
Overview
Background
I am an experienced systems thinking practitioner/senior researcher with The University of Queensland’s Centre for the Business and Economics of Health, and a Non-Executive Director of the Sunshine Coast Hospital and Health Service with 15 year’s state and national Board experience. I hold a PHD, an MBA, Econometrics Hons and Bach. Econ from UQ and am an Oxford Said Business School and London Business School alum. With both an industry and research background, I am dedicated to helping organisations use system thinking tools to diagnose, understand and analyse and develop solutions for the critical challenges before them. In the rapidly changing healthcare environment, systems tools and methods have been used with great success to transform organisations through fostering an integrative approach to patient-centred care, improving efficiency, and promoting co-ordinating operations, amongst other positive results. Systems thinking’s holistic approach to understanding the interconnectedness of system elements and the underlying dynamics of systems can help explain why health systems behave the way they do and offer valuable insights into leverage points for sustainable change. In my senior research role, the systems thinking interventions I have led have required wide collaboration across the health industry’s peak bodies including Queensland Health leadership, CEO’s and Executives, HHS researchers and clinicians, QAS, OCNMO, Community Controlled Indigenous Health Organisations, Consumer groups and other health agencies. Many of the reports I have written for industry and government that have directly influenced policy e.g. the use of systems thinking workshops to inform QLDs nursing and midwifery ratios.
I am proficient with system thinking methods, both qualitative and quantitative, and specialise in working collaboratively with organisations to deploy these methods to explore the broader context of their complex problems and develop holistic solutions. Systems often involve feedback loops where actions produce consequences that affect future actions. A systems thinking approach to problem solving focusses on understanding how those changes may propagate through the system, and where those effects actually impact.
I enjoy working with industry partners to impart systems thinking skills. This usually involves facilitating participatory workshops which use scripted activities to enable stakeholders at the coalface to translate their expert knowledge into meaningful systems maps used to communicate to others, enhance understanding of system behaviour and inform leverage points for improvement. Complex systems tend to have multiple processes which cross multiple boundaries. This can encourage a silo mentality promoting” firefighting” fixes over systemic solutions. These are often costly and can mask unintended consequences. Systems thinking methods encourage thinking across boundaries wherein the system maps and system solutions are codesigned from a shared understanding.
Health is systemic and integrative, multidimensional, and multilevel. I can help your organisation to explore problems from a systems perspective to (a) identify leverage points for intervention, (b) discover a richer understanding of the implications of interventions and policy, (c) foster more robust interventions and (d) strengthen stakeholder buy-in and policy ownership through encouraging a shared vision and collaborative style.
Underpinning my research skillset is my 15 years’ experience of Boards and 25 years of senior leadership experience in Industry. I am a member of the UQBS Future of Health Hub. In my past corporate finance/Treasury roles, both public and private, I have had extensive experience in project leadership (as treasury systems design/implementation and as CIA on grants), governance (Chair/member of Governance Committees), regulation and strategic oversight (Treasurer, JBS Australia), cash and foreign exchange risk management, policy frameworks and financial and enterprise risk management. I have 15 years’ experience on Boards, six and a half as Board Chair. In 2019, I completed the London Business School’s Leading Change Course which gave me unique insights into ways, aimed at helping healthcare leaders face the unprecedented challenges before them with agility and vision. I have lived experience in compliance and ethics, risk and assurance, strategy formation, financial oversight, and culture resets. All this experience has benefitted my industry facing roles, enabling me to better support industry partners to evaluate and discern, collaborative effectively, make evidence-based decisions with confidence, understand the consequences of feedback in systems, consider broader impacts on healthcare systems and communities and foster a culture of innovation.
I hold a first-class honours degree in Econometrics, a full two year MBA and completed a PhD in 2015 investigating the impact of the carbon tax on Australia’s Red Meat Industry using system dynamics. My interest in the topic was born of working for 25 years in the red meat processing sector. I entered the industry in 1984, accepting the newly formed role of Group Treasurer, Australia Meat Holdings, to steer Australia's major processing companies through an industry wide rationalisation. In later years, I undertook the role of Risk Manager and Co-Treasurer for JBS Australia's operations, a $3billion enterprise nationally. Responsibilities included currency and cashflow management and loan negotiation. Prior to 1984, I was second in charge of the Queensland Government Treasury Department with responsibility for management of Queensland Government debt and foreign currency exposures under the leadership of Sir Leo Hielscher.
