ED3_b Treatment with Fast Track Using Common Lab

To quickly implement the treatment section of an Emergency Department Model and when Fast Track treatment needs to be represented in a ED model.

Where to Find the Model Object

The following model object can be found in the model objects directory:

• ED \ ED3_b Treatment with Fast Track Using Common Lab

This model object is a part of a 8 model object Emergency Department series that can be accessed under the category ED.

1. ED1B Arrivals with Acuity Advanced
2. ED2 Triage
3. ED3_a Treatment with Fast Track
4. ED3_b Treatment with Fast Track Using Common Lab
5. ED4_a Patient Discharge
6. ED5_a Room Cleaning
7. ED6_a Patient Admit
8. ED7_a Resource Optimizer

 This model object should be used in conjunction with other ED model object (ED Arrivals with Acuity, ED Triage, ED Discharge, ED Room Cleaning, ED Staffing Calculator, etc. to take advantage of predefined stats collection, routing attributes and built-in resources.)

Difficulty Level

• Ease of Use: Easy
• Ease of Modification: Moderate

How to Use the Model Object

1. Open Your Model: Open your model or create a new blank model.
2. Insert the Model Object into Your Model
   1. Locate the model object ED3_b Treatment with Fast Track Using Common Lab and select the insert button.
   2. Move the cursor to the point of insertion and left mouse-click. The upper left corner of the model object will be inserted at the location of the mouse-click.In case you are combining ED models, move the cursor to the left of the black dot inserted with the last model object, then click.
3. Connect to Your Model
   1. Create a percentage route between the start of your model and the black box arriving to this model object. In case you are combining ED models, use a percentage route to connect the black box from ED2 Triage to the black box arriving in this model object.
   2. In case you are combining ED models, create a Get and Free route from Triage Patient activity to Nurse resource.
   3. Using a percentage route, connect the black box (connected from the Yes route) to the rest of your model. In case you are combining ED models, use a percentage route to connect to the black box in the ED4_a Patient Discharge model object.
   4. Using a percentage route, connect the black box (connected from the No route) to the rest of your model. In case you are combining ED models, use a percentage route to connect to the black box in the ED6_a Patient Admit model object. This Model Object is best when used with other ED model objects Scenario Parameters
4. Define Values: Change the scenario parameter values based on the Scenario Parameters information provided at the end.
5. Completion: The model object is now integrated into your model, you should now be able to save and then simulate the model. You should now be ready to add ED4_a Patient Discharge model object.

Controls Usage

Attributes:

1. a_Disposition: Tells were a patient will go in the ED (m_FT = Fast Track, m_ER = Emergency Room, m_TR = Triage Unit.
2. a_Lab_Qty: Used to identify if a Lab is required (1 = Yes, 0 = No) Set in the activity MD Assessment.
3. a_Rad_Qty: Used to identify if a Radiology is required (1 = Yes, 0 = No) Set in the activity MD Assessment.
4. a_MD_Start: Used only to collect stats.
5. a_Initial_Asses_in: Used only to collect stats.
6. a_Enter_info_in: Used only to collect stats.
7. a_MD_Asmt_in: Used only to collect stats.
8. a_Combine_in: Used only to collect stats.
9. a_MD_Decision: Used only to collect stats.
10. a_Acuity Carries: the patient acuity level. If 1 is the highest acuity and you have 5 levels of acuity then a 1 will be transformed to a 5.
11. a_Rand: Used in Arrivals model object.
12. a_Hr: Used in Arrivals model object.
13. a_FTV: Used in Arrivals model object.
14. a_STV: Used in Arrivals model object.
15. a_StartWait1: Used in Triage model object.
16. a_TotalWait1: Used in Triage model object.
17. a_MaxWait1: Used in Triage model object.
18. a_VATime: Used in Arrivals model object.
19. a_Acuity_Real: Reserved for future development.

Variables:

1. v_Door_To_Bed_ALL: Reports stats — Time from entrance to admission to a bed.
2. v_Inial_Asmt_Wait: Reports stats — Time waiting for nurse to enter the room to provide initial assessment.
3. v_Enter_info_wait: Reports stats — Time waiting for Tech to enter the room to do bedside registration.
4. v_MD_Asmt_Wait: Reports stats — Time waiting for Doctor to enter the room to do initial assessment.
5. v_Combine_Wait: Reports stats — Time waiting for Labs, Radiology, or Procedures to come back.
6. v_MD_Decision_Wait: Reports stats — Time waiting for MD to come into the room to make a decision.
7. v_Gate1: Stops the reevaluation of the priority of people in the waiting room until a set time.
8. v_FT_Available: If set to yes the fast track is available. If set to no the FT is not available.
9. v_Waiting_TimeAllAcuity: Reports stats — Time waiting in waiting room for all acuities levels combined.
10. v_Waiting_Time_Acuity4: Reports stats — Time waiting if acuity level 4 (Remember acuity levels are transformed).
11. v_Waiting_Time_Acuity3: Reports stats — Time waiting if acuity level 4 (Remember acuity levels are transformed).
12. v_Waiting_Time_Acuity2: Reports stats — Time waiting if acuity level 4 (Remember acuity levels are transformed).
13. v_Waiting_Time_Acuity1: Reports stats — Time waiting if acuity level 4 (Remember acuity levels are transformed).
14. v_Waiting_Time_FT Reports: stats — Time waiting if patient is a fast track.
15. v_Waiting_Time_ER_Bed: Reports stats — Time waiting for a Bed in the ED.
16. v_Waiting_Time_LWOBS: Reports stats — Time waiting if the patient left without being seen.
17. v_Total_In_Waiting_Room: Reports stats — The number people in the waiting room.
18. v_Trauma_Unit_InUse: Reports stats — The number the number of Trauma Units in use over time.
19. v_Fast_Track_Bed_InUse: Reports stats — The number the number of Fast Track Beds in use over time.
20. v_ER_Bed_InUse: Reports stats The number the number of trauma ER Beds in use over time.

Scenario Parameters:

1. s_Numb_ER_Beds: Sets the number of ER beds available at the start of the simulation.
2. s_Numb_FT_Beds: Sets the number of Fast Track beds available at the start of the simulation.
3. s_Numb_TR_Beds: Sets the number of  Trauma Units available at the start of the simulation.
4. s_Numb_MD: Sets the number of MDs available at the start of the simulation.
5. s_Numb_Nurse: Sets the number of Nurses available at the start of the simulation.
6. s_Numb_PA: Sets the number of PAs available at the start of the simulation.
7. s_Numb_Tech: Sets the number Techs available at the start of the simulation.
8. s_LoopDelay1: The amount of time between re-sequence of patients in the waiting room.
9. s_Numb_Acuity_Levels: How many levels of acuity exist in this system (i.e. 3 or 4 or 5, etc.).
10. s_Acuity_HowManyToFastTrack: How many acuity levels are allowed to be transferred to the Fast Track.
11. s_Fast_Track_On_OneIsYes: Signals that a fast track is available (1 indicates yes and 0 indicates no).
12. s_Fast_Track_StartTime: Sets the daily starting time of the Fast Track.
13. s_Fast_Track_EndTime: Sets the daily ending time of the Fast Track.
14. s_MaxWait1: Set the time that patients are willing to wait before leaving without being seen (may be entered as a distribution).
15. s_Triage_Time: Sets the time to triage a patient (may be entered as a distribution).