Seminar: From Implementation to Navigation

From Implementation to Navigation: Using the NASSS Framework to Understand Complexity in Health System Change

Many efforts to introduce and scale innovations in healthcare are approached using a largely linear logic: problems are defined, solutions are designed, and implementation is expected to follow. However, in practice—particularly in complex areas such as mental health—these efforts often unfold in less predictable ways.

This talk will introduce the NASSS framework (Non-adoption, Abandonment, Scale-up, Spread and Sustainability) as a way of understanding and working with complexity in health system change. Drawing on empirical work from psychiatric services in Sweden, I will illustrate how complexity can become visible through this lens, and how this can support reflection, dialogue, and more adaptive approaches to development. The aim is not to provide a comprehensive walkthrough of the framework, but to open up discussion on how it might be used to better understand and navigate real-world challenges, including in contexts where co-production is central.

Andreas Gremyr, PhD

Andreas Gremyr is a psychologist, researcher, and Head of Unit at Sahlgrenska University Hospital in Sweden, where he leads work on data-driven care and development within adult psychiatry. His research focuses on Learning Health Systems, complexity, and co-production, with an emphasis on how continuous feedback can support learning and improvement in healthcare. He previously held a postdoctoral position at the Anderson Center for Health Systems Excellence at Cincinnati Children’s Hospital, contributing to the development of a Learning Health Network.

Jönköping Academy is part of Co-Lab, a series of seminars on co-creation led by the Dartmouth Institute and aimed at an international audience. This seminar is part of that series. The network organizes seminars every month, and these are open to anyone interested in the topic.

The seminar will be held in English. Click this link >

No registration is required.