Availability
- Dr Sue McAvoy is:
- Not available for supervision
Fields of research
Qualifications
- Doctor of Philosophy, The University of Queensland
Research interests
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Systems Thinking and System Dynamics
System Dynamics is a holistic modelling paradigm based on systems thinking principles which recognises and accommodates the complexity organisations are trying to deal with. Rather than taking a siloed approach to solving a problem, the value proposition of system dynamics is that it can incorporate the interconnected-ness of resources (tangible and intangible) complete with feedback, time delays and non-linearities. The insights yielded are proven to strengthen our mental models and lead to less shifting the burden to other parts of the system and less unintended consequences. THE OECD, the United Nations and the WHO have all recognised systems thinking and system dynamics as essential tools for policy making in the 21st century and beyond. I am applying system dynamics to the problem of health care service delivery. Systems thinking, along with system dynamics simulation models, provides methods and tools for evidence-based problem enquiry and analysis along with continuous simulation techniques for qualifiable analysis of decisions and leverage points. It offers us a multidisciplinary method and toolset that we need more than ever to tackle the complex challenges in front of us, providing us with a way to see and think differently.
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Health Care Service Delivery
The delivery of health care services is no longer just complicated. It is complex and this complexity calls for a new approach if the provision of services is to keep step with a growing population and an increase in chronic health conditions. Systems thinking and System Dynamics offer a lens to insights and leverage points which can help organisations make less wrong policy decisions.
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Disruptive Innovation in the Red Meat Industry
What we define as red meat is undergoing change as innovators are using stem cells to grow clean meat and develop blended products. Plant based meat products are also threatening traditional markets. This could change the red meat industry in Australia. System thinking offer tools and methods to better understand the complex red meat supply chain and the future impacts of such disruptions.
Research impacts
Based on communication of my current research, The Mater Hospital Data and Analytics team have prioritised predictive analytics as a strategic priority. Embedment of my predictive modelling tool could provide invaluable insights which improve patient outcomes by improving access to and reducing time spent in the Emergency Department. Research has shown that some 30% of patients within an Emergency Deaprtment environment feel unsafe, so tools to improve decisions which impact flow are beneficial. Critical decisions are frequently based on mental models, which by the nature of the complexity involved, ignore important feedback loops so a systems approach can close this gap.
Attracting the MLA research grant positions UQBS to be a leader in the knowledge economy of cellular meat. Meat grown from stems cells and plant based meat alternatives are gaining momentum as research into their technologies is attracting funding from philanthropy (Bill Gates) as well as industry. As population growth and the demand for protein sources tests the supply capabilities of the traditional protein supplies, UQBS will be well positioned to bring a research perspective to the development of this technology in Australia helping inform the policy and regulation that will be required.
My Board leadership roles enable me to actively encourage and promote the embedment of research into organisational strategy in a learning environment. Tomorrow's leaders are in high schools today so bringing a research mindset to decision-making in school environment embeds a direct social impact of research beyond academia.
Works
Search Professor Sue McAvoy’s works on UQ eSpace
2025
Journal Article
Timely access to specialist outpatient care: can applying systems thinking unblock our waiting lists?
McAvoy, Sue, Toth-Peter, Agnes, Jagdish, Ninad, Nguyen, Bao Hoang, Arnott, Allison and Nissen, Lisa (2025). Timely access to specialist outpatient care: can applying systems thinking unblock our waiting lists?. BMC Health Services Research, 25 (1) 121, 1-11. doi: 10.1186/s12913-024-11981-2
2024
Journal Article
‘We know what our communities need’: What the Indigenous health sector reveals about pandemic preparedness in urban Indigenous communities in Australia
Fredericks, Bronwyn, Bradfield, Abraham, Ward, James, Spierings, Shea, McAvoy, Sue, Combo, Troy and Toth-Peter, Agnes (2024). ‘We know what our communities need’: What the Indigenous health sector reveals about pandemic preparedness in urban Indigenous communities in Australia. First Nations Health and Wellbeing - The Lowitja Journal, 2 100019, 100019. doi: 10.1016/j.fnhli.2024.100019
2024
Journal Article
A systems thinking approach to reimagining innovation models: the example of clean hydrogen
McAvoy, Sue, Meath, Cristyn, Toth-Peter, Agnes, Jagdish, Ninad and Karlovsek, Jurij (2024). A systems thinking approach to reimagining innovation models: the example of clean hydrogen. Systems Research and Behavioral Science. doi: 10.1002/sres.3016
2024
Journal Article
Does Medicare Support Multidisciplinary Teams Working to the Top of Their Ticket?
