A decision support tool for health service re-design

Demir, E., Chahed, S., Chaussalet, T.J., Toffa, S.E. and Fouladinajed, F. 2012. A decision support tool for health service re-design. Journal of Medical Systems. 36 (2), pp. 621-630. https://doi.org/10.1007/s10916-010-9526-8

TitleA decision support tool for health service re-design
TypeJournal article
AuthorsDemir, E., Chahed, S., Chaussalet, T.J., Toffa, S.E. and Fouladinajed, F.
Abstract

Many of the outpatient services are currently only available in hospitals, however there are plans to provide some of these services alongside with General Practitioners. Consequently, General Practitioners could soon be based at polyclinics. These changes have caused a number of concerns to Hounslow Primary Care Trust (PCT). For example, which of the outpatient services are to be shifted from the hospital to the polyclinic? What are the current and expected future demands for these services? To tackle some of these concerns, the first phase of this project explores the set of specialties that are frequently visited in a sequence (using sequential association rules). The second phase develops an Excel based spreadsheet tool to compute the current and expected future demands for the selected specialties. From the sequential association rule algorithm, endocrinology and ophthalmology were found to be highly associated (i.e. frequently visited in a sequence), which means that these two specialties could easily be shifted from the hospital environment to the polyclinic. We illustrated the Excel based spreadsheet tool for endocrinology and ophthalmology, however, the model is generic enough to cope with other specialties, provided that the data are available.

JournalJournal of Medical Systems
Journal citation36 (2), pp. 621-630
ISSN0148-5598
Year2012
PublisherSpringer
Accepted author manuscript
Digital Object Identifier (DOI)https://doi.org/10.1007/s10916-010-9526-8
PubMed ID20703671
Publication dates
Published2012

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Worrall, P. and Chaussalet, T.J. 2011. Development of a web-based system using the model view controller paradigm to facilitate regional long-term care planning. in: Olive, M. and Solomonides, T. (ed.) Proceedings of CMBS: the 24th International Symposium on Computer-Based Medical Systems, June 27th – 30th, 2011, Bristol, United Kingdom IEEE .

A case study using simplified discrete-event simulation models as a tool to reconfigure health care services
Virtue, A., Chaussalet, T.J. and Kelly, J. 2011. A case study using simplified discrete-event simulation models as a tool to reconfigure health care services. in: Operational Research Information National Health Policy: proceedings of the 37th ORAHS conference School of Mathematics, Cardiff University.

Using simplified discrete-event simulation models for real world health care applications
Virtue, A., Chaussalet, T.J. and Kelly, J. 2011. Using simplified discrete-event simulation models for real world health care applications. in: Jain, S., Creasey, R.R., Himmelspach, J., White, K.P. and Fu, M. (ed.) Proceedings of the 2011 Winter Simulation Conference WSC.

Towards a full implementation of collaborative care plan. OR Informing National Health Policy
Tadjer, M., Chaussalet, T.J., Fouladinejad, F., Chahed, S., Saiyed, S., Redzanovic, S. and Fouladinajed, F. 2011. Towards a full implementation of collaborative care plan. OR Informing National Health Policy. in: Operational Research Information National Health Policy: proceedings of the 37th ORAHS conference School of Mathematics, Cardiff University.

Data warehousing based architecture for the reporting of the NHS primary care prescribing
Redzanovic, S., Chountas, P., Chaussalet, T.J., Fouladinejad, F., Tadjer, M. and Fouladinajed, F. 2011. Data warehousing based architecture for the reporting of the NHS primary care prescribing. in: Olive, M. and Solomonides, T. (ed.) Proceedings of CMBS: the 24th International Symposium on Computer-Based Medical Systems, June 27th – 30th, 2011, Bristol, United Kingdom IEEE .

