Fragmentation
Elias Thorne manages a distribution warehouse in Tolleson where the primary metric of success is throughput. Throughput refers to the specific rate at which a system generates its finished products or moves inventory from the receiving dock to the final consumer. In his world, a three-minute delay at a loading bay causes a cascading failure that can be measured in thousands of dollars by sunset.
Optimization Goal: 100% Flow
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Fig 1.1: Industrial throughput focuses on the elimination of “logistics gaps” to preserve value.
Elias understands that any gap in the movement of a package represents a failure of the system to respect the value of the item being moved. If a driver arrives and finds that the paperwork is in a different building two miles away, the system has effectively stolen time from the driver and fuel from the truck. This concept of the “logistics gap” is what defines modern commerce, yet it is a concept that the healthcare industry has largely ignored.
The Architecture of Disconnect
When a patient seeks medical care for a complex or chronic condition, they enter a system defined by fragmentation. Fragmentation describes the state of being broken into separate parts that function independently without a
