Tom Pape (@tompapejbs) 's Twitter Profile
Tom Pape

@tompapejbs

PhD candidate | Cambridge Judge Business School
#Healthcare #OperationsManagement #PublicHealth #DataAnalytics

ID: 1200083104490303488

linkhttp://www.jbs.cam.ac.uk/tompape calendar_today28-11-2019 16:04:57

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UKโ€™s testing policy makes daily number of reported covid cases a very good proxy for hospitalisations. Using various time series methods, here my ๐Ÿ•-๐๐š๐ฒ ๐Ÿ๐จ๐ซ๐ž๐œ๐š๐ฌ๐ญ ๐จ๐ง ๐๐š๐ข๐ฅ๐ฒ ๐œ๐จ๐ฏ๐ข๐ ๐š๐๐ฆ๐ข๐ฌ๐ฌ๐ข๐จ๐ง๐ฌ to hospitals. In total, UK has 141k hospital beds

UKโ€™s testing policy makes daily number of reported covid cases a very good proxy for hospitalisations. Using various time series methods, here my ๐Ÿ•-๐๐š๐ฒ ๐Ÿ๐จ๐ซ๐ž๐œ๐š๐ฌ๐ญ ๐จ๐ง ๐๐š๐ข๐ฅ๐ฒ ๐œ๐จ๐ฏ๐ข๐ ๐š๐๐ฆ๐ข๐ฌ๐ฌ๐ข๐จ๐ง๐ฌ to hospitals. In total, UK has 141k hospital beds
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Covid-19 infections have potentially 0.6% death probability (best guess, range 0.3%-0.9%) typically 2ยฝ weeks later. Forecasting death counts ahead, this relationship allowed us to estimate 13% (uncertainty range 9%-23%) of English people infected with virus by now CCHLE@CJBS

Covid-19 infections have potentially 0.6% death probability (best guess, range 0.3%-0.9%) typically 2ยฝ weeks later. Forecasting death counts ahead, this relationship allowed us to estimate 13% (uncertainty range 9%-23%) of English people infected with virus by now <a href="/CCHLECJBS/">CCHLE@CJBS</a>
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Exciting experience to teach my first course on Operations Management to 18 local managers at @Cambridge_ICE as part of a new business certificate offered by the Univeristy. Learning the tricks of the trade to make online lectures entertaining!๐Ÿค 

Exciting experience to teach my first course on Operations Management to 18 local managers at @Cambridge_ICE as part of a new business certificate offered by the Univeristy. Learning the tricks of the trade to make online lectures entertaining!๐Ÿค 
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Comediansโ€™ view on pitfalls in ๐—š๐—ฃ ๐˜ƒ๐—ถ๐—ฑ๐—ฒ๐—ผ ๐—ฐ๐—ผ๐—ป๐˜€๐˜‚๐—น๐˜๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€ youtu.be/z-jMH19ryMA ๐Ÿ™ƒ Large qualitative study agrees: โ€œvideo-consulting shows great promise for straightforward problems, [โ€ฆ] but leads to a reduction in information givingโ€ gponline.com/face-to-face-gโ€ฆ

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Teaching scoring models to EMBAs last week, I left students so confused that they demanded I re-do the whole lecture! So *๐’†๐’Ž๐’ƒ๐’‚๐’“๐’“๐’‚๐’”๐’”๐’Š๐’๐’ˆ*๐Ÿ˜ฑ โ€“ learning teaching the hard way. On the bright side, students were interested in the topic: youtube.com/watch?v=xf1fnAโ€ฆ (21 min)

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VALUE-BASED HEALTHCARE rests on 5 pillars: Hub-and-spoke network, new technology (eg telehealth), shifting routine tasks to cheaper staff, cost-conscious culture, HC for all. Great book explaining origin of approach in India and adaptions in US ssir.org/books/excerptsโ€ฆ #vbhc

