Introduction xiiiPart One Understanding Epidemics 11 My No Good, Very Bad Night in the Emergency Department 3Friday Night in the Emergency Department 3August 15, 2003, Billings, Montana 3The Problem That Won't Go Away 8Sleep-Deprived Insight 11Notes 132 The Good Epidemic--Really? 15Good People, Bad Disease 15The Epidemic Inevitable 17Negative to Positive 23Epidemics Spread Exponentially 24Epidemics Tap Local Resources 25Epidemics Are Adaptive: They Flourish Against Resistance and Surprise 26Epidemics Organize Themselves 26Epidemics Have "Distributed Intelligence" 27Epidemics Flower in Instability and Disruption 27Epidemics Offer a Vaccine Against Narcissism (Unless They're Traffickers of It) 28Seeking the Good Disease 29Notes 303 Swarming Simplicity 33 How Do They Do It? 33The Challenge of Complexity 36It's Not Just Complicated 37The Power of Simplicity 40The Miracle of Self-Organization 40Popping Up When We Least Expect It 41Is Complexity a New "Thing"? 42What Does Leading Look Like in Complexity? 43Biology's Answer to Leading: PLV 46How Are Epidemics and Leaders Doing in Complexity? 48How Leaders Do in Complexity 49Epidemics Invite a New Framework 50Key Questions for Leaders 51The Math Problem Leaders Face 52Notes 544 Something from Nothing 57In the Shade of the Mango Tree 57March, 2018, Masese Town, Jinja District, Uganda 57Miracle Parts 60How Do They Do It? 60Part 1: The Pathogen 61Part 2: Infection 63Part 3: Contagion 65From Simple Parts to Organizing Principles 67Epidemics Require "Originating Conditions" 69Epidemics Require "Defined Interaction" 70Epidemics Require Multipliers 72Epidemics Move Through Networks, a Particularly Powerful Multiplier 73The Mango Tree, a Year Later 76Part Two Creating Epidemics 775 The Potential Power of Pathogen 79An Idea Core with Attracting Hooks 79The SAND Pneumonic 84A = Attractive Antigens 85N = Novel 87D = Dual Interest 87Naming the HELP Pathogen 89Notes 916 Creating Conditions 93Spaces, Containers, and Fields 94A Man and a Horse 96The Gravity of Conditions 100Thinking Conditions: Growth Mindset and Polarity Thinking 103Spatial Conditions: Creating Space and Container 109Physiological Conditions: Setting the Stage for Relatedness 114Notes 1257 Designing Interaction 127The Power of Cellular Processes 127Principles of Infectious and Contagious Interaction Design 135ACE Interaction 136A = Affirmation/Appreciation 137C = Curiosity 139E = Empathy 140Create Past-Future Reflection-Action Loops 141Short-Simple-Small (S3) 143Go Novel 144From Principles to Patterns 145How Leaders Build Interaction Rules 150Notes 1548 Multipliers 159The Value of Many 159Different Kinds of Social Pathogens 162Resistance Is Everywhere 163Building Multipliers 164Easy Addition 164Broadcasting and Storytelling 167Mix Numbers and Times 169Loop Backs to Loop Forward 177How Leaders Leverage Multipliers 178Notes 1819 Networks: The Ultimate Multiplier 183Network Implications for Epidemics 188Networks Have Structure, Called Topology 189Network Content Counts 191Networks Have Interaction Rules between Nodes via Connections 192Nodes Count, Too! 192Help That Can Hurt : How Networks Influence Contagion 193Leveraging Networks to Facilitate Contagion 196Map, Model, and Move 197Get People Off Narrow Bridges and Onto New Islands 198Make Homophily Happen 199Killer App: The 3D Network 202Notes 20310 Technology and Epidemics 205Technology Risks to Positive Epidemics 208Disinformation 208Diminished Attention 209Degraded Relatedness 209Anti-emergence 210Leveraging Technology to Support Epidemic Action 211Inviting, Broadcasting, and Convening 211Mixing Things Up 212Designing Interaction 213Mapping, Modeling, and Learning 214Notes 21511 Toward Positive Pestilence 217Foundational Shifts from Leaders 222Collective Intelligence 222Linking Homophily and Diversity 224More Biophilia 225Epidemic Leadership as a Platform 225Notes 226Acknowledgments 229About the Author 231Index 233
LARRY MCEVOY is an emergency physician, executive, entrepreneur, and innovator. He is the founder of Epidemic Leadership, where he focuses on the executive work of creating organizations of exponential performance, adaptivity, and vigor. From 2008 to 2012, McEvoy served as the CEO of Memorial Health System in Colorado Springs, CO. He completed his training in emergency medicine at Hennepin County Medical Center and graduated from Stanford Medical School. When he is not working with leaders to create positive epidemics, he can be found, or difficult to find, roaming the wild lands of his Montana homeland.