MSc Candidate in Health Systems
Telfer School of Management
This research considers a common healthcare challenge of planning capacity for a clinic and program where patients receive multiple treatment sessions from different resources. As a case study of this more general problem, we considered the particular context of a capacity planning model for the Mood and Anxiety Program at The Ottawa Royal Health Centre (referenced as The Royal for simplicity). The development of this model is done considering that The Royal is implementing a new service system known as CAPA (www.capa.co.uk) with which it is looking to enhance and improve the mental care provided to its patients. In order to develop the capacity planning model, we have created a simulation model using the Arena simulation software. We have also used the ABCMod Framework as the modeling methodology. The ABCMod is an activity based conceptual modelling framework that provides a set of guidelines as to how to build a conceptual model including its structural and behavioural aspects as well as a collection of constructs which include inputs, outputs and parameters among others. The ABCMod framework tools are expected to facilitate the model validation with the project stakeholders. A series of scenarios relevant to The Royal were modeled and analyzed in order to determine how to manage capacity so that the established performance goals within the CAPA system implementation are met. These scenarios allowed us to determine the service level The Royal could provide with its current capacity and also the effects of resource availability and distribution combinations. From our simulation runs, we defined the potential policy implications that would need to be assessed at The Royal in order to achieve its targets and successfully implement CAPA. Additionally, through the application and the ABCMod framework and standard process mapping tools, we were able to reach consensus and validate our modeling approach with the project stakeholders at The Royal. Our model could be further developed and applied in general simulation cases in which two different types of resources provide multiple interventions to their clients.