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Simulation to Evaluate Great Care (SIMTEGR8)
Dr Marianne Bamkin
Loughborough University
Ed Ostler
SIMUL8
Background
£100k awarded by University’s EPG
1 4Reduce A & E admissions
1-year Project
• 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
• 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
• Understand the simulation
(Understand)
• Compare with reality (Validate)
• Define issues (Scope)
• Actions for improvement
(Improve)
4 Phases
Understand
BeforePatient
falls
Calls 999, attended and triaged by
EMAS
EMAS ‘sees and treats’
Patient visits ED and is triaged
Patient admitted and treated
Patient treated/discharged by ED
Patient discharged
Unscheduled Care Team
Planned Care Team
EMAS conveys to ED
AfterPatient
falls
Calls 999, attended and triaged by
EMAS
EMAS ‘sees and treats’
Patient visits ED and is triaged
Patient admitted and treated
Patient treated/discharged by ED
Patient discharged
Unscheduled Care Team
Planned Care Team
EMAS conveys to ED
EMAS refers to UTC
Model Demonstration
Validate
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?
Scope
Improve