the information treatment of different records of hospitals. Here, the nurses
has been found to be bring the medical supplies for attending the physical data as the patient gets
ready for the treatment. Here, the patient gets the treated through essential measurements of the
history of the patients.
4. Evaluating the value steam map recommended:
It is been developed with the help of intended time of the turnaround of the patients.

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Figure 1: “New State Value Stream Map”
(Source: Created by Author)
5. Understanding the expected and unexpected results for the systems modified:
Here, it can be simply stated that the approach of the new system is able to include the value.
Thus, one can optimize the risk margins and allowing the projects in order to fulfill the aims under
the budget and time. Here, the expected results has been involving the greater management of
stakeholders. This is around the projects. It has been leading to the smart analysis of the problems. It
has been including the suitable solution and real life requirements. Apart from this, there are
efficient and comprehended mitigation of risks with planning. This has been giving rise to the

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highest confidence for the utmost costs and schedules. Moreover, the coverage of all the tasks has
never comprised of the missed requirements and elements. They have been enabling the successful
and smarter acceptances having the handover of phase. Next, there must be better planning and
progress to report different types of discipline. They have been working with the scope of different
compliances. It has given rise to turn of the realistic statement of the present status.
Besides, the idea of the system has been found to be acting as a set of different parts. As
amalgamated this has been under various parts in productive way. It is to witness various types of
programs, projects and portfolios. Further, there has been different elements and parts of the
systems. It has included various people, processes, information, organizations, transformation and
services. Apart from this, one can include complicated products with the software and hardware.
This is also stated that the changed value stream map has been about the program analysis. It has
ensured that the activities and dependencies has been under different types of cracks. This has been
coming out of discipline silos along with liabilities of contracts.
6. Conclusion:
It has been seen from the above study, the system thinking is useful to analyses, go for and
implement the tools of modelling various systems. It has been useful for integrating, making
optimization and develop the process of business. This is for the present organization of healthcare.
Further, this has been helpful for make synthesize the various technological and non-technologic
results regarding the business issues. It is helpful for promoting the integrating and undertake the
process of optimization for the entire operation. Further, this has been also seen that system view has
been the way to position and fetch the issues of the organization and system. The study is also useful
to promote the integrating and optimizes the entire activity. This is also understood that the system
view the way to look and position the organizational and systematic problems. In this way one can

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assess the current evaluation in the way to fetch and place the issues of the business. Hence, it has
been highly essential to set the system boundary. Apart from this, it is useful to seek the elements
under the systems. This also involves the elements that seen as the external scenario. Moreover, the
scenario has been putting effect on the abilities to resolve the problems. Again, this has never been
an element of the entire system. Apart from this, the results has been depending to depend highly on
the systems to get defined. The reason is that the system thinking has been ensuring different types
of the relationships. This has been taking place between various elements of the unexpected systems
and the external scenario. Within the system view, the focus has been spread on different directions.
This is as compared to the conventional style of the linearity for thinking.

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7. Recommendations:
Deploying the holistic method to resolve the problems:
It is intended there should have been smart determination of the systems. This must also
include the understanding of task dependencies and then outlining the tasks needed for getting
sequenced, coordinated and synchronized. It is an isolated concern for the business of healthcare. It
has been a part of the networks that are interconnected of different problems that are related. It is
seen that the system thinking has been helpful for determining that to become dynamic.
Providing definition to various purposeful tasks to undertake and analyze the effects that are system
wide:
The approach of system thinking are used for decoding different complexities. This is within
the company of healthcare. Further, they are utilized to assess the designing and analyze the
designing of various interventions. In this way one can decrease the safety of the patents at the
healthcare along with various system performances. Within the systematic framework, there are
considerations of the possible expected and unexpected effects. This has comprised of the less
obvious effects of the interventions. This is missed during the designing and evaluation stages. Apart
from this, the evaluation and designing of the interventions across the system as required
comprehensive analysis of different contextual factors. This has been informing whether the
intervention has been a success.
The finding of the nurturing and determination of the thinkers who are the experts:
Regarding the initiatives of smart developments, the individuals has been found to exhibit the
traits of leadership. It is also leading to the changes under the practices. In this way, one can foster

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the adherence of various performances of standards. Again, there are positioning of tasks to deliver
the formal authority. Here, the individuals must be challenging the boundaries, make sharing of
knowledge and create consensus.

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8. References:
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Technical University of Denmark.
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simulation model: arrivals to discharge–design, development and application. Simulation
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Best, A., Berland, A., Herbert, C., Bitz, J., van Dijk, M. W., Krause, C., ... & Millar, J. (2016). Using
systems thinking to support clinical system transformation. Journal of health organization
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Carey, G., Malbon, E., Carey, N., Joyce, A., Crammond, B., & Carey, A. (2015). Systems science
and systems thinking for public health: a systematic review of the field. BMJ open, 5(12),
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Chung, Y., Lim, J. M., & Lee, K. J. (2016). Systems thinking for the crisis and improvements of
healthcare delivery system. Korean System Dynamics Review, 17(1), 5-24.
Fischer, M. (2015). Fit for the Future? A new approach in the debate about what makes healthcare
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Hulme, A., & Finch, C. F. (2015). From monocausality to systems thinking: a complementary and
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