What does it teach?
Applied Systems Thinking
Collaboration across boundaries
Smart innovation
Data driven decision making
Designing structure for desired behavior
 
How does it work?

The game simulates the challenge of managing a hospital during a 24-hour period. Players perform distinct functions, but they come to realize they also depend on one another.

One or more teams play the game (1.5 hrs), then debrief the experience (1.5 hrs) to share insights and apply them to their work.

For groups of 4 to 200, with a facilitator (who you or we can provide).

Who is it for?
Any work team or group whose members must work together
      for excellent performance.
Any industry or type of organization.
At a team meeting.
In education programs for business management,
      process improvement, leadership development,
      Systems Thinking, team building.
Our customers
Johns Hopkins Medical Center
Deutsche Telkom AG
Hennepin County Medical Center
Huron Consulting Group
Intel Corporation
Institute for Healthcare Improvement
Presbyterian Health Services
United Way
Children's Medical Center San Diego
US Department of Veterans Affairs
Mayo Clinic and Foundation
SBA Euro
Providence Health Services
US Centers for Medicare and Medicaid Services
State Farm Insurance
Karolinska Institutet
Meriter Hospital
L.L. Bean
Acumen Integrat
UCLA
Lifespan
Hawaii Pacific Health
Quest Diagnostics
Singapore General Hospital
Wessex Training Ltd
Montgomery Copley & Associates
Hampton University
State Farm Insurance
Gillette Children's Hospital
Henrico County
Sparrow Health Care System
Columbus Regional Hospital
University of Texas at Houston
College of DuPage
Alliance Capital Management Corp.
Allegheny University of the Health Sciences
Washtenaw Community College
City of San Marcos
North Shore-LIJ Health System
Parkview Medical Center
Christiana Care Health Services
The Boeing Company
University of Pittsburgh Medical Center
Heartwork, Inc
Vanderbilt University
Training Games
PML Associates
CGF Resolution Group Inc
Take Action
Institute for Healthcare Improvement
Kadlec Medical Center
TMI Training and Consulting
A3 Consulting
El Centro Regional Medical Center
Broward General Medical Center
W Des Moines Community School District
Vanderbilt University School of Nursing
University of Kansas Medical Center
Wausau Hospital
Harborview Medical Center
St Mary's Regional Medical Center
University of Tennessee
Saint Louis University
Children's Health System
National Community Leadership Institute
Promina Southern Regl Health Sys
CALPERS
HealthWorks, Inc
Crouse Hospital
Parsec Consulting
Main Line Health
Childrens Healthcare of Atlanta
Michigan Technological University
Educational Testing Service
Catholic Healthcare West
Medical Center Hospital of Vermont
Quantum Innovations
Scripps Mercy Hospital
IBC Kurser
Lansing Community College
Bethesda Hospital
Wisconsin Public Service Corporation
Saint Barnabas Healthcare System
Kaiser Permanente
University of New South Wales
Eliesha Training
Linac
PeopleAchieve
Tenet Healthcare
Concordia College
Strong Memorial Hospital
Vassar Brothers Med Center
Anna Ewins & Associates
Methodist Hospital of Indiana
Northwest Covenant Healthcare System
James E. George, MD
Amoco Corporation
Pace University
Charleston Area Medical Center
Createch
Walt Disney Studios
Business Consulting Network
SSM Health Care
Watson Wyatt Canada
Inspire One Consultants Pvt Ltd
Blue Cross Blue Shield of Tennessee
Childrens National Medical Center
Minnesota Dept. of Transportation
Exelon Nuclear
International School of Brussels
US Department of Veterans Affairs
Montcalm Community College
Children's Hospital of Philadelphia
Scottish Rite Children's Med. Center.
Johns Hopkins University
KCI
County of Fairfax
East Carolina University
City of Minneapolis
CIGNA HealthCare
St Francis Hospital & Health Center
Kursuscentret
G.E. Medical Systems
Hewlett Packard
Bryn Mawr Hospital
US Veterans Administration
Cerner Corporation
VISN 11
Santa Cruz Medical Clinic
State of Michigan
San Mateo County EMS Agency
Adventist Health System West
Hackley Hospital
Intermediate School District 287
Danvers Savings Bank
McCall Graduate School of Business
Carson Tahoe Regional Medical Center
Humber River Regional Hospital
Children's Memorial Medical Center.
No. New York Rural HC Alliance
Ethicon Endo-Surgery
Atlantic City Medical Center
Johnson and Johnson
National Center for Atmospheric Research
Albert Einstein Healthcare Network
McKinsey & Co.
