THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: November 2, 2006 02:19 AM Thursday; Rod Welch

2-worlds problem invest time to save time lives money unnecessary overkill.

1...Summary/Objective
2...2-Worlds Challenge Making Sense of Complexity Solves Wicked Problems
3...2-worlds Problem Scope Case Study...
4...Limitations PDF Fax Printed Documents...


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 25 0000, ref SDS 24 FW8M.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - 2-Worlds Challenge Making Sense of Complexity Solves Wicked Problems
040902 -
040903 - On 040622 Jack Park called out in a letter for technology to support
040904 - "sensemaking," ref SDS 15 FM5W, in the framework of complexity theory
040905 - to solve problems. ref SDS 15 FM5W  Jack's letter did not list any
040906 - steps for accomplishing "sensemaking," nor offer examples.  This
040907 - presents a "2-worlds" problem advancing from information methods that
040908 - are fast and easy, and knowledge practices that take a lot of hard
040909 - work, cited for example on 000307. ref SDS 7 767G
040911 -  ..
040912 - This record describes an example and issues presented by the 2-worlds
040913 - problem, which SDS strives to address.
040915 -  ..
040916 - Practice and procedures for sensemaking are often associated with root
040917 - cause analysis.  Peter Drucker describes "analysis" as understanding
040918 - sequence of cause and effect, and says this is a core responsibility
040919 - of management, reviewed on 931130. ref SDS 4 4496  Knowledge of cause
040920 - and effect typically tracks chronology under the locality principle
040921 - reviewed on 040312. ref SDS 14 YH4G  The locality principle supports
040922 - management standards to capture an audit trail showing traceability to
040923 - original sources, commonly called alignment, reviewed on 950721.
040924 - ref SDS 5 1740
040926 -  ..
040927 - There are 8-steps using SDS, ref OF 9 685K, to integrate chronology,
040928 - context, and connections for investigating cause and effect, explained
040929 - in POIMS. ref OF 9 8555
040931 -  ..
040932 - Millie's patient history listed on 050812, ref SDS 16 0001, and
040933 - continued on 060722, ref SDS 20 6L4M, illustrates how to "make sense"
040934 - of complexity, as reported on 061020, ref SDS 22 MO4K, and which
040935 - presents a "wicked problem," reported on 060722. ref SDS 19 346F
040937 -  ..
040938 - In another record earlier this morning, Millie received a letter with
040939 - an attached PDF computer file on hypercoagulable state work up that
040940 - may effect genetic status for pulmonary emboli. ref SDS 25 VR6F
040942 -  ..
040943 - The PDF file contains three (3) docuemnts.  Two (2) documents have 2
040944 - pages, making a total of 5 pages. ref SDS 25 Y04J  For unknown reasons
040945 - page 5 is rotated 90 degrees.  Print quality is very poor rendered as
040946 - a PDF file of fax technology transmitting hospital laboratory forms on
040947 - colored paper with handwriting.  The text is barely readable using a
040948 - magnifying glass. ref SDS 25 6592  Several hours were required to
040949 - figure out content in the documents, and then convert that information
040950 - into knowledge with chronology, context, and connection.
040952 -  ..
040953 - Why make this effort?   Why not glance through the material, and
040954 - simply move on, maybe send it to the doctor for "sensemaking"?
040956 -  ..
040957 - Research on 060722 indicates that recurrent PE kills 45% of patients.
040958 - ref SDS 19 BI5J  Research further indicates that PE is difficult to
040959 - diagnose, which presents a "wicked problem," ref SDS 19 346F, that
040960 - requires investing time to "connect the dots" for correlations,
040961 - implications, and nuance that make sense of long, complex patient
040962 - history.
040964 -  ..
040965 - The first step in making sense of complexity is to capture the record,
040966 - called out in POIMS. ref OF 8 2300
040968 -  ..
040969 - Writing the record of family history is therefore the first step to
040970 - "make sense" of related patient history for hypercoagulable state, and
040971 - correlations with diagnosis and treatment.  Positioning the record in
040972 - Knowledge Space yields command and control with precision access based
040973 - on situational awareness.  Precision access to the record helps make
040974 - sense of complexity by "connecting the dots" of cause and effect in
040975 - the framework of chronology and context, as explained in POIMS.
040976 - ref OF 9 8555
040978 -  ..
040979 - This presents a major investment of time, expertise, and emotional
040980 - capital.
040982 -  ..
040983 - On 030517 Gary Johnson commented that 8 steps of Communication Metrics
040984 - for adding "intelligence" to email takes too much time.  His letter on
