Volume 15 Issue 3
Jun.  2024
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Thomas A. Berg, Kristina W. Kintziger, Julie Suzuki Crumly, Scott A. Lawson, Carole R. Myers, Tracey T. Stansberry. Development of a Proof-of-Concept Multi-Method Computer Simulation to Support Rural Healthcare Disaster Preparedness Planning[J]. International Journal of Disaster Risk Science, 2024, 15(3): 346-358. doi: 10.1007/s13753-024-00561-x
Citation: Thomas A. Berg, Kristina W. Kintziger, Julie Suzuki Crumly, Scott A. Lawson, Carole R. Myers, Tracey T. Stansberry. Development of a Proof-of-Concept Multi-Method Computer Simulation to Support Rural Healthcare Disaster Preparedness Planning[J]. International Journal of Disaster Risk Science, 2024, 15(3): 346-358. doi: 10.1007/s13753-024-00561-x

Development of a Proof-of-Concept Multi-Method Computer Simulation to Support Rural Healthcare Disaster Preparedness Planning

doi: 10.1007/s13753-024-00561-x
Funds:

The authors acknowledge funding support from Oak Ridge Associated Universities (ORAU) Foundations for this research and technical support from Freddy Grey and Amanda Letheren McHale from ORAU.

  • Accepted Date: 2024-05-06
  • Available Online: 2024-10-26
  • Publish Date: 2024-06-04
  • Due to a lack of resources, rural communities often face challenges when planning catastrophic events. This project involved applying systems thinking and model-based systems engineering to develop a proof-of-concept, multi-method computer simulation and then determining whether the simulation could be used to assess the efficacy of disaster planning approaches on health outcomes in rural communities, as a function of primary healthcare. The project focus was a rural or non-urban healthcare system experiencing a natural hazard. Both system dynamics and discrete event models were incorporated to represent subsystem operations, crucial disaster responses, as well as three key response systems: public health, emergency management, and healthcare. The subsystem models included several components: policies/procedures, communications, resources, exercises/drills/training, healthcare space and staff, and the flow of affected people into and through the system. The combined simulation can serve as a first step to a more comprehensive approach to helping rural communities achieve more efficient and effective healthcare planning for disaster responses.
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  • [1]
    Allen, M., A. Bhanji, J. Willemsen, S. Dudfield, S. Logan, and T. Monks. 2020. A simulation modeling toolkit for organising outpatient dialysis services during the COVID-19 pandemic. PLOS One 15(8): Article e0237628.
    [2]
    An, L. 2012. Modeling human decisions in coupled human and natural systems: Review of agent-based models. Ecological Modelling 229: 25-36.
    [3]
    Berg, T.A., K.N. Marino, and K.W. Kintziger. 2023. The application of model-based systems engineering to rural healthcare system disaster planning: A scoping review. International Journal of Disaster Risk Science 14(3): 357-368.
    [4]
    Brailsford, S.C., T. Eldabi, M. Kunc, N. Mustafee, and A.F. Osorio. 2019. Hybrid simulation modelling in operational research: A state-of-the-art review. European Journal of Operational Research 278(3): 721-737.
    [5]
    Chaffee, M.W., and M.M. McNeill. 2007. A model of nursing as a complex adaptive system. Nursing Outlook 55(5): 232-241.
    [6]
    Chahal, K., and T. Eldabi. 2008. Applicability of hybrid simulation to different modes of governance in UK healthcare. 2008 Winter Simulation Conference, 7-10 December 2008, Miami, FL, USA, IEEE. https://doi.org/10.1109/WSC.2008.4736226.
    [7]
    Chovatiya, M., A. Dhameliya, J. Deokar, J. Gonsalves, and A. Mathur. 2019. Prediction of dengue using recurrent neural network. In Proceedings of the 2019 3rd International Conference on Trends in Electronics and Informatics (ICOEI), 23-25 April 2019, Tirunelveli, India.
    [8]
    Coetzee, C., D. Van Niekerk, and E. Raju. 2016. Disaster resilience and complex adaptive systems theory. Disaster Prevention and Management 25(2): 196-211.
    [9]
    Economic Innovation Group. 2021. Redefining rural: Towards a better understanding of geography, demography, and economy in America’s rural places. https://eig.org/redefining-rural-basics-and-well-being/. Accessed 11 May 2023.
    [10]
    Forrester, J. 1961. Industrial dynamics. Systems Dynamics Series. Portland, OR: MIT Press.
    [11]
    Hassan, E.M., and H. Mahmoud. 2020. An integrated socio-technical approach for post-earthquake recovery of interdependent healthcare system. Reliability Engineering & System Safety 201: Article 106953.
