Insight diagram
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. This insight IM-11936 is the Master Version with the story added. The previous running model, now without a story, is at IM-11079
Story of ED Flows without Separate Areas
Insight diagram

Causal loop diagram of the dynamics of emergency and elective admissions competing for vacant ward beds in a hospital. From

Lane, David C. and Monefeldt, C. and Rosenhead, Jonathan (2000) Looking in the wrong place for healthcare improvements: a system dynamics study of an accident and emergency department.  Journal of the Operational Research Society, 51 (5). pp. 518-531. ISSN 0160-5682 

See IM-7981 for Simulation Model

Hospital Emergency and Elective Admission Interaction CLD
Insight diagram

Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382

Hospital Emergency and Elective Admission Interaction Simulation 2
Insight diagram
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
Insight diagram
Clone of IM-11079, incorporating Mark Heffernan's SImple SD ithink v10 Model of Hospital Patient Flow done for particle filtering in September 2014
Patient Flows ED and Wards
Insight diagram

Dynamics of Emergency Room Crowding with treatment spaces and boarders waiting for ward beds (access block if the wait is too long).

Emergency Department Patient Flow Model 3 with Boarders
Insight diagram

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
Insight diagram

Extension of IM-14124 with an adjusted bed capacity stock. For backlog and services see IM-8382

Hospital Emergency and Elective Admission Interaction Simulation 3
Insight diagram
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
Insight diagram
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
ED Flows extended to Ward and Waitlist Flows
Insight diagram

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
Insight diagram
Clone of IM-11079 ED Model for Daily ED Performance with 2 areas again, as in the previous IM-10571. Focus on shift performance by Specialist.
ED Flows with Acute and FastTrack Areas
Insight diagram
Clone of IM-6072 which is a 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.  Addition of After hours 'as is' and 'to be' flow models for Medicare Locals
Clone of ED Presentation Choices Context
Insight diagram

Dynamics of Emergency Department Crowding Initial View from the waiting room. Follows from IM-369 Sim and IM-340 CLD. Proceed to IM-349 

Emergency Department Simple Wait View 1
Insight diagram

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
Insight diagram

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
Insight diagram

Causal Loop Diagram of the Dynamics of Emergency Department Crowding Initial View from the waiting room 

Emergency Department Simple Wait View CLD 1
Insight diagram

A general model of flows between hospital and the community with workshop elements. See also IM-3200 for focus on frequent presenters with mental health issues

Hospital Flow for Flexicare Project
Insight diagram

Extension of IM-7981 with dynamics of daily ward discharges and did not waits. For an adjusted bed capacity stock see IM-14144.For backlog and services see IM-8382

WIP ED Boarding - Days
Insight diagram

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
Insight diagram
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
Insight diagram
WIP Conceptual map of initial scope of the effects of the ED 4 hour rule based on June WA Teleconference. See also the addition of unintended consequences at IM-7775 and the potential wider context map in IM-6167. For a simulation see IM-8237
Initial Conceptual Model for NEAT 4 hour rule Project
Insight diagram

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
Insight diagram

Concept map of patient flow through ED

ED Patient Flow Concept Map