Simple Health Care Supply and Demand Interactions

John Kingdon's Theory of Streams in the politics of the policy process. From the book Kingdon, John (1999) Agendas Alternatives and Public Policies. Longman New York. Click on View Story at the bottom left.

From Fig.1 Communication for Social Change: An Integrated Model for Measuring the Process and Its Outcomes/Maria Elena Figueroa et al (2002) paper 

Minimal model of glucose kinetics by Bergman, used to calculate insulin sensitivity from an Intravenous Glucose Tolerance Test (IVGTT). Plasma insulin I(t) enters a remote compartment X(t) where it is active in accelerating glucose G(t) disappearance into the periphery and liver, and inhibiting hepatic glucose production. Adapted from Minimal Models for Glucose and Insulin Kinetics: A Matlab implementation by Natal van Riel, Eindhoven University of Technology 2004 by Mark Heffernan.

This is a first attempt at identifying the actors that may need to be involved in the development of the model - at one stage or other.

A combination of qualitative and quantitative methods for implementing a systems approach, including virtual intervention experiments using computer simulation models. See also Complex Decision Technologies IM

Simplest ED Model for Daily ED Performance with 1 ED area rather than 2 in IM-10571. Currently runs over a weekend and calibrated roughly to Weekend Data.Ward net discharges are extended in IM-12414. This insight IM-11936 is the Master Version with the story added. The previous running model, now without a story, is at IM-11079

An example to illustrate how a large proportion of a healthcare system could be modelled

Here we have a basic SEIR model and we will investigate what changes would be appropriate for modelling the 2019 Coronavirus.

The initial parametrization is based on the suggested current data. The initial population is set for Catalonia.

Decision making accuracy depends on ecological validity of indicator uses and subjective use of cues (fallible tangible indicators) Extended to clinical risk and action in IM-62657 See medical decision making 2016 article abstract

Here we have a basic SEIR model and we will investigate what changes would be appropriate for modelling the 2019 Coronavirus 

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). New Model has been developed, this is a very draft model.

A causal loop diagram of thermostat action including conversions between heat and temperature and outside temperature. The simulation model is at Insightmaker 393

Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From

Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department.  Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682 

See IM-7981 for Simulation Model

Rich picture version of Causal loop diagram based on Jack  Homer's paper Worker burnout: a dynamic model with implications  for prevention and control System Dynamics Review 1985 1(1)42-62 See IM-333 for the Simulation model and IM-2178 for a related Causal Loop Diagram of Project Turnover

 

How many hospital beds will we need over the next 20 years? WIP based on HDWA work esp Compile14. A top down approach from the state level.

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

WIP Simplified Patient Flow map of features in a SD simulation model of performance of a City Hospital over 5 years. Built after a Regional 20 year planning model IM-10290 The simulation is a large ithink model built by Mark Heffernan

A simple medical workforce model of doctor flows, population and service growth.

This map is a WIP derived from the MIT D-memo 4641 presentation by Nelson Repenning 1996 and the paper "Nobody Ever Gets Credit for Fixing Problems that Never Happened: Creating and Sustaining Process Improvement" by Nelson P. Repenning and John D Sterman. http://bit.ly/jCXGKL See Insight 9781 for a simulation of this model. This map adds additional features mentioned in the article to the bare bones simulation in IM-9781

WIP map of ebola in west Africa based on African Affairs Article and SEIR framework

Simple rich picture causal loop diagram of single and double loop learning including experiential learning concepts. Launchpad for Learning

Jack Homer's model via ithink and Mark Heffernan.  From Jack's  paper Worker burnout: a dynamic model with implications  for prevention and control System Dynamics Review 1985 1(1)42-62. See IM-641 for the Causal loop diagram

A simple generic rich picture view of interactions among concerned people with needs services and resources and abilities (including learning), which can be used as a pattern for many individual health care insights.