Exploring the effect of temperature variations on unplanned asthma admissions
Islam, M.S., Chaussalet, T.J., Balta-Ozkan, N. and Demir, E. 2011. Exploring the effect of temperature variations on unplanned asthma admissions. in: Operational Research Information National Health Policy: proceedings of the 37th ORAHS conference School of Mathematics, Cardiff University. pp. 74-88

The impact of temperature disparity on emergency readmissions and patient flows
Islam, M.S., Chaussalet, T.J., Balta-Ozkan, N., Chahed, S., Demir, E. and Sarran, C. 2011. The impact of temperature disparity on emergency readmissions and patient flows. in: Olive, M. and Solomonides, T. (ed.) Proceedings of CMBS: the 24th International Symposium on Computer-Based Medical Systems, June 27th – 30th, 2011, Bristol, United Kingdom IEEE .

Modelling high dependency care in the local neonatal unit
Dalton, S. and Chaussalet, T.J. 2011. Modelling high dependency care in the local neonatal unit. in: Operational Research Information National Health Policy: proceedings of the 37th ORAHS conference Cardiff School of Mathematics, Cardiff University.

Nonproportional random effects modelling of a neonatal unit operational patient pathways
Adeyemi, S., Chaussalet, T.J. and Demir, E. 2011. Nonproportional random effects modelling of a neonatal unit operational patient pathways. Statistical Methods and Applications. 20 (4), pp. 507-518. https://doi.org/10.1007/s10260-011-0174-z

Measuring and modelling occupancy time in NHS continuing healthcare
Chahed, S., Demir, E., Chaussalet, T.J., Millard, P.H. and Toffa, S.E. 2011. Measuring and modelling occupancy time in NHS continuing healthcare. BMC Health Services Research. 11 (155), p. 1. https://doi.org/10.1186/1472-6963-11-155

Editorial: IMA Health 2010
Vasilakis, C., Chaussalet, T.J. and Baker, R.D. 2011. Editorial: IMA Health 2010. Health Care Management Science. 14 (3), pp. 213-214. https://doi.org/10.1007/s10729-011-9174-7

A loss network model with overflow for capacity planning of a neonatal unit
Asaduzzaman, M., Chaussalet, T.J. and Robertson, N.J. 2010. A loss network model with overflow for capacity planning of a neonatal unit. Annals of Operations Research. 178 (1), pp. 67-76. https://doi.org/10.1007/s10479-009-0548-x

Random effects models for operational patient pathways
Adeyemi, S., Chaussalet, T.J., Xie, H. and Assaduzzman, M. 2010. Random effects models for operational patient pathways. Journal of Applied Statistics. 37 (4), pp. 691-701. https://doi.org/10.1080/02664760902873951

Analysis of variability in neonatal care units: a retrospective analysis
Adeyemi, S., Demir, E., Chahed, S. and Chaussalet, T.J. 2010. Analysis of variability in neonatal care units: a retrospective analysis. in: IEEE Workshop on Health Care Management (WHCM), Venice, 18-20 February 2010 IEEE . pp. 1-6

Towards effective capacity planning in a perinatal network centre
Asaduzzaman, M., Chaussalet, T.J., Adeyemi, S., Chahed, S., Hawdon, J., Wood, D. and Robertson, N.J. 2010. Towards effective capacity planning in a perinatal network centre. Archives of Disease in Childhood. Fetal and Neonatal Edition. 95 (4), pp. F283-F287. https://doi.org/10.1136/adc.2009.161661

A Grid implementation for profiling hospitals based on patient readmissions
Demir, E., Chaussalet, T.J., Weingarten, N. and Kiss, T. 2009. A Grid implementation for profiling hospitals based on patient readmissions. in: McClean, S.I., Millard, P.H., El-Darzi, E. and Nugent, C. (ed.) Intelligent patient management Springer.

A systematic approach in defining readmission
Demir, E. and Chaussalet, T.J. 2009. A systematic approach in defining readmission. in: Proceedings of the 22nd IEEE International Symposium on Computer-Based Medical Systems (CBMS 2009) IEEE . pp. 1-7

The analyses of individual patient pathways: investigating regional variation in COPD readmissions
Adeyemi, S., Chaussalet, T.J., Xie, H. and Asaduzzaman, M. 2009. The analyses of individual patient pathways: investigating regional variation in COPD readmissions. in: Sakalauskas, L., Skiadas, C. and Zavadskas, E.K. (ed.) Proceedings of the 13th International Conference "Applied Stochastic Models and Data Analysis", ASMDA 2009, 30 June – 3 July 2009, Vilnius, Lithuania ASMDA. pp. 316-319

Models for extracting information on patient pathways
Adeyemi, S. and Chaussalet, T.J. 2009. Models for extracting information on patient pathways. in: McClean, S.I., Millard, P.H., El-Darzi, E. and Nugent, C. (ed.) Intelligent patient management Springer.

