Improvement Science as one of the clusters of interacting methods for improving health services network design and delivery using complex decision technologies IM-17952

Mindmap (tree) version of thermostat concept map

Insight synthesis of exchanges to better understand the basis of this decision. Unstructured additions from GMcD

• SystemsWiki Focus Page
• LinkedIn VSI Discussion

Adapted from Richard Normann (1991) Service Management Book Wiley Fig 14.6 p163

Emergency care patient flows IM-6072 used as context to add confounders and potential unintended effects.

Love affairs and Differential equations. From Michael J Radzicki (1993) Dyadic processes,tempestuous relationships, and system dynamics Syst. Dyn. Rev. 9 (1) :79-94 

From Cultural Worldview and Preference for Childhood Vaccination Policy PSJ Article  Nov 2014 

Addition of glucagon hormone action to control glucose homeostasis extended from IM-586

Business case for investment in national eHealth Infrastructure Programs

Rich Picture Version of Insight 386 The Dynamics of Human Service Delivery General Theory from the Book by Levin, Roberts, Hirsch et al. Ballinger 1976 ISBN 0-88410-132-0

The current Causal loop diagram

Overview of choice modelling as part of value, effectiveness and motivation series of insights about wants, needs and demands related to health care (regional) model See also IM-4043

Reported services via medicare statistics and healthy communities (hc) PHN reports

Based on Mark Heffernan's ithink Model of Pharmacy Workforce Supply and Demand

Minimal model of glucose kinetics by Bergman, used to calculate insulin sensitivity from an Intravenous Glucose Tolerance Test (IVGTT). Plasma insulin I(t) enters a remote compartment X(t) where it is active in accelerating glucose G(t) disappearance into the periphery and liver, and inhibiting hepatic glucose production. Adapted from Minimal Models for Glucose and Insulin Kinetics: A Matlab implementation by Natal van Riel, Eindhoven University of Technology 2004 by Mark Heffernan.

WIP based on conversations with Jim Rogers

Rich picture CLD of Tradeoffs in Responses to Work Pressure in the Service Industry by Rogelio Oliva California Mgt Review 2001 43(4) 26-43 paper

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

Test Sensitivity and Specificity see ROC wikipedia and Tom Fawcett's 2006 article introduction to ROC Analysis, Can be linked to Brunswik Lens IM-1401

This model looks at changes in ED attendances/ GP referrals over time and then  calculates the expected level of emergency admissions/ bed days that would result. 

From Padgett and Powell's Draft Book Chapter 2003 Figure F Dynamic interaction of actors products and relations. See also their 2012 book on The Emergence of Organizations and Markets

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.