A stock flow structure used to show the unit of analysis, scope of study and context of the ED Four hour rule project, cloned from im-399 monthly flows
Four hour rule project and context
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
Published (Robert Wears) simple model representation described as a capacitated processing model, modified to separate Patient Flow from workflow. See also IM-8382 for more recent model
ED Resilience SD
See reference in diagram notes. WIP for Environment part of primary care regional model. GP centric calibration by JPS at IM-14117 See also IM-3126 for Regional Health Service Use Context
The Ecology of Medical Care
WIP detail of ED Clinical processes with focus on Stabilising and Deciding how to Admit or Discharge safely, the Disposition decision. For more aggregated views see IM-8237 for flows and IM-6913 for Physician Delegate Agent Interactions
ED Clinical Care Processes
Click +View Story on Bottom Left to unfold his wide view of Emergency care patient flows IM-6072 used as context to add confounders and potential indirect effects. See also IM-1010 for hospital fixes that fail, wiki for general Systems Archetypes and wiki for Leverage Points (There is also a health leverage points WIP wiki page)
Confounding Interventions and Indirect Effects of the Four Hour Rule
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Generic Patient Flow CLD
Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382
Clone of Hospital Emergency and Elective Admission Interaction Simulation 3
A Rich Picture Story representation of ED overcrowding based on Using system dynamics principles for conceptual modelling of publicly funded hospitals] by HJ Wong et al Journal of the Operational Research Society 63, 79-88 (January 2012) | doi:10.1057/jors.2010.164 Click the +view story on the bottom left
ED Crowding Hospitals and Beyond Rich Pic
From Peter Lacey's Whole Systems Partnership UK NHS ithink model with uncertainty added
End of Life Model with Uncertainty
Causal Loop Diagram of the Dynamics of Emergency Department Crowding Initial View from the waiting room
Emergency Department Simple Wait View CLD 1
See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of The Ecology of Medical Care
Summary of several AIHW reports on Aged Care Pathways from 2011-2017
Aged Care Pathways
A stock flow structure used to investigate interventions to improve the monthly patterns of patient flows through hospitals. Simplest structure to explain IM-10386 Expanded in IM-13966
Clone of Hospital flows monthly pattern
Dynamics of Emergency Department Crowding Initial Simplest Simulation of the View from the waiting room. Start of a simple introductory series which proceeds to IM-338 A simple CLD is at IM-340
Emergency Department Simplest Wait View 1
WIP for a HEalth Care Learning Thread for SOHT a proof of concept before adding to SysNet
Patient Flow Learning Threads
Flows between acute hospital and aged care for older people. See IM-1012 for a simpler version
Aged Care and Hospital Flows
From Adapting ‘Agility’ to Healthcare Service Delivery, by Tom Rust, Khalid Saeed, Isa Bar-On, Oleg Pavlov Paper from July 2013 System dynamics Conference Cambridge MA and also 2012 Conference paper Could be extended by adding dynamics described in going solid insight
Clone of Care Service Capacity Adjustment
Extension of IM-14144 with ward outliers as a prelude to a modular ward dynamics framework. Should include ideas in IM-1008 For backlog and services see IM-8382
Generic Hospital Ward Dynamics
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
Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from IM-305
Patient Care Process Swimming Pool Metaphor
Clone of Clone 4of IM 27348, of JPS IM-27150 of original JPS IM-14117 See reference in diagram notes. WIP for Environment part of primary care regional model
Clone of Clone of Clone 5 The Ecology of Medical Care
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 also
IM-1010 for unfolding CLD version. This is a cascade of swamping structures see gene's
insight with video link
Coping but not coping stock flow 2007
This is a high level system dynamics model which is built to determine the dynamic relationships of the FSA and Followups capacity. Therefore, it can help clinicians to find out the optimistic method in order to reduce the waiting list. At past clinicians were seeing more FSA patients, however, after few months, the followups patients overwhelmed the clinics. Therefore waiting list has been built up again. By running this model, clinicians can find out the balanced leverage point(s).
Authors: Ashish Taneja, Keming Wang and Daniel Wong
Clone of Outpatient Clinics Patient Flow
