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Russell S. Gonnering
Arizona State University
SurgeryPathologyEye diseaseEyelidMedicine
75Publications
20H-index
1,582Citations
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#1Russell S. Gonnering (ASU: Arizona State University)H-Index: 20
#2William Riley (ASU: Arizona State University)H-Index: 19
Intuitively, we have an understanding that Health Outcomes are related to Health Factors. In general, better Health Factors lead to better Health Outcomes. However, that relationship is complex and follow nonlinear dynamics. In many instances, some geographic areas have much better (or worse!) Health Outcomes than would be predicted by their Health Factors. In this study, we investigate that complex relationship in the counties in Washington, Oregon, Idaho, Wyoming, and Montana. We have found a ...
12 CitationsSource
#1Russell S. Gonnering (ASU: Arizona State University)H-Index: 20
#2Mirsad Hadzikadic (UNCC: University of North Carolina at Charlotte)H-Index: 8
Last. Joseph M. Whitmeyer (UNCC: University of North Carolina at Charlotte)H-Index: 13
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The relationship between Health Factors and Health Outcomes is a topic of great practical importance in the understanding of the genesis of and solution to the problem of health disparities. We have investigated the data compiled by the Population Health Institute of the University of Wisconsin and contained within the Robert Wood Johnson Foundation's "County Health Rankings and Roadmaps" with special reference to Arizona. We found that the relationships are complex, non-linear and in many insta...
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#1Russell S. Gonnering (ASU: Arizona State University)H-Index: 20
#2David C. Logan (SC: University of Southern California)H-Index: 1
Understanding the components of organizational performance in general and organizational performance in the healthcare arena in particular has been a critical yet elusive task. We believe that important insights can be gained from prior work on a seemingly universal role of scaling in which an underlying attribute is transformed according to a power law process. In biologic organisms, that attribute is body mass. In cities it is population. We have constructed an agent-based model that uses orga...
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#1Russell S. Gonnering (ASU: Arizona State University)H-Index: 20
#2William RileyH-Index: 19
1 Citations
#1Russell S. Gonnering (MCW: Medical College of Wisconsin)H-Index: 20
#2David C. Logan (SC: University of Southern California)H-Index: 1
In a Complex Adaptive System (CAS) such as healthcare, co-evolution of the agents and the system produces emergent order. Investigations into drivers of organizational performance reveal the importance of coherent group effort (Organizational Culture) as well as strategy. Non-linear improvements in performance result as Organizational Culture advances. These advances are heavily dependent upon starting point and exhibit path dependency. We developed a NetLogoTMagent-based model showing the evolu...
1 CitationsSource
#1Russell S. Gonnering (MCW: Medical College of Wisconsin)H-Index: 20
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#1Russell S. Gonnering (MCW: Medical College of Wisconsin)H-Index: 20
External levator ptosis surgery has a degree of inherent unpredictability. The outcome is a dance with three partners: the patient, the surgeon, and the steps in the process of the procedure itself. It is best thought of as a complex procedure, and not one that is merely complicated. While surgical experience helps in improving outcome, variables outside of the control of the surgeon will always be present. The key is to recognize those variables and influence them as much as possible. Complete ...
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#2Gregory S.H. OgawaH-Index: 2
Last. Mark B. HortonH-Index: 9
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2 CitationsSource
In the drive to improve quality of care, a great deal of attention has been directed towards process improvement and identification and diffusion of best practices. An understanding of the history of best practice adoption in the manufacturing industry reveals its dependence upon the transfer of primarily explicit knowledge. When the task is highly context-dependent and involves tacit knowledge, the success drops. In healthcare, especially when dealing with complex problems and chronic disease, ...
4 CitationsSource
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