The document provides instructions for a management report and Simul8 model of an emergency department. Key details include: - The report should be 1000 words maximum making recommendations on staffing levels based on the Simul8 model. - The Simul8 model should show patient flows through triage, examination, treatment and discharge or admission processes based on triage category. - The goal is to determine appropriate staffing levels for doctors, nurses and porters to achieve high quality care while keeping costs low.

1. Coursework Part B simul8 report
Order Descriptiondear writer,this is a 1000 words management report based on simul8
software. i would require both the report of 1000 words as well as the simul8
file.EssayWriters.net Privacy policy info@essaywriters.netCoursework Part BTotal marks
for this part: 40%Deadline for this part: Friday 16January 20151. You must upload on to
the Blackboard site as Part B €“ Report a SINGLE Word document, labelled with your
family name, containing the following three sections:a. A BRIEF management report (1000
words maximum) for the hospital making your recommendations and briefly explaining in
non-technical language why you have come to that conclusion. You should discuss any key
assumptions in the model, and their implications for interpreting the results.b. A printout
of the Simul8 screen for your model, showing the routing arrows.c. A short technical
Appendixbriefly describing how you chose the run length, the warm-up period, and the
number of iterations, and your experimentation strategy.2. You must hand a printed copy
of this Word file in to Reception.3. You must also upload the Simul8 file (showing your
BEST solution) on to the Blackboard site. Please name the Simul8 file with your family
name, e.g. mine would be Brailsford.s8.SummaryUpload to Blackboard:€¢ Part B €“
Report (a single Word document containing a) to c) above)€¢ Part B €“ Model (a Simul8
file)Hand in to Reception:€¢ Printed copy of the Word docYour work will be assessed on
the quality of your solution, the clarity of your explanations, the extent to which you
demonstrate your understanding of simulation methodology, and your ability to use
Simul8.Marking scheme (approximate)Simul8 model correct, with appropriate use of
various aspects of Simul8 30Technical appendix clear and correct: sensible
experimentation strategy described clearly 20Presentation of results: intelligent selection
of appropriate output variables 15Professional covering letter 5Report for the hospital
€“ clarity of explanation, appropriate use of graphs/tables to explain recommendations,
short and informative Exec Summary 30100The Emergency RoomYou have been
employed as a business consultant by the management of Queen Mary’s Hospital,
Southampton, in order to advise them on staffing levels in the Emergency Department
(ED).Patients arrive at the ED either by ambulance, or independently as walk-ins. The walk-
in patients first join a queue for Triage, where they are rapidly assessed by a nurse and
assigned a category between 1 and 5, according to how seriously ill they are. Category 1 is
the most serious and is for life-threatening conditions such as heart attack or major trauma;
Category 5 is the least serious and is for minor ailments and injuries. All ambulance
arrivals are assumed to be Category 1 and do not receive triage. The proportions of walk-in

