Sydney Public Hospital 2012 (RCW)
Frequent Flyers Study
Prenatal, infant and early child development based on The First Thousand Days: early, integrated and evidence-based approaches to improving child health: coming to a population near you? Darling JC, et al. Arch Dis Child 2020;0:1–5. doi:10.1136/archdischild-2019-316929 article
The first 1000 days of Early Child Development Overview
The effects of subsidies and incentives for private health insurance on the mix of public and private hospital use. The central role of adverse selection/moral hazard on private health insurance sustainability. See also updated version around 2017
Health Insurance and Service Dynamics
Update to the original IM-636 from around 2002 based on 2017 discussion/inquiry into improving private health insurance in Australia
Health Insurance and Service Dynamics Update
Learning THread for hybrid models including Grimm's ODD and Nate Osgood's ABM Modeling Process and Courses
Dynamic Models Learning Content
WIP for LHN Individual Hospital O Month of October 2013 linking monthly NWAUs and same and overnight activities from ED and Elective Surgery (ES)
Individual Hospital Monthly Performance
WIP Stock Flow representation of Panarchy Adaptive Cycles
Clone of Clone of Adaptive Cycles Stock Flow
From Greenhalgh et al article 2017 jimr Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies
NASSS Technology Adoption Framework
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
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
Addition of Incident Reporting and Prevention Interventions to a simple error chain of medication errors for patients in hospital IM-10113
Medication error with incident reporting
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
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
Addition of glucagon hormone action to control glucose homeostasis extended from IM-586
Glucose regulation CLD 2
WIP Patient Flow improvement strategies for a City Hospital with 3 years historical data and two year planning horizon. Built after a Generic Teaching Hospital Model IM-10346 A simplified stock flow map is at IM-399
Hospital Seasonal ED and Ward Flow Improvement
Bond Graph Kinetic Modeling Metabolic Map by J LeFevre http://www.systemdynamics.org/conferences/2004/SDS_2004/PAPERS/379LEFEV.pdf
See also IM-857 and IM-2235 for more detail
Michaelis Menten Enzyme Metabolic Map
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
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
Dynamics of Emergency Room Crowding with treatment spaces. Here we investigate the effect of constrained spaces and ignore any changes in treatment time or staffing effects. Many of the consequences occur before treatment with potential arrivals being turned away and arrivals leaving without being treated.
Emergency Room Patient Flow Model 2 with Treatment Spaces
Addition to Program Evaluation Insight based on Health System Efficiency WHO Europe 2016 publication includes vital signs
Health System Efficiency
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
City Hospital Performance over 5 years
From Margaret Stringfellow's PhD thesis from Nancy Leveson's Engineering a Safer World
Process Control Structure
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