Evaluation of interventions for psychiatric care: A simulation study of the effect on emergency departments

Thomas Roh, Valerie Quinones-Avila, Ronna L. Campbell, Gabrielle Melin, Kalyan S Pasupathy

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Hospital-wide strategies for reducing mental health (MH) boarding in the emergency departments (ED) have focused on improving the onsite patient flow and resource management. A gap in literature is still residing on the lack of consideration for the MH transition process from the ED into external community and hospital inpatient psychiatric settings, as well as the external bed capacity limitations. Discrete event simulation was used to understand the mental health patient flow within the ED and to inpatient settings. It provided a forecast of system changes when three scenarios were tested to determine the percentage increase in beds necessary to reduce MH ED boarding time. These alternative approaches illustrate the applicability of the model as a decision support tool for evaluating solutions to MH ED boarding.

Original languageEnglish (US)
Title of host publicationWSC 2018 - 2018 Winter Simulation Conference
Subtitle of host publicationSimulation for a Noble Cause
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages2507-2517
Number of pages11
ISBN (Electronic)9781538665725
DOIs
StatePublished - Jan 31 2019
Event2018 Winter Simulation Conference, WSC 2018 - Gothenburg, Sweden
Duration: Dec 9 2018Dec 12 2018

Publication series

NameProceedings - Winter Simulation Conference
Volume2018-December
ISSN (Print)0891-7736

Conference

Conference2018 Winter Simulation Conference, WSC 2018
CountrySweden
CityGothenburg
Period12/9/1812/12/18

Fingerprint

Emergency
Health
Simulation Study
Evaluation
Discrete event simulation
Discrete Event Simulation
Resource Management
Decision Support
Percentage
Forecast
Psychiatry
Scenarios
Necessary
Alternatives

ASJC Scopus subject areas

  • Software
  • Modeling and Simulation
  • Computer Science Applications

Cite this

Roh, T., Quinones-Avila, V., Campbell, R. L., Melin, G., & Pasupathy, K. S. (2019). Evaluation of interventions for psychiatric care: A simulation study of the effect on emergency departments. In WSC 2018 - 2018 Winter Simulation Conference: Simulation for a Noble Cause (pp. 2507-2517). [8632521] (Proceedings - Winter Simulation Conference; Vol. 2018-December). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/WSC.2018.8632521

Evaluation of interventions for psychiatric care : A simulation study of the effect on emergency departments. / Roh, Thomas; Quinones-Avila, Valerie; Campbell, Ronna L.; Melin, Gabrielle; Pasupathy, Kalyan S.

