Step-by-Step Instructions

Instructions and worksheets [PDF-140KB]

Objective

Score as high as possible on all four goals simultaneously AND learn the reasons why you got those results. For each game (5 rounds of 5 years = 25 years), you must

Save lives (reduce mortality rate)
Improve health (reduce unhealthy days)
Achieve equity (reduce health inequity index)
Lower health care costs

Average annual net benefit per capita is a summary measure combining the first three goals, but it does not weigh progress on achieving equity.

Step 1. Test Single Interventions

Deliberate and decide which intervention to study
Consult the causal pathways for ideas
Anticipate the likely consequences for each scorecard variable
Do you expect no change, slight change, or big change; and in which directions?
Test the intervention for a full 25 years
Review the Progress Report and trace patterns using the Big Picture to learn what happened—and why.
Fill out the worksheet

Step 2. Explore Combinations or Sequences

Deliberate and decide how to mix interventions for better results
Are there synergies or complementary effects that might compensate for shortcomings?
Anticipate the likely consequences for each scorecard variable
Do you expect no change, slight change, or big change; and in which directions?
Test the intervention strategy for a full 25 years, or sequence the efforts in 5-year phases
Give your scenario a unique descriptive name
Review the Progress Report and trace patterns using the Big Picture to learn what happened—and why.
Fill out the worksheet

Step 3. Plan to Act

How can your simulated strategy be enacted in the real world?
What has to change?
Who is in the best position to lead the effort(s)?
Do you see a plausible way forward?
What can you do to help steer a course toward a healthier, more equitable, and more prosperous future?
Consult the Act Now page for ideas