Model the hospital before changing the hospital.
Healthcare has systems for patients, resources, scheduling, clinical workflows, facilities, and reporting. The challenge is understanding what happens when those pieces interact physically and operationally.
The patient flow, transport, and operating room packs are planned and not yet started. The limits below are fixed now, before the work begins.
TOKNITH models
- Patient arrivals
- Registration
- Triage
- Bed assignment
- Treatment
- Transport
- Procedures
- Recovery
- Discharge
- Rooms
- Beds
- Elevators
- Corridors
- Imaging
- Laboratories
- Pharmacy
- Operating rooms
- Equipment
- Clinicians
- Nurses
- Technicians
- Transport staff
- EVS
- Patient movement
One operational model.
Patients and staff can behave as agents.
Beds and rooms have state.
Transport and movement occur through physical space.
Clinical and operational events occur at specific times.
The result is one operational model.
Hospital redesign
- Existing Hospital
- Branch
- Proposed Design
- Run
- Compare
- Commit
- Campus
The question becomes
- What happens if we change the operation?
Verbs the hospital pack may never use.
The model is an operational model, not a clinical one. These refusals are built into the pack rather than written as policy around it.
- Change acuity
- Choose treatment
- Auto-discharge
- Move a patient without documentation
The Advisor operates under the same limits. It proposes operational actions to a named person, and never applies anything itself.
One clock. One model. Many futures. One reality.
Model the operation. Rehearse the change. Connect it to reality.
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