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Trying to change outcomes without changing systems produces temporary results at best. When outcomes are system properties (L-1661), durable change requires system redesign — modifying the structures, processes, incentives, and information flows that produce the current outcomes. Exhortation ("try harder"), training ("learn better"), and personnel changes ("get better people") all fail when the system itself is designed to produce the outcome you are trying to eliminate. The system always wins.
Small changes in the right places can produce large systemic effects. Leverage points are the places in a system where intervention produces disproportionate results — where a modest redesign of a single element shifts the behavior of the entire system. Donella Meadows identified a hierarchy of leverage points ranging from parameters (weakest) to paradigms (strongest). Most organizational change efforts focus on low-leverage interventions (adjusting numbers, rearranging structures) when high-leverage interventions (changing information flows, modifying feedback loops, shifting goals) would produce far greater impact.