Insight diagram

A Rich Picture Story representation of ED overcrowding based on Using system dynamics principles for conceptual modelling of publicly funded hospitals] by HJ Wong et al Journal of the Operational Research Society 63, 79-88 (January 2012) | doi:10.1057/jors.2010.164 Click the +view story on the bottom left

ED Crowding Hospitals and Beyond Rich Pic
Insight diagram
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).

Authors: Ashish Taneja, Keming Wang and Daniel Wong
Clone of Outpatient Clinics Patient Flow
Insight diagram
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 of Clone 5 The Ecology of Medical Care
Insight diagram

Simulation model version of IM-398 CLD (which lists the reference).The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. Here Bed Capacity is a fixed parameter. For an adjusted bed capacity stock see IM-8862.For backlog and services see IM-8382

Clone of Hospital Emergency and Elective Admission Interaction Simulation 1
Insight diagram

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

Clone of Hospital flows monthly pattern
Insight diagram
Clone of IM-10714 WIP for LHN Individual Hospital O Month of October 2013, to which insights of IM-11079 and IM-7981 are being added here
Clone of Individual Hospital Monthly Performance 2
Insight diagram

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
Insight diagram
From Peter Lacey's Whole Systems Partnership UK NHS ithink model with uncertainty added
Clone of End of Life Model with Uncertainty
Insight diagram
Unfolding causal loop diagram story of hospital congestion from Eric Wolstenholme's more detailed explanation of hospital congestion IM 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 Bellinger
Hospital congestion cascading archetypes
12 months ago
Insight diagram
WIP for Whole of Hospital Program
Hospital Timeline Study
Insight diagram
Based on combining IM-7670  with IM-7671 (WIP based on June WA Teleconference) plus indirect effects
Clone of Conceptual Model for NEAT 4 hour rule Project with Indirect Effects
Insight diagram

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

Clone of Generic Patient Flow CLD
Insight diagram
Two stock hospital model of planned admissions with bed capacity adjustment Fig 3.8 from 2019 book by Eric Wolstenholme and Doug McKelvie. See also  Online interactive stella architect models website
The Dynamics of Care
12 months ago
Insight diagram

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 also IM-1010 for unfolding CLD version. This is a cascade of swamping structures see gene's insight with video link
Coping but not coping stock flow 2007
Insight diagram
NSW Health 2012 pdf Document from Schematic to Stock and Flow Map
ED Models of Care
Insight diagram

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

Clone of Generic Patient Flow CLD
Insight diagram

Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305

Clone of Generic Patient Flow CLD
Insight diagram

Patient flow through ED at the end of life

ED end of life
Insight diagram
WIP to explore hybrid modelling of a regional health service. Where should services be located in a network of hospitals? What are the performance measures? This is a simple initial model of some Transfer options
Transfers between Hospitals
Insight diagram

Simulation model version of IM-398 CLD (which lists the reference).The dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. Here Bed Capacity is a fixed parameter. For an adjusted bed capacity stock see IM-8862.For backlog and services see IM-8382

Clone of Hospital Emergency and Elective Admission Interaction Simulation 1
Insight diagram

Emergency Room overcrowding dynamics one stock model

Emergency Room Pt Flow Dynamics Simple
Insight diagram

A work in progress model for ED daily average flows based on reported statistics by triage category with all triage categories aggregated See IM-663 for a more annotated version

Clone of ED flows by triage all
Insight diagram
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
Insight diagram

Causal Loop Diagram of the Dynamics of Emergency Department Overcrowding

Emergency Room Patient Flow Complex CLD