Healthcare Delivery Institute

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Presentation transcript:

Healthcare Delivery Institute Systems Science and Health Using Analytical Approaches To Evaluate Healthcare Policy Decisions MODERATORS Isa Bar-On PhD, Department of Mechanical Engineering, WPI Allison Rosen, M.D., M.P.H., ScD., Quantitative Health Sciences, UMMS PRESENTERS Tze Chiam, PhD, Quantitative Health Sciences, UMMS Renata Konrad, PhD, School of Business, WPI Oleg Pavlov, PhD, Economics and System Dynamics, WPI Khalid Saeed, PhD, Economics and System Dynamics, WPI Shamsnaz Virani, PhD, Systems Engineering and Leadership Institute, WPI

SYSTEMs SCIENCE Shamsnaz Virani, PhD, Systems Engineering and Leadership Institute, WPI Oleg Pavlov, PhD, Economics and System Dynamics, WPI

What is Systems Science? Healthcare Delivery Institute Systems Science is a family of methodologies System Dynamics; Agent Based Modeling; Discrete Event Modeling; Social Network Analysis; Hybrid Modeling Enable the study of complex problems Take a holistic view, i.e. models include physiological, economic, behavioral, etc. components Allow the big picture view of a complex problem, while modeling components of the system Based on computer modeling and simulation

Systems Science Sims may Include… Healthcare Delivery Institute Socioeconomic Perspectives Behavioral Perspectives Cognition Perspectives Integrating Life Course Perspectives Institutional Perspectives Neighborhood Perspectives Health Care Elements Effects of Networks Big Data

Health Education & Behavior Healthcare Delivery Institute Supplemental Issue: Systems Science Applications in Health Promotion and Public Health October 2013; 40 (1 suppl) “Systems Science: A Good Investment for the Public’s Health” Patricia L. Mabry, PhD, and Robert M. Kaplan, PhD

What is a System? Health Care Delivery : Patient Experience Healthcare Delivery Institute National Local / Regional

Designing Systems with Systems Engineering Healthcare Delivery Institute “The function of systems engineering is to guide the engineering of complex systems.” Guide  Lead, manage, direct … to show the way Engineering  The application of scientific principles to practical ends System  A set of interrelated components working together towards a common objective Complex  Elements of the system are diverse and tightly coupled

This is another vehicle focusing on verification or validation

Healthcare Delivery Institute

SYSTEM DYNAMICS SIMULATION Khalid Saeed, PhD, Economics and System Dynamics, WPI

DISCRETE EVENT SIMULATION Tze Chiam, PhD, Quantitative Health Sciences, UMMS

UMass Memorial Example 1: Co-locating Clinical Services Explore opportunities to co-locate clinical services in order to Improve coordination Improve care Efficiently utilize available footprint Minimize use of resources and maximize outcome Discrete-Event Simulation used to evaluate various co-location options

UMass Memorial Example 1: Co-locating Clinical Services

UMass Memorial Example 2: Capacity requirements for Observation patients Decline of inpatients, increase in Obs patients, decline in reimbursement for Obs Obs patients outside of “Obs unit”: Higher average LOS Higher cost per case “Obs unit” purity compromised due to: Clinical decisions Operational decisions Mis-matched supply and demand Discrete-Event Simulation used to study beds requirement

Simulation Results (41 beds vs 35 beds)

UMass Memorial Example 3: Pediatrics 5E configuration Reduction of Pediatrics acute care (5E) footprint from 41 beds to ___ beds 5 configurations of single and double beds available Due to various isolation needs for pedi patients (age group, clinical reasons, gender, etc), unknown impact due to: Reduced # of beds Each configuration Potential needs to “flex” beds due to fluctuation in volume

Simulation Results (Ave Volume)

Funding

Funding: NIH Healthcare Delivery Institute

The Office of Behavioral and Social Sciences Research (OBSSR) Healthcare Delivery Institute OBSSR functions: Funding initiatives for research Training and career development for behavioral and social scientists Organizes conferences, workshops, and lectures “We want to aid investigators in using systems science methods to address important public health problems…”

We are looking for collaborators Healthcare Delivery Institute Renata Konrad, PhD School of Business Isa Bar-On, PhD Mechanical Engineering Shams Virani, PhD Systems Engineering Oleg Pavlov, PhD Economics & System Dynamics Khalid Saeed, PhD Economics & System Dynamics