Applying Gall's law to Build our Value Based Outdoor HealthCare Platform and Service
Gall’s Law states:
“A complex system that works is invariably found to have evolved from a simple system that worked. A complex system designed from scratch never works and cannot be made to work.”
—John Gall, Systemantics (1975)
The law emphasizes evolution from simplicity: successful complex systems grow from smaller, functioning systems, rather than being designed fully formed.
Connecting Gall’s Law to Value-Based Outdoor HealthCare (VBOHC)
Value-Based Outdoor HealthCare focuses on:
Health outcomes rather than volume of services.
Preventive and therapeutic interventions in outdoor/natural settings.
Integrating physical, mental, and social health.
Here’s the connection:
Start Small, Testable Programs
Gall’s Law suggests that VBOHC programs should begin with simple, manageable interventions, like guided nature walks or outdoor mindfulness sessions, and evaluate outcomes.
Once effectiveness is proven, these programs can scale to more complex integrations with hospitals, primary care, or community health programs.
Avoid Over-Engineering the System
A fully complex VBOHC model—including multiple therapies, digital tracking, insurance integration, and multi-site implementation—may fail if launched all at once.
Gall’s Law supports iterative growth, building complexity only after early successes.
Evidence-Based Evolution
VBOHC relies on measurable health outcomes to demonstrate value. Starting with simple, evidence-generating interventions allows the system to evolve based on what works, rather than assumptions about what should work.
Sustainability and Adaptation
Simple programs are easier to adapt to diverse communities, climates, and patient populations.
Once core principles are validated, more complex integrations—like digital health monitoring, insurance reimbursements, or multidisciplinary nature-based therapies—can be layered on.
In short:
Gall’s Law implies that successful Value-Based Outdoor HealthCare programs should evolve from simple, proven interventions, rather than attempting to design a fully complex system from scratch. Start small, test, measure outcomes, and then scale—ensuring both effectiveness and sustainability.