Exploring new operational research opportunities within the Home Care context: the chemotherapy at home
Chahed, S., Marcon, E., Sahin, E., Feillet, D. and Dallery, Y. 2009. Exploring new operational research opportunities within the Home Care context: the chemotherapy at home. Health Care Management Science. 12 (2), pp. 179-191. https://doi.org/10.1007/s10729-009-9099-6

Editorial: Applying mathematics to problems in health care: a call to pencils
Utley, M., Chaussalet, T.J. and Baker, R.D. 2009. Editorial: Applying mathematics to problems in health care: a call to pencils. IMA Journal of Management Mathematics. 20 (4), pp. 323-323. https://doi.org/10.1093/imaman/dpn036

Modelling risk of readmission with phase-type distribution and transition models
Demir, E., Chaussalet, T.J., Xie, H. and Millard, P.H. 2009. Modelling risk of readmission with phase-type distribution and transition models. IMA Journal of Management Mathematics. 20 (4), pp. 357-367. https://doi.org/10.1093/imaman/dpn032

Emergency readmission criterion: a technique for determining emergency readmission time window
Demir, E., Chaussalet, T.J., Xie, H. and Millard, P.H. 2008. Emergency readmission criterion: a technique for determining emergency readmission time window. IEEE Transactions on Information Technology in Biomedicine. 12 (5), pp. 644-649. https://doi.org/10.1109/TITB.2007.911311

Couplage production – distribution des médicaments anti-cancéreux
Chahed, S., Feillet, D., Sahin, E. and Dallery, Y. 2008. Couplage production – distribution des médicaments anti-cancéreux. Proceedings of 4ème Conférence Francophone en Gestion et Ingénierie des Systemes Hospitaliers, GISEH 2008. Lausanne, Switzerland 04 - 06 Sep 2008

Modelling and performance measure of a perinatal network centre in the United Kingdom
Asaduzzaman, M. and Chaussalet, T.J. 2008. Modelling and performance measure of a perinatal network centre in the United Kingdom. in: Proceedings of the 21st IEEE International Symposium on Computer-Based Medical Systems, IEEE CBMS 2008, Jyväskylä, 17-19 June 2008 Los Alamitos, USA IEEE . pp. 506-511

A random effects sensitivity analysis for patient pathways model
Adeyemi, S. and Chaussalet, T.J. 2008. A random effects sensitivity analysis for patient pathways model. in: Proceedings of the 21st IEEE International Symposium on Computer-Based Medical Systems, IEEE CBMS 2008, Jyväskylä, 17-19 June 2008 Los Alamitos, USA IEEE . pp. 536-538

Balancing the NHS balanced scorecard!
Patel, B., Chaussalet, T.J. and Millard, P.H. 2008. Balancing the NHS balanced scorecard! European Journal of Operational Research. 185 (3), pp. 905-914. https://doi.org/10.1016/j.ejor.2006.02.056

Editorial: IMA Health 2007
Baker, R.D., Chaussalet, T.J. and Utley, M. 2008. Editorial: IMA Health 2007. Health Care Management Science. 11 (2), pp. 87-88. https://doi.org/10.1007/s10729-008-9065-8

An objective method for bed capacity planning in a hospital department - a comparison with target ratio methods.
Nguyen, J.M., Six, P., Chaussalet, T.J., Antonioli, D., Lombrail, P. and Le Beux, P. 2007. An objective method for bed capacity planning in a hospital department - a comparison with target ratio methods. Methods of Information in Medicine. 46 (4), pp. 399-405. https://doi.org/10.1160/me0385