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๐—ง๐—ต๐—ฒ ๐—ฆ๐—ฐ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ ๐—ผ๐—ณ ๐— ๐˜‚๐—ฑ๐—ฑ๐—น๐—ถ๐—ป๐—ด ๐—ง๐—ต๐—ฟ๐—ผ๐˜‚๐—ด๐—ต (Lindblom 1959) is indeed a well-established public policy approach. Though one may wonder whether HM Government has taken this approach too far! The Daily Telegraph cartoon from 29 July remains a good end-of-year summary

๐—ง๐—ต๐—ฒ ๐—ฆ๐—ฐ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ ๐—ผ๐—ณ ๐— ๐˜‚๐—ฑ๐—ฑ๐—น๐—ถ๐—ป๐—ด ๐—ง๐—ต๐—ฟ๐—ผ๐˜‚๐—ด๐—ต (Lindblom 1959) is indeed a well-established public policy approach. Though one may wonder whether HM Government has taken this approach too far! The Daily Telegraph cartoon from 29 July remains a good end-of-year summary
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โ€ฆ ๐—ฎ๐—ป๐—ฑ ๐—ต๐—ฒ๐—ฟ๐—ฒ ๐˜„๐—ฒ ๐—ด๐—ผ ๐—ฎ๐—ด๐—ฎ๐—ถ๐—ป! The Daily Telegraph cartoon from 1 August 2020 is again the news of today

โ€ฆ ๐—ฎ๐—ป๐—ฑ ๐—ต๐—ฒ๐—ฟ๐—ฒ ๐˜„๐—ฒ ๐—ด๐—ผ ๐—ฎ๐—ด๐—ฎ๐—ถ๐—ป! The Daily Telegraph cartoon from 1 August 2020 is again the news of today
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"If healthcare were a cake, hospitals would only be icing & cherriesโ€ (drawing: Ben Jackson (he/him) Mark Purvis) Public health efforts alone explain 25 of the 30yrs rise in life expectancy since 1900. Looking at the Operations Management literature, I thought this to be the other way around!

"If healthcare were a cake, hospitals would only be icing &amp; cherriesโ€ (drawing: <a href="/DrBenJacksn/">Ben Jackson (he/him)</a> <a href="/purmj/">Mark Purvis</a>) Public health efforts alone explain 25 of the 30yrs rise in life expectancy since 1900. Looking at the Operations Management literature, I thought this to be the other way around!
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Just started my 6-month Experiential Fellowship at Public Health England โ€“ exciting times! Wider determinants of health that influence a populationโ€™s well-being is the overarching theme of public health. Here a good 6min summary from my PHE induction youtube.com/watch?v=8PH4JYโ€ฆ

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NHS Digital should learn from usemydata.org on making the case for sharing patient-level GPDPR data. This patient-led pressure group knows their stuff with weekly newsletters, patient panels and webinars. A great initiative, and I wish them all possible success!

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๐—ฃ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜ ๐—ถ๐—ป๐˜ƒ๐—ผ๐—น๐˜ƒ๐—ฒ๐—บ๐—ฒ๐—ป๐˜ is often seen as tick-box exercise entertaining โ€˜professional patientsโ€™. The sad fact remains: no evidence of patient involvement having a positive impact on services exists pubmed.ncbi.nlm.nih.gov/23252574/ Is it a management or a measuring problem?

