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The compression of time and space One of the unique dimensions of the late 20th century
is the apparent compression of space and time. Why should health care leaders care about
something as seemingly esoteric as the compression of space and time? Most of the models
of organization, methods to improve performance, and measurement concepts which dominate
the management field today were created with the implicit assumption of space and time
lags. In other words, they were designed for a world which in many instances no longer
exists. When these approaches are tried in contexts where there is this space-time
compression, the results are often frustration, stress and lack of improvement. This
section of the paper will demonstrate the compression of space in time using examples from
manufacturing, banking and health care. |
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Dee Hock, the founding CEO
of VISA, refers to the major impact the compression of time has had in financial markets.
In the past, there was an expectation of a time lag (or 'float') between the initiation
and completion of most financial transactions. For example, if you purchase an item on
credit there is a time lag between when you make the transaction and when the cash is paid
to the supplier. We have elaborate systems designed to take advantage of this float. This
luxury of a time lag (or 'float') disappears with the use of debit cards or equivalent
systems of real-time transfer of funds. |
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Hock argues this same
reduction of time lags happens with information today. We used to have the luxury of a
time lag between the discovery of an idea and the application into practice. This time lag
is almost non-existent in many aspects of society today. In health care, medical research
is reported on (often in 'sound bites' on the news). The public access to medical research
has often created a push to put the ideas into application immediately. |
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The financial service
industry is another case where this compression of time and space can be demonstrated.
Technology has allowed us to bridge huge distances and create connections which permit
simultaneous creation and dissemination of information. We see this reduction of time lags
in banking where the currency float of a few years ago has shrunk to a point of being
virtually non-existent. Money can be transferred instantly between individuals,
organizations and countries. The increased degree of connectedness aided by technology has
eliminated some of the intermediaries in our society. One of the banks' prime roles was to
be the intermediary between those who had money to loan and those who had need to borrow
money. For a price, the banks would match the players. Today, this is becoming less
significant. When the information of who has money and who needs money is more widely
available, many corporations are bypassing the intermediary role of the bank. This is not
unique to financial services. Due to the technology which allows increased connectedness,
in many industries one can go directly to the source of the information, product or
service. |
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In our organizations,
intermediaries are often layers of management or supervision. Part of their job is to
bridge the gap between the providers of service or front-line workers and upper
management. Bridging the gap creates time lags in our organizations. These lags provide
the information float and hence the luxury (and sometimes the frustration) of time
delays. But these intermediary positions are being eliminated in many industries,
including health care, through downsizing. If the positions are eliminated but the role of
intermediation and the expectation of float still exist as old mental models, we will
simply see over-worked employees trying to fulfill the same roles but with less resources
and less success. |
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Intermediaries also imply external 'designers' of
a system. The designers are distanced from the deliverers of the service. This is a
separation of thought and action in both space and time. The planners plan and others
implement - a separation in space. The plans are created first and predetermine the action
steps to take - a separation in time. Complex adaptive systems have the capacity to adapt
and evolve without an external designer. They self-organize without either external or
centralized control. |
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