A semi-open queueing network approach to the analysis of patient flow in healthcare systems
Xie, H., Chaussalet, T.J. and Rees, M. 2007. A semi-open queueing network approach to the analysis of patient flow in healthcare systems. in: Proceedings of the 20th IEEE International Symposium on Computer-Based Medical Systems. IEEE CBMS 2007, Maribor, Slovenia, 20-22 June 2007 Los Alamitos, USA IEEE . pp. 719-724

Determining readmission time window using mixture of generalised Erlang distribution
Demir, E., Chaussalet, T.J. and Xie, H. 2007. Determining readmission time window using mixture of generalised Erlang distribution. in: Proceedings of the 20th IEEE International Symposium on Computer-Based Medical Systems. IEEE CBMS 2007, Maribor, Slovenia, 20-22 June 2007 Los Alamitos, USA IEEE . pp. 21-26

Developing an application of an accident and emergency patient simulation modelling using an interactive framework
Codrington-Virtue, A., Chaussalet, T.J., Whittlestone, P. and Kelly, J. 2007. Developing an application of an accident and emergency patient simulation modelling using an interactive framework. in: Brailsford, S. and Harper, P.R. (ed.) Operational research for health policy: making better decisions: proceedings of the 31st Annual Conference of the European Working Group on Operational Research Applied to Health Services Oxford ; New York Peter Lang. pp. 61-76

What about OR opportunities in the home care domain?
Chahed, S., Marcon, E., Sahin, E. and Dallery, Y. 2007. What about OR opportunities in the home care domain? in: Proceedings of the 33rd International Conference on Operational Research Applied to Health Services, ORAHS2007, Saint-Etienne, France, 15-20 July ORAHS. pp. 409-421

Patients flow: a mixed-effects modelling approach to predicting discharge probabilities
Adeyemi, S., Chaussalet, T.J., Xie, H. and Millard, P.H. 2007. Patients flow: a mixed-effects modelling approach to predicting discharge probabilities. in: Proceedings of the 20th IEEE International Symposium on Computer-Based Medical Systems. IEEE CBMS 2007, Maribor, Slovenia, 20-22 June 2007 Los Alamitos, USA IEEE . pp. 725-730

A simple graphical decision aid for the placement of elderly people in long-term care
Xie, H., Chaussalet, T.J., Thompson, W.A. and Millard, P.H. 2007. A simple graphical decision aid for the placement of elderly people in long-term care. Journal of the Operational Research Society. 58 (4), pp. 446-453. https://doi.org/10.1057/palgrave.jors.2602179

The ICMCC second conference on "Medical and Care Compunetics"
Chaussalet, T.J. and Bos, L. 2006. The ICMCC second conference on "Medical and Care Compunetics". International Journal of Medical Informatics. 75 (9), pp. vii-viii. https://doi.org/10.1016/S1386-5056(06)00188-2

A model-based approach to the analysis of patterns of length of stay in institutional long-term care
Xie, H., Chaussalet, T.J. and Millard, P.H. 2006. A model-based approach to the analysis of patterns of length of stay in institutional long-term care. IEEE Transactions on Information Technology in Biomedicine. 10 (3), pp. 512-518. https://doi.org/10.1109/TITB.2005.863820

A method for determining an emergency readmission time window for better patient management
Demir, E., Chaussalet, T.J., Xie, H. and Millard, P.H. 2006. A method for determining an emergency readmission time window for better patient management. in: Lee, D.J., Nutter, B., Antani, S., Mitra, S. and Archibald, J. (ed.) Nineteenth IEEE International Symposium on Computer-Based Medical Systems: 22-23 June June 2006, Salt Lake City, Utah. Proceedings Las Alamitos, USA IEEE . pp. 789-793

A system for patient management based discrete-event simulation and hierarchical clustering
Codrington-Virtue, A., Chaussalet, T.J., Millard, P.H., Whittlestone, P. and Kelly, J. 2006. A system for patient management based discrete-event simulation and hierarchical clustering. in: Lee, D.J., Nutter, B., Antani, S., Mitra, S. and Archibald, J. (ed.) Nineteenth IEEE International Symposium on Computer-Based Medical Systems: 22-23 June 2006, Salt Lake City, Utah. Proceedings Las Alamitos, USA IEEE . pp. 800-804

A closed queueing network approach to the analysis of patient flow in health care systems
Chaussalet, T.J., Xie, H. and Millard, P.H. 2006. A closed queueing network approach to the analysis of patient flow in health care systems. Methods of Information in Medicine. 45 (5), pp. 492-497.

