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Value by Design: Developing Clinical Microsystems to Achieve Organizational Excellence, Second Edition by Joel S. Lazar, Marjorie M. Godfrey, Paul B. Batalden, Eugene C. Nelson

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Chapter Ten ACTION GUIDE

Chapter Ten Action Guide provides a helpful tool to guide organizations in transformation activities and planning: the M3 matrix, or the micro, meso, and macrosystem framework.

MICRO-, MESO-, AND MACROSYSTEM MATRIX

The micro-, meso-, and macrosystem (M3) matrix identifies specific actions leaders can take at the three main levels of the health system to foster whole system transformation. Macrosystem actions are taken by the senior leaders, for example, the chief executive officer (CEO), chief nursing officer (CNO), chief informatics officer (CIO), and chief operating officer (COO), who are responsible for enterprise-wide performance. Mesosystem actions are taken by the midlevel leaders who are responsible for large clinical ...

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