The document describes a simulation project to evaluate ways to reduce emergency admissions to hospitals. The project received £100k in funding and aims to 1) understand the current patient pathway, 2) evaluate how admissions can be reduced, and 3) improve the patient journey through new interventions. The purpose is to use the simulation model to analyze proposed interventions and find ways to develop services. A workshop will help participants understand and validate the simulation, define issues, and plan actions for improvement. The document outlines the patient pathways before and after a new integrated service and demonstrates how the simulation model works. It also discusses validating the model against real data to improve the simulation and identify constraints and learning points.
5. • Understand current patient pathway and develop
approximate computer simulation
• Evaluate how emergency admissions to hospitals can
be reduced
• Help Improve the patient journey through new
integrated interventions
Purpose of Project
6. • Use the simulated computer model as a basis
for the analysis of the intervention as it stands
• Work together to find ways of developing the
service
Purpose of Workshop
7. • Understand the simulation (Understand)
• Compare with reality (Validate)
• Define issues (Scope)
• Actions for improvement (Improve)
4 Phases
9. Before
Patient has clinical need at the
weekend
Calls 111,
triaged by
OOH
Calls 999,
attended and
triaged by
EMAS
EMAS
called
-----
Call back
arranged
Healthcare
Practitioner offers a
range of services
-----
Advises to visit ED
-----
EMAS called
Patient visits
ED and is
triaged
EMAS ‘sees and treats’
-----
EMAS conveys to ED
Patient admitted and treated
Patient
treated/discharged
by ED
Patient
discharged
Unscheduled
Care Team
Planned
Care
Team
10. After
Patient has clinical need at the
weekend
Calls 111, triaged by
OOH
Calls 999, attended
and triaged by
EMAS
EMAS called
-----
Call back
arranged
Healthcare Practitioner offers a range of
services
-----
Advises to visit ED
-----
EMAS called
Patient visits
ED and is
triaged
EMAS ‘sees and treats’
-----
EMAS conveys to ED
Patient admitted and treated
Patient treated/discharged
by ED
Patient
discharged
Unscheduled
Care Team
Planned
Care Team
Calls CCG
Hub
number
CCG Hub takes call
and triages patient
-----
No capacity for call
CCG Hub offers a range of services
-----
Telephone advice given
-----
Advises to visit ED
-----
EMAS called
-----
CCG Hub refers to UCT
CCG Hub gives
follow-up call
13. Validating the Models
• Fit with dashboard data
– Arrivals
– Avoided Admissions
• Does the model reflect the real pilot scheme?
• Any modifications/improvements?
• What is constraining this service?
• Any learning points?
Ask participants to fill in the cards with “What I hope to get out this workshop” before revealing what is behind the curtain
Emphasise that the model is an approximation and part of the analytic process,
The simulation will not give the answer
They are all part of the process
They will all contribute to the answer
What is going to happen during the workshop
We are talking about the patient pathway!
Remember to give out the cards for actions
And the other scale measuring thing.