id author title date pages extension mime words sentences flesch summary cache txt cord-034373-7v7r44do Stevens, Jennifer P. Healthcare’s earthquake: Lessons from complex adaptive systems to develop Covid-19-responsive measures and models 2020-10-23 .txt text/plain 2335 112 51 As described by Sargut and McGrath, one of the biggest challenges health care leaders face in dealing with complex systems is the "vantage point" problem,1 where the individual actors and leaders are unable to truly see the whole,2 especially in rare events like Covid-19. While these systems primarily create a shared mental model for action, resource demands, and communications, they also bring to the fore additional voices and vantage points for managing health care delivery beyond the bounds of the immediate surge, including which metrics to follow and how to evaluate data. Finally, as health care systems face increasing shifts in the pandemic, we propose identifying forecasting tools that provide opportunities to learn about the complex system of our health care environment and Covid-19 itself, rather than depending on unrealistic assumptions. The result is a forecasting model that leverages the principles of complexity to guide hospital leadership, providing weekly updates to a group of health care leaders about how and when a new surge of infections may arrive.12 ./cache/cord-034373-7v7r44do.txt ./txt/cord-034373-7v7r44do.txt