WIP for Continuity of care ISO From Wikipedia Initial Insight Representation from ContSys
Patient statechart split off at
IM-4010
Clinical Process Overview
Linked concept version of Tanner's Clinical Judgment Model used as a scaffolding to start modeling managing the deteriorating patient.
Nurse thinking and the deteriorating patient
WIP for Continuity of care ISO Old Version From Wikipedia Replaced by IM-4008
Clone of Clinical Process eHealth view
Hypertension Generic Patient Flow Causal Loop Diagram version of Insight 305
Generic Patient Flow CLD
Continuity of care includes continuity of information, management (ends and means) and meaningful care relationships. This includes managing inevitable changes. This conceptual information overview is Based on Contsys ehealth and workflow ISO CD 13940 (E) UML Class DIagram See IM-4008 for clinical process model
Continuity of care
Modified from Mark Paich et al. 's book: Pharmaceutical product strategy. Fig 4.7 p 69. It formed the basis of a hypertension intervention discussion Aug-Sept 2010
Hypertension Intervention generalised
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 of Clone 5 The Ecology of Medical Care
Examples of macroanalysis relevant to clinical reasoning --assessing individual patient causal mechanisms contributing to deficits in wellbeing from book fava guidi sturmey and chapter ethics for judging value from barbosa 2012
Wellbeing Problem Formulation Case Examples
From David Rees PhD dissertation "Developing a Theory of Implementation for
Better Chronic Health Management" Health Services Research
Centre, Victoria University of Wellington, New Zealand
Clone of Implementing Chronic Care Management
Physician agents interacting with delegate agents for emergency department assessment diagnosis and treatment. From BMC paper May 2013, combining figs 1 and 2
ED Physician Delegation Hybrid Model
Simplified Rich picture version of Tanner's Clinical Judgment Model, with the addition of clinical reasoning cycle concepts from T Levett-Jones et al Nurse Education Today 30 (2010) 515-520
Thinking like a nurse rich pic after simulation
From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation paper abstract is available in System Dynamics Review 2013 here
Clone of Action-Oriented Problem Solving Dynamics
WIP example of Services oriented multiscale computable narrative synthesis focussed on Coping carefully with diabetes
Clone of Diabetes Care
From David Rees PhD dissertation "Developing a Theory of Implementation for
Better Chronic Health Management" Health Services Research
Centre, Victoria University of Wellington, New Zealand
Clone of Clone of Implementing Chronic Care Management
From Adapting ‘Agility’ to Healthcare Service Delivery, by Tom Rust, Khalid Saeed, Isa Bar-On, Oleg Pavlov Paper from July 2013 System dynamics Conference Cambridge MA and also 2012 Conference paper Could be extended by adding dynamics described in going solid insight
Clone of Care Service Capacity Adjustment
From David Rees PhD dissertation "Developing a Theory of Implementation for
Better Chronic Health Management" Health Services Research
Centre, Victoria University of Wellington, New Zealand
Clone of Implementing Chronic Care Management
Patients on Treatment represented as people in a swimming pool. Fast Switchers change costumes. Lapsed Users sit by the pool. Misdiagnosed people are in the wrong pool. Extended from IM-305
Patient Care Process Swimming Pool Metaphor
WIP example of Services oriented multiscale computable narrative synthesis focussed on Coping carefully with diabetes
Diabetes Care
From A Philosophical Basis of Medical Practice Toward a Philosophy and Ethic of the Healing Professions Edmund D Pellegrino David C Thomasma OUP Oxford 1981 Ch6
The Anatomy of Clinical Judgments p119-152 Note judgments have consequences of action, decisions can separate out the knowledge used.
See also Thinking Like a Nurse IM-703 and Ladder of Inference Assumptions IM-351 and IM-50413 to show diagnostic detail
Clone of Clinical Judgment Structure
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
From Rudolph JW Morrison JB and Carroll JS (2009) The Dynamics of Action-Oriented Problem Solving: Linking Interpretation and Choice. Academy of Management Review 34 (4) p733-756 Available online . This paper won the Forrester Award for 2012 and the presentation talk video is available. The presentation paper abstract is available in System Dynamics Review 2013 here
Clone of Action-Oriented Problem Solving Dynamics
From David Rees PhD dissertation "Developing a Theory of Implementation for
Better Chronic Health Management" Health Services Research
Centre, Victoria University of Wellington, New Zealand
Clone of Implementing Chronic Care Management
Jack Homer's model via ithink and Mark Heffernan. From Jack's paper Worker burnout: a dynamic model with implications for prevention and control System Dynamics Review 1985 1(1)42-62. See IM-641 for the Causal loop diagram
Clone of Burnout Dynamics