Improving operations management practices in home health care structures by using patients' activity projects
Chahed, S., Sahin, E., Dallery, Y. and Garcin, H. 2006. Improving operations management practices in home health care structures by using patients' activity projects. in: International Conference on Service Systems and Service Management, Troyes, France, Ocrtober 2006 IEEE . pp. 410-415

Modélisation et comparaison du fonctionnement de trois établissements d'hospitalisation à domicile en France
Chahed, S., Sahin, E. and Dallery, Y. 2006. Modélisation et comparaison du fonctionnement de trois établissements d'hospitalisation à domicile en France. Proceedings of 3ème conférence Francophone en gestion et ingénierie des systemes hospitaliers, GISEH 2006. Luxembourg 02 - 06 Oct 2006

Operations management related activities for home health care providers
Chahed, S., Matta, A., Sahin, E. and Dallery, Y. 2006. Operations management related activities for home health care providers. in: Dolgui, A., Morel, G. and Pereira, C.E. (ed.) Information control problems in manufacturing 2006 : a proceedings volume from the 12th IFAC Conference, 17-19th May 2006, Saint-Etienne, France Oxford Published for the International Federation of Automatic Control.

A software tool to aid long-term care budget planning at local authority level
Xie, H., Chaussalet, T.J., Toffa, S.E. and Crowther, P. 2006. A software tool to aid long-term care budget planning at local authority level. International Journal of Medical Informatics. 75 (9), pp. 664-670. https://doi.org/10.1016/j.ijmedinf.2006.04.009

Six methodological steps to build medical data warehouses for research
Szirbik, N., Pelletier, C. and Chaussalet, T.J. 2006. Six methodological steps to build medical data warehouses for research. International Journal of Medical Informatics. 75 (9), pp. 683-691. https://doi.org/10.1016/j.ijmedinf.2006.04.003

On the use of multi-state multi-census techniques for modelling the survival of elderly people in institutional long-term care
Pelletier, C., Chaussalet, T.J. and Xie, H. 2005. On the use of multi-state multi-census techniques for modelling the survival of elderly people in institutional long-term care. IMA Journal of Management Mathematics. 16 (3), pp. 255-264. https://doi.org/10.1093/imaman/dpi021

Malignant ascites increases the antioxidant ability of human ovarian (SKOV-3) and gastric adenocarcinoma (KATO-III) cells
Yang, W., Toffa, S.E., Lohn, J.W.G., Seifalian, A.M. and Winslet, M.C. 2005. Malignant ascites increases the antioxidant ability of human ovarian (SKOV-3) and gastric adenocarcinoma (KATO-III) cells. Gynecologic Oncology. 96 (2), pp. 430-438. https://doi.org/10.1016/j.ygyno.2004.10.016

A software tool to aid budget planning for long-term care at local authority level
Xie, H., Chaussalet, T.J., Toffa, S.E. and Crowther, P. 2005. A software tool to aid budget planning for long-term care at local authority level. in: Bos, L., Laxminarayan, S. and Marsh, A.J. (ed.) Medical and care compunetics 2 Oxford, UK IOS Press.

A tool for studying the effects of residents' attributes on patterns of length of stay in long-term care
Xie, H., Chaussalet, T.J. and Millard, P.H. 2005. A tool for studying the effects of residents' attributes on patterns of length of stay in long-term care. in: Tsymbal, A. and Cunningham, P. (ed.) Proceedings of the 18th IEEE Symposium on Computer-Based Medical Systems: 23-25 June 2005, Dublin, Ireland USA IEEE . pp. 473-478

Crossing heterogeneous information sources for better analysis in long term care for elderly people
Pelletier, C., Szirbik, N. and Chaussalet, T.J. 2005. Crossing heterogeneous information sources for better analysis in long term care for elderly people. in: Bos, L., Laxminarayan, S. and Marsh, A.J. (ed.) Medical and care compunetics 2 Oxford, UK IOS Press.

