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The Science of Large Systems Change:
Research Think Tank


The Agency for Clinical Innovation (ACI) hosted the Science of Large Systems Change - Research Think Tank on 28 October 2013, bringing together world and national experts to consider the latest evidence on what works in driving change across large systems.

The Think Tank is part of a program of research being led by the ACI to better understand how to ‘scale up’ small, locally effective innovations to achieve transformational change across a large and complex health system.

To date, through this program of research the ACI has:

  • completed a pragmatic scan and synthesis of the grey and published literature of the key principles and mechanisms for enabling large system change in health care
  • commissioned, though the Sax Institute, a rapid review of the drivers of large scale change in complex health systems
  • undertaken a series of semi structured interviews with stakeholders for their reflections from personal experience on methods for maximising change across the system

Program and Presentations

The Research Think Tank was officially opened by the Hon. Jillian Skinner MP, Minister for Health and Minister for Medical Research.

Presentations from leading researchers were followed by discussion and critical debate about how to support transformative change across the NSW health system.

Read the Program


Better understanding the science of large systems change: a program of research for the ACI
A/Prof Sonia WutzkeResearch Manager, the ACI

Examples of large systems transformations
Prof Jeffrey Braithwaite
Director, Australian Institute for Health Innovation, University of NSW

Innovation from within
Prof Rick Iedema
Director, Centre for Health Communication, University of Technology, Sydney

Stasis and adaptation in health organisations
Prof Enrico CoieraDirector, Centre for Health Informatics, Australian Institute of Health Innovation, University of  NSW

Windows on our World: A Systems PerspectiveWindows on our World: A Systems Perspective
Prof Allan BestSchool of Population and Public Health, University of British Columbia

Applying behavioural insights to public policy
Dr Rory Gallagher
Advisor on Behavioural Insights, NSW Department of Premier and Cabinet

Systems thinking and complexity theory in complex project management
Dr Julien PollackSenior Lecturer, School of the Built Environment, University of Technology, Sydney

Design as a method of innovation in complex problem scenarios: emerging practices
Mr Rodger Watson
Deputy Director, Designing Out Crime Research Centre, University of Technology, Sydney