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 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

AfterPatient 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

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

M.R.Bamkin@lboro.ac.uk

Edward.O@SIMUL8.com