    [12]
    Hassan, E.M., and H.N. Mahmoud. 2021. Orchestrating performance of healthcare networks subjected to the compound events of natural disasters and pandemic. Nature Communications 12(1): Article 1338.
    [13]
    Hendrickson, C., M. Muro, and W.A. Galston. 2018. Countering the geography of discontent: Strategies for left-behind places. https://www.brookings.edu/research/countering-the-geography-of-discontent-strategies-for-left-behind-places/. Accessed 11 May 2023.
    [14]
    Hoard, M., J. Homer, W. Manley, P. Furbee, A. Haque, and J. Helmkamp. 2005. Systems modeling in support of evidence-based disaster planning for rural areas. International Journal of Hygiene and Environmental Health 208(1-2): 117-125.
    [15]
    Homer, J.B., and G.B. Hirsch. 2006. System dynamics modeling for public health: Background and opportunities. American Journal of Public Health 96(3): 452-458.
    [16]
    Homer, J. 2020. Modeling global loss of life from climate change through 2060. System Dynamics Review 36(4): 523-535.
    [17]
    Human Resources & Services Administration. 2022. Defining rural population. https://www.hrsa.gov/rural-health/about-us/what-is-rural. Accessed 11 May 2023.
    [18]
    Johnson, S. 2022. New study reveals alarming shortage of mental health professionals in rural America. https://bigthink.com/culture-religion/new-study-reveals-alarming-shortage-of-mental-health-professionals-in-rural-america/. Accessed 11 May 2023
    [19]
    Johnt, K.E., N. Nguyen, L.W. Samson, and J.E. Snyder. 2016. Rural hospital performance in value-based purchasing and other delivery system reform initiatives. https://aspe.hhs.gov/sites/default/files/migrated_legacy_files//156066/RuralHospitalsDSR.pdf. Accessed 11 May 2023.
    [20]
    Jun, J.B., S.H. Jacobson, and J.R. Swisher. 1999. Application of discrete-event simulation in health care clinics: A survey. Journal of the Operational Research Society 50(2): 109-123.
    [21]
    Kapucu, N. 2009. Interorganizational coordination in complex environments of disasters: The evolution of intergovernmental disaster response systems. Journal of Homeland Security and Emergency Management 6(1): Article 47.
    [22]
    Kasturi, S.N., J. Park, D. Wild, B. Khan, D.A. Haggstrom, and S. Grannis. 2021. Predicting COVID-19-related health care resource utilization across a statewide patient population: Model development study. Journal of Medical Internet Research 23(11): Article e31337.
    [23]
    Kirsch, T., E. Miller-Hooks, and M. TariVerdi. 2018. Strategies for improved hospital response to mass casualty incidents. Disaster Medicine and Public Health Preparedness 12(6): 778-790.
    [24]
    Lane, D.C., C. Monefeldt, and J.V. Rosenhead. 2000. Looking in the wrong place for healthcare improvements: A system dynamics study of an accident and emergency department. Journal of the Operational Research Society 51(5): 518-531.
    [25]
    Macal, C.M. 2016. Everything you need to know about agent-based modelling and simulation. Journal of Simulation 10: 144-156.
    [26]
    Maglio, P.P., M.J. Sepulveda, and P.L. Mabry. 2014. Mainstreaming modeling and simulation to accelerate public health innovation. American Journal of Public Health 104(7): 1181-1186.
    [27]
    Medical Group Management Association. 2018. MGMA Stat poll: Demand still high for qualified non-clinical applicants in healthcare industry. https://www.mgma.com/news-insights/human-resources/mgma-stat-poll-demand-still-high-for-qualified-no. Accessed 11 May 2023.
    [28]
    Medicare Payment Advisory Council. 2018. Report to the Congress: Medicare and the health care delivery system. https://www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/jun18_medpacreporttocongress_rev_nov2019_note_sec.pdf. Accessed 11 May 2023.
    [29]
    Miller, H.E., K.J. Engemann, and R.R. Yage. 2006. Disaster planning and management. Communications of the IIMA 6(2): Article 4.
    [30]
    Moore, T.W., P.D. Finley, J.M. Linebarger, W.E. Beyeler, V.J. Davey, and R.J. Glass. 2011. Public health care as a complex adaptive system of systems. In Proceedings of the Eigth International Conference on Complex Systems, 16 June-11 July 2011, Quncy, MA, USA.
    [31]
    Morgan, J.S., S. Howick, and V. Belton. 2017. A toolkit of designs for mixing discrete event simulation and system dynamics. European Journal of Operational Research 257(3): 907-918.
    [32]
    Mostafavi, A., and N.E. Ganapati. 2021. Toward convergence disaster research: Building integrative theories using simulation. Risk Analysis 41(7): 1078-1086.
