A Facilitation Workshop for the Implementation Stage: A Case Study in health care

Research on facilitation in discrete event simulation (DES) is gathering pace but there is still a need to put forward real examples to explain the process to newcomers. Most of the research has focussed on facilitation in the initial stages of the simulation modelling process. In this paper we focus on one of the postmodel coding stages. More specifically we focus on the implementation stage, the final stage in the modelling process. The primary contributions of this paper are the description of the process followed and the introduction of tools that can be used during this stage to support workshop activities. A real case study is provided describing the sequence of the interactions undertaken in the workshop. Extracts from the transcripts are also included, with the view to bringing evidence of the stakeholders’ involvement and their mood during the workshop. The paper concludes with a discussion on the process followed and the importance of using tools in this stage

A participative and facilitative conceptual modelling framework for discrete event simulation studies in healthcare

Existing approaches to conceptual modelling (CM) in discrete-event simulation (DES) do not formally support the participation of a group of stakeholders. Simulation in healthcare can benefit from stakeholder participation as it makes possible to share multiple views and tacit knowledge from different parts of the system. We put forward a framework tailored to healthcare that supports the interaction of simulation modellers with a group of stakeholders to arrive at a common conceptual model. The framework incorporates two facilitated workshops. It consists of a package including: three key stages and sub-stages; activities and guidance; tools and prescribed outputs. The CM framework is tested in a real case study of an obesity system. The benefits of using this framework in healthcare studies and more widely in simulation are discussed. The paper also considers how the framework meets the conceptual modeling requirements

A facilitation workshop for the implementation stage: A case study in health care

Research on facilitation in discrete event simulation (DES) is gathering pace but there is still a need to put forward real examples to explain the process to newcomers. Most of the research has focussed on facilitation in the initial stages of the simulation modelling process. In this paper we focus on one of the postmodel coding stages. More specifically we focus on the implementation stage, the final stage in the modelling process. The primary contributions of this paper are the description of the process followed and the introduction of tools that can be used during this stage to support workshop activities. A real case study is provided describing the sequence of the interactions undertaken in the workshop. Extracts from the transcripts are also included, with the view to bringing evidence of the stakeholders’ involvement and their mood during the workshop. The paper concludes with a discussion on the process followed and the importance of using tools in this stage

Facilitated post-model coding in discrete event simulation (DES): a case study in healthcare

Research on facilitated discrete event simulation (DES) is gathering pace but there is still a need to put forward real examples to explain the process to newcomers. This paper is part of a line of research on the methodology of facilitated DES. In this paper we explain in more detail the facilitation process and the tools used to support the experimentation and implementation stages in a DES study involving workshops with a group of stakeholders, after an initial simulation model has been coded on the computer. A real case study is used to describe the process followed and the interactions at the workshops. Extracts from the transcripts are also included, with the view to providing evidence of the stakeholders’ involvement and their mood during the workshops. We conclude with a discussion on the process and tools used to support the facilitation process. Future research directions are also put forward

Choice and judgement in developing models for health technology assessment; a qualitative study

Introduction: The role of models in supporting health policy decisions is reliant on model credibility. Credibility is fundamentally determined by the choices and judgements that people make in the process of developing a model. However, the method of uncovering choices and making judgements in model development is largely unreported and is not addressed by modelling methods guidance. Methods: This qualitative study was part of a project examining errors in health technology assessment models. In-depth interviews with academic and commercial modellers were used to obtain descriptions of the model development process. Data were analysed using framework analysis and interpreted in the context of the methodological literature. Results: The activities involved in developing models were characterised according to the themes; understanding the decision problem, conceptual modelling, model implementation, model checking, and engaging with the decision maker. Finding and using evidence was frequently mentioned across these themes. There was marked variation between practitioners in the extent to which conceptual modelling was recognised as an activity distinct from model implementation. Discussion: Methodological approaches to addressing model credibility described in the wider modelling literature highlight the necessity to disentangle the conceptual modelling and implementation activities. Whilst interviewees talked of judgements and choice making throughout model development, discussion indicated that these were based upon skills and experience with no discussion of formal approaches. Methods are required that provide for a systematic approach to uncovering choices, to generating a shared view of consensus and divergence, and for making judgements and choices in model development

A preliminary study on the role of simulation models in generating insights

The generation of insight from simulation models has received little attention in the discrete-event simulation (DES) literature. Often DES studies claim to have supported problem understanding and problem solving by creating new and effective ideas, however little empirical evidence exists to support these statements. This paper presents the design of an experimental study which aims to understand the role of simulation models in generating insights. Study participants are asked to solve a task based on a problem of a telephone service for non-emergency health care. One independent variable is manipulated: the features of the simulation model, forming three conditions. Participants either use the animation or only the statistical results of the model or no model at all to solve the task. The paper provides a preliminary analysis of the pilot tests, which indicates that simulation models may assist users in gaining better understanding and in achieving divergent thinking

Facets of trust in simulation studies

This is the author accepted manuscript. The final version is available on open access from Elsevier via the DOI in this recordThe purpose of a modelling and simulation (M&S) study for real-world operations management applications is to support decision-making and inform potential action, therefore investigating the aspects of the modelling process which influence trust is important. Previous work has considered the question of trust through the lens of model validation. However, whilst a simulation model may be technically well executed, stakeholders’ trust in the results may also depend upon intangible factors such as interpersonal relationships. Existing literature has also focused on the credibility of the simulation practitioner, however the credibility attribute belongs to the stakeholder, and it ignores the trust aspects that may exist between the stakeholders and the model itself. In this paper, we argue that different facets of trust emerge throughout the stages of a simulation study, and both influence, and are influenced by, the interaction between the model, the modeller and the stakeholders of the study. We present a synthesis of existing literature and extend it by proposing a formative model of trust which presents a conceptualisation of this tripartite relationship. Our contribution is the identification of the different facets of trust in the lifecycle of a modelling and simulation study. We argue that these interacting facets converge via the three-way relationship between modeller, model and stakeholders toward epistemic trust in the knowledge generated by the simulation study and ultimately model acceptability and implementation. To the best of our knowledge, ours is the first study that focuses solely on the question of trust in an M&S study.Economic and Social Research Council (ESRC