Insight diagram

A work in progress conceptual model based on Using system dynamics principles for conceptual modelling of publicly funded hospitals by HJ Wong et al Journal of the Operational Research Society advance online publication, 27 April 2011 doi:10.1057/jors.2010.164. Linked concepts with annotated definitions.

ED Crowding Hospitals and Beyond Linked Concepts
Insight diagram

WIP Stock Flow representation of Panarchy Adaptive Cycles

Clone of Clone of Adaptive Cycles Stock Flow
Insight diagram

A RIch Picture unfolding representation of ED overcrowding based on Using system dynamics principles for conceptual modelling of publicly funded hospitals by HJWong et al Journal of the Operational Research Society advance online publication, 27 April 2011 doi:10.1057/jors.2010.164. 

Clone of ED Crowding Hospitals and Beyond Rich Pic km clone
Insight diagram
Clone of PPCOO IM Concept map for Concept map for the CCP Workshop 1 National Model for the Dynamic Simulation part of the Compelling Case Project
Integrated Lifestyle Risk Factors Concept Map
Insight diagram

Coping but not coping in health and social care: masking the reality of running organisations beyond safe design capacity. From Eric Wolstenholme Syst. Dyn. Rev. 23, 371–389, (2007) abstract See IM-1008 for a stock flow version. Click the Start Story feature at the bottom left.



Coping but not coping CLD
Insight diagram
WIP Summary of Miller 2015 PCD article for the Compelling Case for Prevention Project Scoping Study.
See also economic view IM 69774 (private)
Simplified at IM-70351 Tool
Prevention Investment Framework
Insight diagram
WIP based on Mascia2017 Analyzing conservation strategies article and other mostly private insights. A more detailed form of structure agency IM-1163
Intervention Types Mechanisms and Effects
Insight diagram
WIP Social determinants of health from Michael Marmot's  ABC 2016 Boyer Lectures on Social Justice and the Health Gap See US Data website for data and AIHW website for concepts. See also IM-83417 Marmot Essay 2017
Social Justice and the Health Gap
Insight diagram

An adaptation of the URBAN1 Model from Navid Ghaffarzadegan, John Lyneis and George P Richardson's How small system dynamics models can help the public policy process. System Dynamics Review 27: 22-44 (2011) Conference version at http://bit.ly/HlxtZj  and LA Alfeld and AK Graham's Introduction to Urban Dynamics 1974 p 195.

An element of Perspectives: The Foundation of Understanding and Insights for Effective Action. Register at http://www.systemswiki.org/

Clone of Urban Dynamics
Insight diagram

Forcings and feedbacks based on Tom Fiddaman, James Hansen and other feedback and cycle diagrams

Climate change dynamics
Insight diagram
From PLOS One Article April 2012 Worni, M et al System Dynamics to Model the Unintended Consequences of Denying Payment for Venous Thromboembolism after Total Knee Arthroplasty
Payment Policy Unintended Consequences
Insight diagram
Simplest ED Model for Weekend  ED Performance with 1 ED area IM-11079  Ward net discharges are extended with Ward and Waitlist inflow and outflow details (informed by IM-7981) WIP
Clone of ED Flows extended to Ward and Waitlist Flows
Insight diagram

Upgrade of Kermack–McKendrick Epidemic SIR Infectious Disease Model (circa 2015) - Metrics by Guy Lakeman

This is a simple SIR infectious diseases 3 stock model with Susceptibles, Infectives and Recovereds stocks. In the initial description the R signified Removed and could include Deaths, Recovered with immunity to infection (Resistant) or those who had fled the epidemic. Note the need to initiate the epidemic by adding a pulse of a single infected person at time 0.

Addition of a slider for susceptibles is equivalent to accumulated total cases

SARS, MERS AND COVID are similar virus types only differing in their sub genus

The COVID outbreak has reached 150,000 infected people

This simulation allows an attempt at predicting how long the virus will persist and its longevity dependence on its high speed massive infection numbers that have reached pandemic proportions

SARS reached 8,000 infected total and ran for 9 months before stopping

MERS 2012 is still killing 8 years later with patients dying even after using interferon to try and cure them

updated 16/3/2020 from 5 years ago

Scratchpad of Upgrade of Kermack–McKendrick Epidemic SIR Infectious Disease Model - Metrics by Guy Lakeman
Insight diagram
From Nancy Leveson Vioxx Recall Study in CH8 Engineering a Safer World and Couturier's MIT ESD Thesis
Prescribing and Drug Recall Pressures
Insight diagram

FBE WIP

Hospital Electrical Supply Loss
Insight diagram

Modified from Mark Paich et al. 's book: Pharmaceutical product strategy. Fig 4.7 p 69. It formed the basis of a hypertension intervention discussion Aug-Sept 2010

Hypertension Intervention generalised
Insight diagram
Unfolding WIP of Eric Wolstenholme's explanation of hospital congestion from March 2022 Youtube video and online stella presentation. Use of cascading interlinked archetypes. See Kumu version,  early discharge boundaries IM for an earlier version and Generic Archetypes IM from Gene and Simpler Version IM
Hospital congestion cascading archetypes
Insight diagram

This models the progressive decline of the ability for self-reliance and the growing dependence on outside help. ​Z508 p39-42 System Zoo 3 by Hartmut Bossel. Strong outside help causes a collapse of self-help capacity. Weak outside help produces a stable combination of wellbeing and self-help capacity.

Bossel: Z508 Clone of Dependence
Insight diagram
An example of why it's so critical to understand where the boundaries are when considering a system. (developed from Eric Wolstenholme's Archetype examples by Gene Bellinger)
YouTube Video
Hospital Early Discharge Boundaries
Insight diagram

Australian Health Care Funding Flows, adapted from the National Hospitals and Health Reform Commission Report. Expanded in IM-78418

Health Care Funding Flows
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Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

Generic Patient Flow CLD
Insight diagram

Benefits and context described in Atkinson S et al (2000) Going down to the local: incorporating social organisation and political culture into assessments of decentralised health care Social Science & Medicine 51(4) 619-636 http://dx.doi.org/10.1016/S0277-9536(00)00005-8 in Gilson L, ed. (2012). Health Policy and Systems Research: A Methodology Reader Alliance for Health Policy and Systems Research, World Health Organization p166-183

Decentralised management of health care
Insight diagram

Aim: To gain insight into what map and model representations in applied systems methods in IM-1267 can assist identifying and explaining the improvement strategies (leverage points) described by Donella Meadows Places to Intervene Article. The context is social learning for collective action to improve real world events. Information Sources are adapted from IM-920

Systems Methods for Interventions
Insight diagram
Opiod dependence and overuse
Fixes That Fail (1)