    [33]
    National Association of Counties. n.d. Overview of county government. https://web.archive.org/web/20130417063950/http://www.naco.org/Counties/Pages/Overview.aspx. Accessed 11 May 2023.
    [34]
    Parker, K., J.M. Horowitz, A. Brown, R. Fry, D. Cohn, and R. Igielink. 2018. What unites and divides urban, suburban and rural communities. https://www.pewresearch.org/social-trends/2018/05/22/what-unites-and-divides-urban-suburban-and-rural-communities/. Accessed 11 May 2023.
    [35]
    Patvivatsiri, L., E.J. Montes, and X. Ouyang. 2007. Modeling bioterrorism preparedness with simulation in rural healthcare system. In Proceedings of the 2007 Winter Simulation Conference, 9-12 December 2007, Washington, DC, USA.
    [36]
    Peterson, D.W., and R.L. Eberlein. 1994. Reality check: A bridge between systems thinking and system dynamics. System Dynamics Review 10(2-3): 159-174.
    [37]
    Pidd, M. 2004. Complementarity in systems modelling. In Systems modelling: Theory and practice, ed. M. Pidd, Chapter 1. Chichester, UK: John Wiley and Sons.
    [38]
    Ramos, A.L., J.V. Ferreira, and J. Barceló. 2011. Model-based systems engineering: An emerging approach for modern systems. IEEE Transactions on Systems, Man, and Cybernetics, Part C (Applications and Reviews) 42(1): 101-111.
    [39]
    Ratcliffe, M., C. Burd, K. Holder, and A. Fields. 2016. Defining rural at the U.S. Census Bureau. https://www2.census.gov/geo/pdfs/reference/ua/Defining_Rural.pdf. Accessed 11 May 2023.
    [40]
    Richardson, G.P., and A.L. Pugh III. 1997. Introduction to system dynamics modeling with DYNAMO. Journal of the Operational Research Society 48(11): 1146.
    [41]
    Savitsky, L.M., and C.M. Albright. 2020. Preventing COVID-19 transmission on labor and delivery: A decision analysis. American Journal of Perinatology 37(10): 1031-1037.
    [42]
    Shahverdi, B., E. Miller-Hooks, M. Tariverdi, H. Ghayoomi, D. Prentiss, and T.D. Kirsch. 2022. Models for assessing strategies for improving hospital capacity for handling patients during a pandemic. Disaster Medicine and Public Health Preparedeness 17: Article e110.
    [43]
    Simonovic, S.P. 2020. Systems approach to management of disasters: Methods and applications. Hoboken, NJ: John Wiley & Sons.
    [44]
    Sterman, J.D. 2000. Business dynamics: Systems thinking and modeling for a complex world. Boston: McGraw-Hill.
    [45]
    TariVerdi, M., E. Miller-Hooks, T. Kirsch, and S. Levin. 2019. A resource-constrained, multi-unit hospital model for operational strategies evaluation under routine and surge demand scenarios. IISE Transactions on Healthcare Systems Engineering 9(2): 103-119.
    [46]
    The Law Dictionary. n.d. County definition and legal meaning. https://thelawdictionary.org/county/. Accessed 11 May 2023.
    [47]
    Toerper, M.F., G.D. Kelen, L.M. Sauer, J.D. Bayram, C. Catlett, and S. Levin. 2018. Hospital surge capacity: A web-based simulation tool for emergency planners. Disaster Medicine and Public Health Preparedness 12(4): 513-522.
    [48]
    USA Center for Rural Public Health Preparedness. 2007. Partnering to achieve rural health preparedness: A workbook for healthcare providers in rural communities. https://www.cidrap.umn.edu/sites/default/files/php/318/318_toc.pdf. Accessed 11 May 2023.
    [49]
    USCB (United States Census Bureau). n.d. Urban and rural. https://www.census.gov/programs-surveys/geography/guidance/geo-areas/urban-rural.html. Accessed 11 May 2023.
    [50]
    USCB (United States Census Bureau). 2016. Measuring America: Our changing landscape. https://www.census.gov/library/visualizations/2016/comm/acs-rural-urban.html. Accessed 11 May 2023.
    [51]
    USCB (United States Census Bureau). 2022. Nation’s urban and rural populations shift following 2020 census. https://www.census.gov/newsroom/press-releases/2022/urban-rural-populations.html. Accessed 8 May 2024.
    [52]
    USDA (U.S. Department of Agriculture). 2019. What is rural?. https://www.ers.usda.gov/topics/rural-economy-population/rural-classifications/what-is-rural/. Accessed 11 May 2023.
    [53]
    U.S. Government Accountability Office. 2020. Rural hospital closures: Affected residents had reduced access to health care services. https://www.gao.gov/assets/gao-21-93.pdf. Accessed 11 May 2023.
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