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.
Hospital Network Capacity Planning
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
Hospital flows monthly pattern
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. The Master Version of this, with the story added is at IM-11936 Resplit into 2 areas at IM-15023
ED Flows without Separate Areas
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)
From fighting lions (fight or flight) to fighting feedbacks in complex systems. A single person cutting the Gordian knot to the dynamic complexity of rubik's cube. Think of multiple players with multiple misperceptions of the faces on the cube and conflicting goals about what the desired solution is. Worse still, without an accepted framework we dont even know if it's a cube or another structure. See also policy resistance IM-697
Fighting complexity
A simplified dynamic model, adapted from Engineering perspectives on healthcare delivery: Can we afford technological innovation in healthcare? Rouse, William B Systems Research and Behavioral Science 2009 Vol 26 (5) p573-582 abstract Developed by Mark Heffernan. Addition of learning curve effects IM-614 to Insight 435
Technology and Healthcare Costs and Outcomes 3
Simple rich picture causal loop diagram of single and double loop learning including experiential learning concepts. Launchpad for Learning
Individual Learning
Gavan Lintern's Decision Ladder of Cognitive states and processes associated with the Ladder of Inference IM-351
Decision Ladder
From Jennifer Prah Ruger (2010) Health Capability Conceptualization and Operationalization Am J Public Health 100 p41-49 available from SSRN Extended slightly in IM-791 so use of this is deprecated.
Health Capability Map
Detail from Incorporating organizational factors into Probabilistic Risk Assessment(PRA) of complex socio-technical systems: A hybrid technique formalization article. See full overview at insight
Performance shaping factors
Michael Marmot's Eur J Epidemiol Essay 2017 See also IM-62760 Social determinants of health from Michael Marmot's ABC 2016 Boyer Lectures on Social Justice and the Health Gap
Social Justice, Epidemiology and Health Inequalities
Based on Psychological Medicine Dec 2015 article Depression as a systemic syndrome: mapping the feedback loops of major depressive disorder by A. K. Wittenborn, H. Rahmandad, J. Rick and N. Hosseinichimeh, mentioned here. See also 2018 N. Hosseinichimeh Plos ONE article for rumination focussed SD simulation
Depression Dynamics
Showing how multiple effect loops for private patients in public hospitals can be represented as a causal loop diagram (CLD)
Causal loop diagram for loops of public private hospital funding
Overview of Beyond Pleasure and Pain: How Motivation Works Book by E Tory Higgins OUP (2011). See also the value experience IM-2804 and Regret IM-15680
Effectiveness and Value
Based on Ransohoff DF, McNaughton Collins M, Fowler FJ. Why is prostate cancer screening so common when the evidence is so uncertain? A system without negative feedback. Am J Med. 2002;113:663-7. See IM-15991 for a generic Stock Flow Map
Prostate Cancer Screening
WIP Based on TAble 1 Jackson 2014 article
Applying COM-B to medication adherence
An initial stock-flow feedback map with unfolding story about Suicide Prevention that resulted in a national and regional simulation. See revised version insight
Suicide Dynamics 1
Major stocks and flows of Erythropoiesis and Erythropoiesis Stimulating Agents (ESA) Dosing in Anemia due to Renal Failure from Jim Rogers. See Simulation Insight
ESA Dosing in Renal Anemia
Addition of two extra articles on specific nicotine dependence (addiction and habituation) with conceptual maps to initial version
Nicotine addiction dynamics
Gross theory of emotion regulation from Saras Chung ISDC 2015
Abstract See also Tibor Bosse's Computational model paper
Emotion Regulation and Stress
From Brown and Heathcote's 2008 Paper on the simplest model of Choice ResponseTime , a Tutorial paper and a Workload capacity paper that estimates drift rate v for individuals with single and multiple targets
Linear Ballistic Accumulator
The dynamics of methadone treatment for intravenous opioid users. The major flows in this study were people cycling between being on methadone and off treatment. This is a minimal model of the insights from the more detailed modelling project described in Chalmers
J, Ritter A, Heffernan M, McDonnell G. Modelling pharmacotherapy maintenance in
Australia. A report prepared for the Australian National Council on Drugs.
Sydney: Drug Policy Modelling Program, University of New South Wales; 2009
Methadone Treatment Dynamics
A work in progress model for ED hourly arrival flows based on reported statistics by triage category with individual triage categories dis-aggregated using vectors. Based on a hospital performance report from http://www.bhi.nsw.gov.au/publications/hospital_quarterly_3
Split of IM-2166
ED flows by triage categories with hourly arrival
WIP Understanding pathways to observed effects complex causation Pathways Moving to Opportunity NYC example from Nate Osgood's big data lecture youtube video Feb 2017 Sydney.
Potential and actual causal mechanisms