Spinks, Jean, Nancarrow, Susan, McAvoy, Sue and Nissen, Lisa (2024). Does Medicare Support Multidisciplinary Teams Working to the Top of Their Ticket?. Australian Economic Review, 57 (2), 179-186. doi: 10.1111/1467-8462.12557
2023
Journal Article
Responding to COVID‐19: How group model building can assist the health and well‐being of urban Indigenous communities in Australia
Fredericks, Bronwyn, Bradfield, Abraham, McAvoy, Sue, Ward, James, Spierings, Shea, Combo, Troy and Toth‐Peter, Agnes (2023). Responding to COVID‐19: How group model building can assist the health and well‐being of urban Indigenous communities in Australia. Australian Journal of Social Issues, 59 (2), 462-486. doi: 10.1002/ajs4.303
2023
Journal Article
Mapping pandemic responses in urban Indigenous Australia: Reflections on systems thinking and pandemic preparedness
Fredericks, Bronwyn, Bradfield, Abraham, Ward, James, McAvoy, Sue, Spierings, Shea, Toth-Peter, Agnes and Combo, Troy (2023). Mapping pandemic responses in urban Indigenous Australia: Reflections on systems thinking and pandemic preparedness. Australian and New Zealand Journal of Public Health, 47 (5) 100084, 1-9. doi: 10.1016/j.anzjph.2023.100084
2022
Other Outputs
Tackling conspiracies and misinformation within Aboriginal and Torres Strait Islander communities
Fredericks, Bronwyn , Bradfield, Abraham , Ward, James , McAvoy, Sue , Spierings, Shea , Combo, Troy and Toth-Peter Agnes (2022, 03 30). Tackling conspiracies and misinformation within Aboriginal and Torres Strait Islander communities Croakey
2022
Journal Article
Burden of the Beast : countering conspiracies and misinformation within Indigenous Communities in Australia
Fredericks, Bronwyn, Bradfield, Abraham, McAvoy, Sue, Ward, James, Spierings, Shea, Combo, Troy and Toth-Peter, Agnes (2022). Burden of the Beast : countering conspiracies and misinformation within Indigenous Communities in Australia. M/C Journal, 25 (1). doi: 10.5204/mcj.2862
2021
Other Outputs
Understanding health responses to COVID-19 in urban Indigenous communities in Brisbane
Fredericks, Bronwyn, Ward, James, Bradfield, Abraham, McAvoy, Sue, Spierings, Shea, Combo, Troy and Toth-Peter, Agnes (2021, 12 22). Understanding health responses to COVID-19 in urban Indigenous communities in Brisbane Croakey
2021
Journal Article
Combining life cycle assessment and system dynamics to improve impact assessment: a systematic review
McAvoy, S., Grant, T., Smith, C. and Bontinck, P. (2021). Combining life cycle assessment and system dynamics to improve impact assessment: a systematic review. Journal of Cleaner Production, 315 128060, 128060. doi: 10.1016/j.jclepro.2021.128060
2020
Journal Article
Can a system dynamics model of the emergency department show which levers reduce bottlenecks and delays to improve access to care?
McAvoy, Sue, Staib, Andrew and Treston, Gregory (2020). Can a system dynamics model of the emergency department show which levers reduce bottlenecks and delays to improve access to care?. Systems Research ad Behavioural Science, 38 (1), 61-79. doi: 10.1002/sres.2663
2019
Journal Article
Models of evaluation under ceteris imparibus: System dynamics and the example of emergency care
McAvoy, Susan, Staib, Andrew and Birch, Stephen (2019). Models of evaluation under ceteris imparibus: System dynamics and the example of emergency care. Systems Research and Behavioral Science, 37 (2), 211-222. doi: 10.1002/sres.2615
2019
Conference Publication
The new frontier for improving access to emergency care
McAvoy, S., Staib, A. and Birch, S. (2019). The new frontier for improving access to emergency care. Australasian College for Emergency Medicine Conference, Perth, WA Australia, 18-22 November 2018. Richmond, VIC Australia: Wiley-Blackwell.
2015
Other Outputs
The impact of Australia’s carbon tax on a non-qualifying emissions intensive trade exposed manufacturing industry: demonstrating the utility of systems dynamics and life cycle assessment for policy analysis
McAvoy, Susan (2015). The impact of Australia’s carbon tax on a non-qualifying emissions intensive trade exposed manufacturing industry: demonstrating the utility of systems dynamics and life cycle assessment for policy analysis. PhD Thesis, School of Business, The University of Queensland. doi: 10.14264/uql.2015.606
1983
Other Outputs
An econometric investigation of regional economic co-operation : a case study of Australia and Fiji
McAvoy, Susan Elizabeth (1983). An econometric investigation of regional economic co-operation : a case study of Australia and Fiji. Honours Thesis, School of Economics, The University of Queensland. doi: 10.14264/222069
Funding
Past funding
Media
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