Pittsburgh Regional Healthcare Initiative
Willis Corroon Ltd.
Deloitte Consulting
Anmed Health
Tenet Healthcare
Physician Sales and Services
Washoe County Library
Northside Hospital
William Osler Health Center
Washington Business Week
Minneapolis EERC (VA)
The Methodist Hospital Education Institute
TMCare / Tucson Medical Center
University at Buffalo
MacVittie and Associates
The Camden Group
Phelps Memorial Hospital
Baptist College of Health Sciences
White Memorial Medical Center
Em Lyon
Alfred I. Dupont Institute
Cincinnati Children's Hospital Medical Center
No. Ontario School of Medicine
Christus Health
HealthNet
Muskegon Community College
WellSpring
Xilinx
Fairplay Consultores
Common Denominator Inc.
Catholic Health Corporation
Improvision
Washoe Medical Center
Doug Mosel Consulting
Adena Regional Medical Center
City of Roermond
Sue Dawson Consulting
San Francisco General Hospital
City of Sunnyvale
Harris Methodist Health Services
Cleveland Clinic Foundation
Riverside Medical Center
ESPN
SSM Health Care
University of Nebraska Medical Center
North Kansas City Hospital
Portland University
Human Technology
Technical Project Services Inc
Performance Consulting, Inc.
Connecticut Center for School Change
Gwinette Health System
Concord Hospital
Henry M. Jackson Foundation
West Virginia University Hospital
US Census Bureau
Physicians Regional Medical Center
Mary Washington Hospital
Willamette University
City of Lynchberg
Providence Hospital
St John Health System
Kansas State University
St Vincents Training Hospital
Naval Surface Warfare Center
Inova Health System
Methodist Health
Dartmouth Hitchcock Medical Center
Riverside Methodist Hospitals
University of South Florida
St James Hospital & Health Centers.
University Health Network
INCAE
The Ottawa Hospital
St Joseph's Medical Center
IDX Systems
University of New Hampshire
The Chinese University of Hong Kong
Moskal Associates, Inc
IMD
Mount Carmel Health
PSI Consulting Inc
University of Alabama Medical Center
Boston University
Juran Institute, Inc
Sutter Health System
Stanford Hospital & Clinics
Boys and Girls Clubs of America
Intrestik
Innergize Training
Dalhousie University
Deloitte & Touche
Dartmouth Institute for Health Policy
BJ's Wholesale Club
SpeCenterum Health
Santa Rosa Hospital
Triple H Consulting
Mercy Hospital Medical Center
Ivy Planning Group
Kraft Construction
University of Memphis
Eastern Illinois University
University of Kentucky
Entergy Nuclear
KursusCenter Vest
TH Doris & Associates Inc
Australian Defence Force Academy
Scott & White Memorial Hospital
Good Samaritan Hospital
State Farm Insurance
Konsulentfirmaet HORISONT
Abbott Northwestern Hospital
Baptist Hospitals & Health Systems
Naval Inventory Control Point
City of Raleigh
Ingalls Memorial Hospital
Arthur Andersen
Mark Gian and Associates
Heartland Area Educ. Agency
U Mass Memorial Medical Center
AEGON
Capital Associated Industries
Danish Institute for Health Services
Peco Energy Company
BMC Groep bv
Dartmouth Medical School
Salem Hospital
St Lucie Medical Center
Deloitte Touche
Lifebridge Health Inc
Antelope Valley Hospital Med Center
National Defense Headquarters
Lutheran General Hospital
Kuwait Petroleum Denmark A/S
Halliburton Energy
University of North Carolina Hospitals
Portland General EleCenteric
K.I.S.S. Ltd
Cliff Hahn Consulting
Baxter Health Care
Emory University
Sprint
VLSI Technology, Inc
Pluijmakers Business Solutions
Carle Foundation Hospital
Central Washington Hospital
Marin General Hospital
Loyola University
Federal Aviation Administration
Prime Partner Japan (PPJ) Co. Ltd.
Chiba Institute of Technology
BJC Health System
Methodist Hospital
Naval Aviation Supply Office
David Eitel
Big!mprovement
Owens-Illinois
Georgetown University School of Nursing
SpeCentera Communications
PDR Yonetim Ve Silisim Egitimleri Danismanlik AS
Mary Hitchcock Memorial Hospital
Samaritan Health System
Community Hospital of Munster Indiana
San Jose State University
TEAM Consultants, Inc
Voluntary Hospitals of America
Pepsi Bottling Group
ADP
North Colorado Medical Center
Bronson Methodist Hospital
Canadian National Railroad
Saint Louis University
Glaxo Wellcome
Northern Health
City of Waco
Union Memorial Hospital
British Columbia Systems Corporation
College of St. Scholastica
PSS University
Health Partners
Methodist Health Care Systems
Catalyst Consulting Group
Eastman Chemical Company
Swedish Medical Center
Geyer Szadkowski Consulting
Alaska Native Medical Center
Tampa General Hospital
