BEACH Report 41 A decade of Australian general
practice activity 2006–07 to 2015–16 book University of Sydney 2016
Primary Care GP Activity Australia
This is a launchpad for patient flow insights for flows through the emergency department and hospital, including the broader community context. It also includes links to other insights relevant to ED flow improvement.
Patient flows ED and Beyond
WIP for Effects of Senior Staff Weekend Rostering on ED Flows. Two areas Map simplified later to no specific areas Simulation in IM-11079
ED Weekend Flows Senior Roster
Concept map of patient flow through ED
ED Patient Flow Concept Map
Dynamics of Emergency Room Crowding a simple uncalibrated simulation which includes Wards and some simple internal ED feedback effects
Emergency Room and Wards Patient Flow Simulation
Simple exposition of going solid article by Cook and Rasmussen 2005 after reading p156 section 4.1 of Modelling in Healthcare by CSMG See also Resilience Cs IM
Cost Quality Workload Dynamics
WIP based on Choice modelling and Mark Paich's Book and NZ work focus on Pre-ED Presentation choices, with ED and Post-ED care. Extended based on IM-998 4 hour rule context. Can be replicated to add interventions, as in IM-6167. See IM-9178 for Addition of After hours 'as is' and 'to be' flow models for Medicare Locals
ED Presentation Choices Context
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Generic Patient Flow CLD
A Medical Imaging view of Patient Flows through ED Imaging Workup from IM-374 , now modified by the Emergency Department's internal and external review procedures.
ED-Imaging Patient Flow 2
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 5 The Ecology of Medical Care
Clone of IM-10536 WIP for LHN Individual Hospital O Month of October 2013, with joined up flows
Individual Hospital Monthly Performance 2
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 IM-1008 for a stock flow version. Click the Start Story feature at the bottom left.
Coping but not coping CLD
A Medical Imaging View of Patient Flows through ED Imaging Workup. See IM-375 for an extended map
ED-Imaging Patient Flow 1
WIP for Whole of Hospital Program
Hospital Timeline Study
A work in progress conceptual model based on Using system dynamics principles for conceptual modelling of publicly funded hospitals by HJ Wong et al Journal of the Operational Research Society advance online publication, 27 April 2011 doi:10.1057/jors.2010.164. Linked concepts with annotated definitions.
ED Crowding Hospitals and Beyond Linked Concepts
Simplest ED Model for Weekend ED Performance with 1 ED area IM-11079 Ward net discharges are extended with Ward and Waitlist inflow and outflow details (informed by IM-7981) WIP
Clone of ED Flows extended to Ward and Waitlist Flows
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
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
WIP Ideas. Replaced by IM-14124 and IM-14414 Ideas here focus on Additional adjusted stock of Bed Capacity version of IM-7981 .The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital.
Hospital Emergency and Elective Admission Interaction Simulation 2 old
Emergency care patient flows IM-6072 used as context to add confounders and potential unintended effects.
Clone of Confounding Interventions and Unintended Effects of the Four Hour Rule
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
Simulation model of the WIP Conceptual map IM-7671 of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference and IM-8221. See also the conceptual maps of addition of indirect effects at IM-7775 and the potential wider context map in IM-6167
Initial Simulation Model for NEAT 4 hour rule Project