2. patients in each triage category are as follows:Category % in this
category1 52 153 254 305 25Following arrival (in the case of ambulance patients)
or after Triage (in the case of walk-in patients) patients then wait to be examined by a
doctor. Category 12, 2 and 3 patients are examinedin a process called Majors. In theory,
Category 1 patients should not have to wait, and therefore Category 1 patients have their
own special queue for Majors and take priority over any category 2 and 3 patients who are
also waiting. Category 4 and 5 patients are seen in a process called Minors.After this
examination, patients take different paths through the ED, depending on their triage
category.€¢ After Minors, Category 5 patients just need some simple treatment
(Treatment 1) and then they are able to go home.€¢ After Minors, Category 4 patients all
go for diagnostic tests (Diagnostics). After this, they all receive further, more complex
treatment (Treatment 2), after which 85% of patients are able to go home and 15% will be
admitted to hospital.€¢ After Majors, Triage category 2 and 3 patients follow the same
path as Category 4: they all have Diagnostics,undergo Treatment 2 and then 85% go home
and 15% are admitted.€¢ After Majors, all Category 1 patients go the Resuscitation area
(Resus). Sadly, 5% of patients die in Resus; the rest get admitted to hospital.Three types of
staff work in the ED: doctors, nurses and porters. Porters are needed to transport patients
to other parts of the hospital.Data have been collected over a period of six months for the
various processes in the ED, and probability distribution functions have been fitted for
them, as shown in the Table below. The time units are minutes. This Table also shows the
number of staff required for each process.ProcessPDF ResourcesAmbulance
arrivals Negexp (30) –Walk in arrivals Negexp (5) –Triage Triangular (5,8,12) 1
nurseMinors Triangular (15,20,40) 1 doctorMajors Triangular (20,30,60) 1 doctor, 2
nursesResus Uniform (20,60) 2 doctors, 2 nursesDiagnostics Fixed, 60 1 nurse, 1
porterTreatment 1 Uniform (20,40) 1 nurseTreatment 2 Uniform (40,60) 2
nursesAdmit Fixed, 5 1 nurse, 1 porterBuild a Simul8 model for this system and use your
model to tell the hospital how many doctors, nurses and porters there should be. You
should bear in mind the following factors:€¢ Although the UK Government has now
abolished the official 4-hour target for monitoring the performance of EDs, most UK
hospitals still strive to attain this. The precise target was that 98% of patients should not
spend more than 4 hours inside the ED. The admission process counts towards this
duration.€¢ Obviously, the hospital is concerned about costs and therefore wishes to
employ as few staff as possible, consistent with providing high-quality care.Technical
points1. You should alter the Time format to Simple count from zero (this is in the Clock
€“ Clock properties menu). Assume the ED is 24/7, 365 days a year and that all arrivals,
processes and staffing levels remain the same for every hour of the day and day of the
week. You should use a time unit of minutes.2. You will need to do a warm-up since
otherwise the simulation will start with an empty ED. This is alsoin the Clock
Propertiesmenu €“ you will also need to alter the Results Collection Period. You will need
to choose these durations yourself and justify your choice in your report.3. Of course in a
real ED, Category 1 patients would not be allowed to wait for Majors or for Resus. If all the
staff were busy with lower category patients, in reality one or more of these less serious
patients would have their treatment interrupted while the staff dealt with the Category 1

3. patient. This is difficult, although not impossible, to model in Simul8. Do not attempt to
model interrupted activities. Although Category 1 patients have their own queue for
Majors, which should have priority over the Category 2/3 queue, there may still be
occasions when patients wait here. The same is also true for Resus. You should simply
discuss the implications of this modelling limitation in your report.4. You will need to
create two labels in this model. One will be the Triage category which for walk-in patients is
a user-defined distribution and is assigned at the entry point. For ambulance arrivals it is
always set equal to 1. The triage category remains unchanged for the whole time a patient is
in the system. The other label is needed for those places where Routing Out is done by
triage category. This label, which you might call next, will be used to indicate which
destination that patient will go to, out of the list of all possible destinations in the Routing
Out dialog. Its value will be assigned by using Visual Logic. This is exactly the same logic as
the Babies example you had in the lecture Advanced Simul8 and you will have practised in
the lab classes on December 8th. The VL should be used to check the triage category and to
set the value of next accordingly.For example, suppose process P is just for Categories 4 and
5, after which we want to route Category 4 patients to queue Q1 and Category 5 patients to
queue Q2. The VL in workcenter P will be of the formIF Triage category = 4 THENSET next =
1ELSESET next = 2(We can just use ELSE because if patients are not Category 4, then they
must be Category 5).For workcenter P, choose Routing out by Label and select the label
next. Finally, you just then need to make sure that Queue Q1 is in position 1 in the
destination list and Queue Q2 is in position 2.5. There will be a surgery session for Simul8
in the class slot in Week 12. However the PhD students who run this session will NOT
answer detailed questions about the coursework, or tell you if your model is right or
not. Please do not ask them this! They will have been given strict instructions about what
they can and cannot help you with.Final hint. The easiest way to import Simul8 windows
into a Word document is:€¢ Select the required window in Simul8€¢ Press Alt-
PrintScreen(i.e. hold down the Alt key and at the same time press the Print Screen key) to
copy the window to the clipboard€¢ Go to your Word document and press Ctrl-V to paste
the contents of the clipboard into your document.