Sacred Heart Health System
Southwest Washington Medical Center
Advocate Trinity Hospital
ohns Hopkins Bloomberg School of Public Health
The Chartis Group
MemeNet
Chisholm Institute
Country Insurance and Financial Svcs
Legislative Data Center
DeKalb Medical Center
Northern Michigan Hospital
Amoco Corporation
Christiana Care Health Services
Silicon Graphics Inc. - SGI
VHA Inc
Franciscan Skemp Healthcare
Vejle Handelsskole
Lehigh Valley Hospital
Georgetown University Medical Center
Mithrandir's Ltd
China Productivity Center, Quality Div
Lewis University
Rockcastle Hosp and Resp. Care Center
Queens Medical Center
GE Healthcare
Hillside Children's Center
Cleveland Clinic
VA New Jersey Health Care
Howard University Hospital
CIBC Leadership Centre
Partners in Change
Pennsylvania Hospital
Broadlane
Universita de gli Studi di Bergamo
Rio Salado College
St Rose Dominican Hospital
Premier Integration
EFI, Inc
Yale Newhaven Health
ING Investment Management
Edmonds Community College
Infineon Technologies Asia Pacific
Express Personnel Services
HealthEast Midway Health Services
Santa Rosa Healthcare
Omega Point International
EDC
University of Maryland
Century City Hospital
City of Plano
MedStar Health
College of India
HCA
University of St. Thomas
Kaiser Permanente Medical Center
M.I. Bassett Hospital
Ortho Pharmaceutical Corp.
Penn State University
Office of Performance Excellence
Northeast Utilities
State of Nebraska
St Joseph's Hospital & Medical Center
Henry Ford Hospital
Intel Corporation
St Johns Hospital
UCSF Stanford Health Care
St Michaels College
General Electric
Providence General Medical Center
TestAmerica Laboratories Inc
UPMC Health System
Georgetown University Hospital
East Bay Municipal Utility District
Baylor Health Care System
Russ Linden and Associates
Michigan State University
Baruch College
Sustainable Leadership Lab
Wilmington Hospital
Evans & Peck
United Health Services
Newton Memorial Hospital
Nebraska Medical Center
Breakthrough Learning, Inc
HCT Consulting
City of Farmers Branch
Porter Memorial Hospital
Right Management
Phoenix Children's Hospital
Consolidated School District
Meridia Health System
Cisco
Danbury Hospital
US Postal Service
Greater Baltimore Medical Center
Zumble Com.EServicos LTDA
University of New Mexico Medical Center
Ingham Intermediate School District
Kings Fund College
Arizona Prevention Resource Center
Hershey Medical Center
Peace Arch Hospital
The Hospital & Healthsystem Assn of PA
Legacy Health System
Results Leadership Group
Alomentor
Georgia Baptist Medical Center
West Virginia University School of Nursing
TMI Consultancy Sdn Bhd
HPLS Ltd
Maine Medical Center
Kaiser Permanente
Davis Construction
National Institutes of Health
Peninsula Regional Medical Center
The Kairos Group
Alcan, Inc
Environmental Protection Agency
First Health of the Carolinas
Synergies
Pacific Gas & Electric Company
Company Coaching
Abington Memorial Hospital
Performance Leverage, Inc
Stockamp & Associates
Healthcare Risk Resources Intl.
Clemson University School of Nursing
Tripler Army Medical Center
Baptist Medical Center
Wichita State University-SON
Rex Healthcare
EleCenteronic Data Systems
WakeMed Health & Hospitals
Baptist Medical Center Beaches
Thomas Jefferson University
The Limited, Inc
City of Colorado Springs
State Farm Insurance
Joe Philipp Consulting
Overlake Hospital Medical Center
City University of Hong Kong
JTDMH
Group Health Cooperative
Wells Fargo Bank
Geisinger Health System
AON Consulting Inc
Barsky and Associates
University of Hawaii
Hackensack University Hospital
Pace University Lubin School of Business
The Mississauga Hospital
UCSF Center for the Health Professions
Organizational Systems Design
Belmont University School of Nursing
University of Connecticut
Prince William County
The Innovative Edge
Eastman Kodak Company
Piedmont Hospital
Husson College
DeKalb Medical Center
CorVal Corporation
State Farm Insurance of California
UPMC Shadyside Hospital
Allina Health System
Pacificare
St David's Medical Center
Carilion Clinic
Lazuli Coaching
Spartanburg Regional Health System
Quorum Health Resources, Inc
The Change Agency
The KPI Institute
Wyeth-Ayerst Laboratories
Evans & Peck
US Internal Revenue Service
Breakthrough!
New Visions for Public Schools
Cablevision Systems Corp
VA Maryland Healthcare System
O'Connor Hospital
Leadership Academy, Los Angeles Unified School District
University of Pittsburgh Medical Center
NE Georgia Health System
VTT Technical Research Centre of Finland