An interactive framework for developing simulation models of hospital accident and emergency services
Codrington-Virtue, A., Whittlestone, P., Kelly, J. and Chaussalet, T.J. 2005. An interactive framework for developing simulation models of hospital accident and emergency services. in: Bos, L., Laxminarayan, S. and Marsh, A.J. (ed.) Medical and care compunetics 2 Oxford, UK IOS Press.

A continuous time Markov model for the length of stay of elderly people in institutional long-term care
Xie, H., Chaussalet, T.J. and Millard, P.H. 2005. A continuous time Markov model for the length of stay of elderly people in institutional long-term care. Journal of the Royal Statistical Society: Series A. 168 (1), pp. 51-61. https://doi.org/10.1111/j.1467-985X.2004.00335.x

A framework for predicting gross institutional long-term care cost arising from known commitments at local authority level
Pelletier, C., Chaussalet, T.J. and Xie, H. 2005. A framework for predicting gross institutional long-term care cost arising from known commitments at local authority level. Journal of the Operational Research Society. 56 (2), pp. 144-152. https://doi.org/10.1057/palgrave.jors.2601892

Integrating data on the long-term care for elderly people from heterogeneous sources in support of research
Chaussalet, T.J. and Thompson, W.A. 2004. Integrating data on the long-term care for elderly people from heterogeneous sources in support of research. in: Proceedings of the 10th Mediterranean Conference of the International Federation for Medical and Biological Engineering (MEDICON 2004), Ischia, Italy, 31 Jul - 5 Aug 2004 Ghedimedia.

L'hospitalisation à domicile: quel(s) intérêt(s) et quelle(s) organisation(s)?
Chahed, S., Sahin, E. and Dallery, Y. 2004. L'hospitalisation à domicile: quel(s) intérêt(s) et quelle(s) organisation(s)? Proceedings of 2ème conférence Francophone en gestion et ingénierie des systemes hospitaliers. Mons, Belgium 9 - 11 Sep 2004

Time for a new approach for reporting herbal medicine adverse events?
Peters, D., Donaldson, J., Chaussalet, T.J., Toffa, S.E., Whitehouse, J., Carroll, D. and Barry, P. 2003. Time for a new approach for reporting herbal medicine adverse events? Journal of Alternative & Complementary Medicine. 9 (5), pp. 607-609.

Modelling survival in long term care of older people
Pelletier, C., Chaussalet, T.J. and Millard, P.H. 2003. Modelling survival in long term care of older people. 1st MEDINF International Conference on Medical Informatics and Engineering (MEDINF 2003). Craiova, Romania 06-09 Oct 2003

Modelling decisions of a multidisciplinary panel for admission to long-term care
Xie, H., Chaussalet, T.J., Thompson, W.A. and Millard, P.H. 2002. Modelling decisions of a multidisciplinary panel for admission to long-term care. Health Care Management Science. 5 (4), pp. 291-295. https://doi.org/10.1023/A:1020338308191

Data requirements in a model of the natural history of Alzheimer's disease
Chaussalet, T.J. and Thompson, W.A. 2001. Data requirements in a model of the natural history of Alzheimer's disease. Health Care Management Science. 4 (1), pp. 13-19. https://doi.org/10.1023/A:1009689329661

Subgroup analyses of cost of care in a Markov model of the natural history of Alzheimer's disease
Thompson, W.A. and Chaussalet, T.J. 2001. Subgroup analyses of cost of care in a Markov model of the natural history of Alzheimer's disease. in: Simulation in the Health and Medical Sciences 2001: Proceedings of the 2001 Western Multiconference, January 7-11 2001, Phoenix, Arizona California, USA Society for Computer Simulation. pp. 41-44

Editorial: Modelling the process of care
Chaussalet, T.J. and El-Darzi, E. 2001. Editorial: Modelling the process of care. Health Care Management Science. 4 (1), p. 5. https://doi.org/10.1023/A:1009659711914

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