Business case for investment in national eHealth Infrastructure Programs
Clone of National eHealth Program Benefits
WIP Ideas from Science
Special Issue May 2014
For explicit links between wealth and output see: webpage.
@LinkedIn, Twitter, YouTube
The Science of Inequality
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
Simple Bass diffusion modified from Sterman Business Dynamics Ch9. Compare with the SI infectious disease model Insight 584.
Clone of Diffusion of Innovation Bass Model with Churn
Forcings and feedbacks based on Tom Fiddaman, James Hansen and other feedback and cycle diagrams
Climate change dynamics
Rich picture version of causal loop diagram for medication errors, showing the importance of reporting, analyzing and fixing knowledge and process errors. Medication errors will tend to grow due to the use of more medications in more complex patients. This is exacerbated by the loss of staff knowledge by turnover and goal erosion in places with harmful errors.
Clone of Medication error CLD
An adaptation of the URBAN1 Model from Navid Ghaffarzadegan, John Lyneis and George P Richardson's How small system dynamics models can help the public policy process. System Dynamics Review 27: 22-44 (2011) Conference version at http://bit.ly/HlxtZj and LA Alfeld and AK Graham's Introduction to Urban Dynamics 1974 p 195.
Clone of Urban Dynamics
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
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
Clone of Depression Dynamics
Kermack–McKendrick Epidemic SIR Infectious Disease Model - Metrics by Guy Lakeman
This is a simple SIR infectious diseases 3 stock model with Susceptibles, Infectives and Recovereds stocks. In the initial description the R signified Removed and could include Deaths, Recovered with immunity to infection (Resistant) or those who had fled the epidemic. Note the need to initiate the epidemic by adding a pulse of a single infected person at time 0.
Clone of Clone of Kermack–McKendrick Epidemic SIR Infectious Disease Model - Metrics by Guy Lakeman
UBI diagram from Insight 1 linked to salutogenesis, life course trajectory and more detail on Child Development WIP
Employment and Welfare Interventions Effect on the first 1000 days 2
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.
Clone of Health & Health Care
Based on Norbari APHA presentation 2016 An agent-based model to examine the impact of unaffordable housing on obesity risk in early childhood, via Kurt Kreuger
Housing and Food in Childhood Obesity
Stock Flow Map of MIT SDM
Seminar Presentation on Improving an Eye Clinic in India. Compare with Service
work pressure insight CLS
Extended to include time pressures within the clinical encounter insight
Clinic Services Time Pressures
A simple error chain of medication errors for patients in hospital. Serious medication errors in inpatients with drug orders sometimes result in Adverse Drug Events (ADE) and Deaths. See next IM-646
Medication error inpatients 1
Addition of glucagon hormone action to control glucose homeostasis extended from IM-586
Clone of Clone of Glucose regulation CLD 2
From Am J Public Health April 2015 Article Relates to Service Identification in the Health Service Network Improvement Matrix IM
Health Care Delivery Framework
Services planning for people with intellectual disability concept map. Stock and FLow model is Insight 668 and RIch Picture is Insight 746
Intellectual Disability Services Concept Map
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
From Werner Ulrich's JORS Articles Operational research and critical systems thinking – an integrated perspective. Part 1: OR as applied systems thinking. Journal of the Operational Research Society advance online publication (14 December 2011). and Part 2 :OR as argumentative practice.
See also insight on Boundary Critique
Critical Systems Thinking
A simple generic rich picture view of interactions among people with needs services and resources, which can be used as a pattern for many individual health care insights. This has been extended in IM-731
Health Care Interactions
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
Clone of Depression Dynamics
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
Clone of Clone of Depression Dynamics
A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map
ED-Imaging Patient Flow 1