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The STAIRCASE PROBLEM is a big operational challenge in reducing health inequalities. If patients slip anywhere in the health and benefits system, access to healthcare is lost. โ€œI, Daniel Blakeโ€ (Palm dโ€™Or 2016) provides a great cinematic illustration imdb.com/title/tt516819โ€ฆ

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๐—ง๐—ต๐—ฒ ๐—บ๐—ฎ๐—ด๐—ถ๐—ฐ ๐˜๐—ฟ๐—ถ๐—ฎ๐—ป๐—ด๐—น๐—ฒ ๐—ผ๐—ณ ๐—ฒ๐—บ๐—ฝ๐—ถ๐—ฟ๐—ถ๐—ฐ๐—ฎ๐—น ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—ผ๐—ฝ๐—ฒ๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€. It's tough to bring this all together to a paper

๐—ง๐—ต๐—ฒ ๐—บ๐—ฎ๐—ด๐—ถ๐—ฐ ๐˜๐—ฟ๐—ถ๐—ฎ๐—ป๐—ด๐—น๐—ฒ ๐—ผ๐—ณ ๐—ฒ๐—บ๐—ฝ๐—ถ๐—ฟ๐—ถ๐—ฐ๐—ฎ๐—น ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—ผ๐—ฝ๐—ฒ๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€. It's tough to bring this all together to a paper
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๐—ง๐—ต๐—ฒ ๐—ก๐—›๐—ฆ ๐—ถ๐˜€ ๐—ฎ ๐—ด๐—ถ๐—ฎ๐—ป๐˜ ๐˜€๐˜‚๐—ฝ๐—ฝ๐—น๐˜† ๐—ฐ๐—ต๐—ฎ๐—ถ๐—ป! Sorting out the primary care backlog (nobody tried to quantity yet!), will โ€œsupplyโ€ more diagnostic patients, more outpatients and then more elective surgeries. Such supply effects are commonly forgotten in NHSE planning.

๐—ง๐—ต๐—ฒ ๐—ก๐—›๐—ฆ ๐—ถ๐˜€ ๐—ฎ ๐—ด๐—ถ๐—ฎ๐—ป๐˜ ๐˜€๐˜‚๐—ฝ๐—ฝ๐—น๐˜† ๐—ฐ๐—ต๐—ฎ๐—ถ๐—ป! Sorting out the primary care backlog (nobody tried to quantity yet!), will โ€œsupplyโ€ more diagnostic patients, more outpatients and then more elective surgeries. Such supply effects are commonly forgotten in NHSE planning.
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RCGP reveals only every second GP is happy to share patient-level data with NHS England to improve care coordination and planning. We must explain better how "their" primary care data helps channel huge sums of ยฃยฃยฃ to serve their patients effectively! understandingpatientdata.org.uk/news/new-reseaโ€ฆ

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๐Ž๐ฎ๐ญ ๐จ๐Ÿ ๐œ๐จ๐ง๐ญ๐ซ๐จ๐ฅ? GP work days officially last 8:20h, but now close to 12h. Intense days lead to poorer care, mistakes, lower job satisfaction. This forces GPs part-time, sacrificing pay and continuity of care. An operationally efficient system?! bbc.co.uk/news/blogs-theโ€ฆ

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A politician would have my vote if they say โ€œI trust NHS staff on operations management.โ€ Healthcare is such a complex system that catchy promises of removing management layers (Truss) or fining for missed appointments (Sunak) are often just self-defeating โ€ฆgersneteletterpodcasts.buzzsprout.com/1931280/110983โ€ฆ

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UK's Marmot Review on ๐ก๐ž๐š๐ฅ๐ญ๐ก ๐ข๐ง๐ž๐ช๐ฎ๐š๐ฅ๐ข๐ญ๐ฒ has now a follow-up on what employers can do. The impact of firmโ€™s ๐จ๐ฉ๐ž๐ซ๐š๐ญ๐ข๐จ๐ง๐ฌ ๐ฆ๐š๐ง๐š๐ ๐ž๐ฆ๐ž๐ง๐ญ decisions on health inequality is a big societal problem, but academically underexplored instituteofhealthequity.org/resources-repoโ€ฆ

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Job opening: Assistant Professor in Operations Management at UCL Business School for Health. Low teaching load (approx. half a course); strong institutional healthcare links; flexibility to publish in MS/OR/JOM/MSOM/POMS or in medical journals. ucl.ac.uk/work-at-ucl/seโ€ฆ