Clone of IM-6072 which is a WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care. Addition of After hours 'as is' and 'to be' flow models for Medicare Locals
Clone of ED Presentation Choices Context
This is a simpler version of Insight 649 showing the flow of Older People among the Community Hospital and Aged Care Residences
Aged Care and Hospital Flows Simple
This is a launchpad for patient flow insights for flows through the emergency department and hospital, including the broader community context. It also includes links to other insights relevant to ED flow improvement.
Patient flows ED and Beyond
An example of why it's so critical to understand where the boundaries are when considering a system. Go to Gene's version insight
Clone of Hospital Early Discharge Boundaries (Old version)
Dynamics of Emergency Department Crowding Initial View from the waiting room. Follows from IM-369 Sim and IM-340 CLD. Proceed to IM-349
Emergency Department Simple Wait View 1
Clone of IM-11079 ED Model for Daily ED Performance with 2 areas again, as in the previous IM-10571. Focus on shift performance by Specialist.
ED Flows with Acute and FastTrack Areas
WIP for a HEalth Care Learning Thread for SOHT a proof of concept before adding to SysNet
Patient Flow Learning Threads
A general model of flows between hospital and the community. An expanded version is at IM-623
Hospital Flow Context 1
Hourly arrival pattern added to IM-663 A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated. Based on a hospital performance report from http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3
See IM-8221 for Triage splits WIP
ED flows by triage totals with hourly arrival
Simple exposition of going solid article by Cook and Rasmussen 2005 after reading p156 section 4.1 of Modelling in Healthcare by CSMG See also Resilience Cs IM
Cost Quality Workload Dynamics
A Medical Imaging view of Patient Flows through ED Imaging Workup from IM-374 , now modified by the Emergency Department's internal and external review procedures.
ED-Imaging Patient Flow 2
A general model of flows between hospital and the community with workshop elements. See also IM-3200 for focus on frequent presenters with mental health issues
Hospital Flow for Flexicare Project
See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of The Ecology of Medical Care
Clone of IM-10536 WIP for LHN Individual Hospital O Month of October 2013, with joined up flows
Individual Hospital Monthly Performance 2
Dynamics of Emergency Room Crowding a simple uncalibrated simulation which includes Wards and some simple internal ED feedback effects
Emergency Room and Wards Patient Flow Simulation
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
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
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
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
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
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Generic Patient Flow CLD
Concept map of patient flow through ED
ED Patient Flow Concept Map
Flows between acute hospital and aged care for older people. See IM-1012 for a simpler version
Aged Care and Hospital Flows
Emergency care patient flows IM-6072 used as context to add confounders and potential unintended effects.
Clone of Confounding Interventions and Unintended Effects of the Four Hour Rule
