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Patient Flow Models

These models and simulations have been tagged “Patient Flow”.

Related tagsHealth CareEmergencyHospitalClinical CareServicesRegional

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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
Profile photo Roberto Forero
7
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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
Profile photo Geoff McDonnell
9
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A general stock flow map of flows between hospital and the community, with more detail for hospital inpatient flows. An expanded version of IM-622

Hospital Flow Context 2
Profile photo Geoff McDonnell
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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
Care Service Capacity Adjustment
Profile photo Geoff McDonnell
11
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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
Profile photo Geoff McDonnell
18
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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). New Model has been developed, this is a very draft model.
Outpatient Clinics Patient Flow
Profile photo Keming Wang
14
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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
Profile photo Geoff McDonnell
3
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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
Profile photo Geoff McDonnell
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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
Profile photo Geoff McDonnell
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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
Profile photo Geoff McDonnell
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WIP for LHN Individual Hospital O Month of October 2013 linking monthly NWAUs and same and overnight activities from ED and Elective Surgery (ES)
Individual Hospital Monthly Performance
Profile photo Geoff McDonnell
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Expansion of IM-399 A stock flow structure through hospitals with high value activities linked by transitions. Based on the project described by IM-10386 Compare with IM-622 Context

Hospital flows with value and transitions
Profile photo Geoff McDonnell
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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
Profile photo Geoff McDonnell
3
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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
Profile photo Geoff McDonnell
4
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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

Hospital flows monthly pattern
Profile photo Geoff McDonnell
4
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WIP Patient Flow improvement strategies for a City Hospital with 3 years historical data and two year planning horizon. Built after a Generic Teaching Hospital Model IM-10346 A simplified stock flow map is at IM-399
Hospital Seasonal ED and Ward Flow Improvement
Profile photo Geoff McDonnell
3
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WIP Simplified Patient Flow map of features in a SD simulation model of performance of a City Hospital over 5 years. Built after a Regional 20 year planning model IM-10290 The simulation is a large ithink model built by Mark Heffernan
City Hospital Performance over 5 years
Profile photo Geoff McDonnell
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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
Profile photo Geoff McDonnell
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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
Profile photo Geoff McDonnell
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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
Profile photo Joachim Sturmberg
5
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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
Profile photo Geoff McDonnell
6
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WIP for regional integration based on NHPA and IHPA activities in Australia
National Health Performance and Pricing
Profile photo Geoff McDonnell
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An example of why it's so critical to understand where the boundaries are when considering a system. Go to Gene's version insight
Clone of Hospital Early Discharge Boundaries (Old version)
Profile photo Geoff McDonnell
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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
Profile photo Geoff McDonnell
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