Centre for Health Informatics

AnyLogic for Health

A multiscale multimethod modelling framework

Rosemarie Sadsad

Geoff McDonnell

Adaptive Care Systems Consulting and

Australian Institute of Health Innovation

gmcdonne@bigpond.net.au

Health System as Interacting Services

Health System as Interacting Services

http://insightmaker.com/insight/731

Multiscale Disciplines and Abstractions

Hospital Infection Control

Rosie Sadsad PhD Thesis

Hospital Infection Control

Rosie Sadsad PhD Thesis

Combining Multiscale Model Components

PLOS ONE Paper http://dx.plos.org/10.1371/journal.pone.0083099

Virtual Experiments Results: Hand Hygiene Impacts vary by Ward Type A-D

Demonstration

• The actual AnyLogic model for her thesis is available online at

http://www.runthemodel.com/models/1055/

• Full thesis is available at

http://cidmpublichealth.academia.edu/RosemarieSadsad and the

details of the forthcoming book are

at http://au.wiley.com/WileyCDA/WileyTitle/productCd-

1118349024.html

Method:

Realist Approach

+

Systems Thinking

+

Multilevel Health System

Framework

Factors

Relationships

Health system levels

A multilevel conceptual model

Multiscale Holons with Realist approach

Health Care (and Policy) is a Mess of Messes

• Uncertain

• Complex

• Conficted

• Incomplete

• Supply and Preference Sensitive

• Often Act first, Synthesise, Analyse Later

• Capability and Learning Feedbacks in A Mess

• “Muddle Through” as Management Approach

• A Critical Infrastructure that needs networked reliability professionals

Emery Roe 2013 Book : Making the Most of Mess

http://www.dukeupress.edu/Making-the-Most-of-Mess/

The Essence of HealthCare is Clinical Care

Clinical Process (Technical Judgement)

– Diagnose Disease,

– Prescribe Intervention,

– Assess

Human- Human Care Interaction (Humane Truth, Beauty, Justice)

– Human Behaviour

• Thinking

– Informing, Deciding, Acting, Communicating

• Feeling

• Acting

• Interacting

Current Focus

• Collaboration to Produce Useful Models that get Used

• Regional Services as the Unit of analysis

– Hospital Networks shifting Services to Primary Care (Australia)

– Placed in GIS (NZ)

• Preferences and Discrete Choice Experiments (Saskatoon, Sydney)

• Bridging the gaps between

– Health Policy

– Health services management (Cost Quality Access)

– Individual clinical care

• Combined Data and Models

– HELP wanted !