WSC 2018 - 2018 Winter Simulation Conference: Simulation for a Noble Cause. Institute of Electrical and Electronics Engineers Inc., 2019. p. 2507-2517 8632521 (Proceedings - Winter Simulation Conference; Vol. 2018-December).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Roh, T, Quinones-Avila, V, Campbell, RL, Melin, G & Pasupathy, KS 2019, Evaluation of interventions for psychiatric care: A simulation study of the effect on emergency departments. in WSC 2018 - 2018 Winter Simulation Conference: Simulation for a Noble Cause., 8632521, Proceedings - Winter Simulation Conference, vol. 2018-December, Institute of Electrical and Electronics Engineers Inc., pp. 2507-2517, 2018 Winter Simulation Conference, WSC 2018, Gothenburg, Sweden, 12/9/18. https://doi.org/10.1109/WSC.2018.8632521
Roh T, Quinones-Avila V, Campbell RL, Melin G, Pasupathy KS. Evaluation of interventions for psychiatric care: A simulation study of the effect on emergency departments. In WSC 2018 - 2018 Winter Simulation Conference: Simulation for a Noble Cause. Institute of Electrical and Electronics Engineers Inc. 2019. p. 2507-2517. 8632521. (Proceedings - Winter Simulation Conference). https://doi.org/10.1109/WSC.2018.8632521
Roh, Thomas ; Quinones-Avila, Valerie ; Campbell, Ronna L. ; Melin, Gabrielle ; Pasupathy, Kalyan S. / Evaluation of interventions for psychiatric care : A simulation study of the effect on emergency departments. WSC 2018 - 2018 Winter Simulation Conference: Simulation for a Noble Cause. Institute of Electrical and Electronics Engineers Inc., 2019. pp. 2507-2517 (Proceedings - Winter Simulation Conference).
@inproceedings{2be9985d428d45d2af18219a38227eec,
title = "Evaluation of interventions for psychiatric care: A simulation study of the effect on emergency departments",
abstract = "Hospital-wide strategies for reducing mental health (MH) boarding in the emergency departments (ED) have focused on improving the onsite patient flow and resource management. A gap in literature is still residing on the lack of consideration for the MH transition process from the ED into external community and hospital inpatient psychiatric settings, as well as the external bed capacity limitations. Discrete event simulation was used to understand the mental health patient flow within the ED and to inpatient settings. It provided a forecast of system changes when three scenarios were tested to determine the percentage increase in beds necessary to reduce MH ED boarding time. These alternative approaches illustrate the applicability of the model as a decision support tool for evaluating solutions to MH ED boarding.",
author = "Thomas Roh and Valerie Quinones-Avila and Campbell, {Ronna L.} and Gabrielle Melin and Pasupathy, {Kalyan S}",
year = "2019",
month = "1",
day = "31",
doi = "10.1109/WSC.2018.8632521",
language = "English (US)",
series = "Proceedings - Winter Simulation Conference",
publisher = "Institute of Electrical and Electronics Engineers Inc.",
pages = "2507--2517",
booktitle = "WSC 2018 - 2018 Winter Simulation Conference",

}

TY - GEN

T1 - Evaluation of interventions for psychiatric care

T2 - A simulation study of the effect on emergency departments

AU - Roh, Thomas

AU - Quinones-Avila, Valerie

AU - Campbell, Ronna L.

AU - Melin, Gabrielle

AU - Pasupathy, Kalyan S

PY - 2019/1/31

Y1 - 2019/1/31

N2 - Hospital-wide strategies for reducing mental health (MH) boarding in the emergency departments (ED) have focused on improving the onsite patient flow and resource management. A gap in literature is still residing on the lack of consideration for the MH transition process from the ED into external community and hospital inpatient psychiatric settings, as well as the external bed capacity limitations. Discrete event simulation was used to understand the mental health patient flow within the ED and to inpatient settings. It provided a forecast of system changes when three scenarios were tested to determine the percentage increase in beds necessary to reduce MH ED boarding time. These alternative approaches illustrate the applicability of the model as a decision support tool for evaluating solutions to MH ED boarding.

AB - Hospital-wide strategies for reducing mental health (MH) boarding in the emergency departments (ED) have focused on improving the onsite patient flow and resource management. A gap in literature is still residing on the lack of consideration for the MH transition process from the ED into external community and hospital inpatient psychiatric settings, as well as the external bed capacity limitations. Discrete event simulation was used to understand the mental health patient flow within the ED and to inpatient settings. It provided a forecast of system changes when three scenarios were tested to determine the percentage increase in beds necessary to reduce MH ED boarding time. These alternative approaches illustrate the applicability of the model as a decision support tool for evaluating solutions to MH ED boarding.

UR - http://www.scopus.com/inward/record.url?scp=85062616292&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062616292&partnerID=8YFLogxK

U2 - 10.1109/WSC.2018.8632521

DO - 10.1109/WSC.2018.8632521

M3 - Conference contribution

AN - SCOPUS:85062616292

T3 - Proceedings - Winter Simulation Conference

SP - 2507

EP - 2517

BT - WSC 2018 - 2018 Winter Simulation Conference

PB - Institute of Electrical and Electronics Engineers Inc.

ER -