Konferenzbeiträge

The GAP-DRG Model: Simulation of Outpatient Care for Comparison of Different Reimbursement Schemes


In healthcare the reimbursement of medical providers is an important topic and can influence the overall outcome. We present the agent-based healthcare model, which allows a comparison of reimbursement schemes in outpatient care. It models patients and medical providers as agents. In the simulation of healthcare system, patients develop medical problems (i.e., diseases) and a need for medical services. This leads to utilization of medical providers. The reimbursement system receives information on the patients’ visits via its generic interface, which facilitates an easy replacement. We describe the assumptions of the model in detail and show how it makes extensive use of available Austrian routine care data for its parameterization. The model design is optimized for utilizing as much of these data as possible. However, many assumptions have to be simplifications. Further work and detailed comparisons with healthcare data will provide insight on which assumptions are valid descriptions of the real process.

West Nile Virus System Dynamics Investigation In Dallas County, TX


After its first introduction in 1999, West Nile Virus (WNV) has spread very widely along the east coasts of the United States before appearing in Texas where 1792 cases were reported of which 82 were fatal in 2012. The interesting patterns and behavior of the virus and its amplified impact on the county of Dallas drove this work. This paper encompasses a thorough development of a systems dynamics simulation model of virus's infectious behavior and dynamics in Dallas County, TX utilizing historical data collected and the aid of suitable software packages.

A Hybrid Simulation Model for Large-Scaled Electricity Generation Systems


Due to the transition towards a sustainable energy supply, many electricity generation systems are faced with great challenges worldwide. Highly volatile renewable energy sources play an important role in the future electricity generation mix and should help compensate the phase-out of nuclear power in countries such as Germany. Simulation-based energy system analysis can support the conversion into a sustainable future energy system and are intended to find risks and miscalculations. In this paper we present main components of the electricity generation system models. We use a hybrid simulation approach with system dynamics and discrete event modules. This modular design allows quick model adoptions for different scenarios. Simulation results show the development of the future annual electricity balance, CO2 emission balance, electricty imports and exports, and the wholesale price of electricity.

Prospective Healthcare Decision-Making By Combined System Dynamics, Discrete-Event And Agent-Based Simulation


Prospective Health Technology Assessment allows early decision making for innovative health care technologies. In our recent publications a hybrid simulation approach with System Dynamics and Agent-Based Modeling has been presented. This paper presents a mechanism to generate agents dynamically from SD models and extends the previously presented hybrid approach by process-oriented Discrete Event Simulation for hospital modeling.

Modeling the Cycles of Gang and Criminal Behavior: Understanding the Social and Economic Influences


One of the challenges in developing policy for dealing with asocial behavior, such as burglary, vehicle theft, or violent crimes is the seemingly unpredictable rise and fall of activity. In retrospect these cycles in crime are often attributed to changes in factors such the size of a police force, level unemployment, or high school drop-out rate. What causes changes in these factors can some times be external to a local community, such as economic shifts affecting tax revenue, however many are internally linked. For example when crime is high, there is a call for more police and when crime is low, there is a justification for reducing the size of the force. Therefore, understanding how these factors are linked together as a whole may allow for better policies that reduce asocial behavior further and create more stability in the long term.

Large Scale Healthcare Modeling by Hybrid Simulation Techniques using AnyLogic


This paper describes a methodical and practical approach of hybrid model creation using the simulation tool AnyLogic. We focus on general modeling aspects and on advanced techniques using a Level-Based Architecture that help to develop large scale hybrid simulation models. An implementation of a stroke therapy use-case and its simulation results will be discussed. Finally, some practical ideas for validation will be outlined, as we experienced during the stroke use-case development.

A Complex Systems Modelling Approach for Decentralized Simulation of Electrical Microgrids


The structure and behavior of Electrical Grids share many of the properties of Complex Computer Systems, with microgrids and other decentralized electrical systems attached to them, so they can be interpreted as Systems of Systems. Furthermore, the evolution of the future electrical system will bring a higher degree of decentralization concerning specially production and control. To deal with this paradigm change, new models and tools are necessary. In this paper a model of an electrical microgrid is presented.

A simulation modeling approach for improving oral health outcomes of older adults


This interdisciplinary research focuses on improving the oral health of older adults as a means of enhancing their overall wellbeing and quality of life. Periodontal disease is a risk factor for other chronic illnesses, notably diabetes and cardiovascular disease. In order to identify policies that improve oral health for older adults, a dynamic modeling approach that considers community and individual level factors is utilized.