040985 - 060907 proposes technology to organize email would help bridge the gap
040986 - to solve the 2-worlds problem. ref SDS 21 IA9X  Morris Jones commented
040987 - on 990527 that powerful cultural forces resist intelligence support
040988 - because command and control of the work seems like unnecessary
040989 - overkill. ref SDS 6 1233  Morris also complained that small,
040990 - inconsequential details later explode into major problems, reported on
040991 - 921127. ref SDS 3 0674
040993 -  ..
040994 - Everyday, people make choices to analyse for avoiding major problems,
040995 - or ignore details as unnecessary overkill until somebody gets killed,
040996 - see for example NASA, reviewed on 921021, ref SDS 2 4499, and later
040997 - on 030826. ref SDS 12 8K4G  SDS helps narrow the gap between delphic
040998 - choices by making analysis faster, easeir and more useful with
040999 - precision access, illustrated by the example in the record reviewing a
041000 - medical report. ref SDS 25 0001
041002 -  ..
041003 - People perform hard work when they calculate returns are worth the
041004 - effort.  Calculating returns and effort requires experience.  When
041005 - people have no experience they cannot calculate anything, and act on
041006 - assumption and wishful thinking.  Support for medical management fits
041007 - this model.  People are more willing to invest time for proactive
041008 - management to prevent pain and death than to save time and money on
041009 - the job.  As people gain experience working intelligently for medical
041010 - practice, this will seep into personal work practice.
041012 -  ..
041013 - Background...
041015 -  ..
041016 - 2-worlds Problem Scope Case Study...
041017 -
041018 -        Converting world of information
041019 -        technology, e.g., email, into
041020 -        the world of knowledge requires
041021 -        adding format for consistent
041022 -        structure, adding granular
041023 -        organization for managing
041024 -        context, and adding granular
041025 -        addressability to manage
041026 -        connections.......................... 060907, ref SDS 21 K55F
041028 -         ..
041029 -        Appearance versus substance illustrate
041030 -        2-worlds problem..................... 060412, ref SDS 18 3H5G
041032 -         ..
041033 -        Executives want wordprocessing tools
041034 -        to make ideas look good fast and easy;
041035 -        tools for constructing good ideas
041036 -        fast and easy seem like
041037 -        another world........................ 890809, ref SDS 1 6162
041039 -         ..
041040 -        Chronology context connection new
041041 -        dimensions of literacy that convert
041042 -        information into
041043 -        knowledge............................ 051021, ref SDS 17 VI4R
041045 -         ..
041046 -        Solving addressability problem....... 040312, ref SDS 13 3P6J
041048 -         ..
041049 -        Action Items require command
041050 -        and control of the record to
041051 -        work intelligently with
041052 -        chronology, context, and
041053 -        connection........................... 030702, ref SDS 11 9Y6I
041055 -         ..
041056 -        Complexity requires chronology,
041057 -        context, and connection to routinely
041058 -        make sense of evolving events for
041059 -        taking timely action................. 030702, ref SDS 11 JK44
041061 -         ..
041062 -        Email received documents PDF FAX
041063 -        printed documents take time to
041064 -        format; people prefer to rely on
041065 -        personal memory rather than
041066 -        work intelligently................... 030316, ref SDS 10 VA7O
041068 -         ..
041069 -        Knowledge Management requires text
041070 -        for structure........................ 010131, ref SDS 9 ZY65
041072 -         ..
041073 -        Converting information into useful
041074 -        knowledge takes a lot of hard work
041075 -        using conventional technologies
041076 -        and methods.......................... 000307, ref SDS 7 767G
041077 -
041079 -  ..
041080 - Limitations PDF Fax Printed Documents...
041081 -
041082 -        PDF prevents connections and
041083 -        organization......................... 010126, ref SDS 8 V2RY
041084 -
041085 -        PDF takes a lot of hard work to
041086 -        convert into Knowledge Management
041087 -        content.............................. 010126, ref SDS 8 IS4G
041088 -
041089 -
041090 -
041091 -
041092 -
041093 -
041094 -
041095 -
041096 -
041097 -
0411 -






























fast and easy seem like 041092 - another world........................ 890809, ref SDS 1 6162 041093 - 041094 - 041095 - 041096 - 041097 - 041098 - 041099 - 041100 - 041101 - 0412 -