Principles for embedding learning and adaptation into New Zealand health system functioning: the example of the
Sharen Paine1, Jeff Foote2, Robin Gauld3
1Director/Consultant, Catalyst-MC Limited, Christchurch, New Zealand.
The New Zealand Medical Journal
|January 23, 2025
Summary
The Viable System Model (VSM) can embed learning and adaptation into healthcare systems. Applying the VSM to a New Zealand health service identified gaps in organizational functioning and IT infrastructure for a learning health system.
Area of Science:
- Health Services Management
- Systems Theory
- Organizational Learning
Background:
- The New Zealand health system requires enhanced learning and adaptation capabilities.
- A model-based management approach is proposed to achieve a learning health system.
Purpose of the Study:
- To investigate the application of the Viable System Model (VSM) in embedding learning and adaptation within the New Zealand health system.
- To identify organizational and technological requirements for a learning health system.
Main Methods:
- A case study of a specialist clinical service was conducted.
- The Viable System Model (VSM) guided semi-structured interviews and workshops with clinicians and managers.
- VSM was used to analyze interview and workshop findings.
Main Results:
- VSM analysis revealed a lack of clarity in organizational functioning.
- Essential systems, processes, and integrated IT infrastructure for a learning health system were found to be underdeveloped.
- Gaps in supporting fundamental requirements for a learning health system were identified.
Conclusions:
- Model-based management, particularly the VSM, can embed learning health system requirements into core operations.
- The VSM can identify necessary technology infrastructure.
- VSM shows potential for improving clinical engagement, financial sustainability, performance, decision-making, and efficiency in health systems.
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