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Healthcare systems are challenged to deliver high-quality and efficient care. Studying patient flow in a hospital is particularly fundamental as it demonstrates effectiveness and efficiency of a hospital. Since hospital is a collection of physically nearby services under one administration, its performance and outcome are shaped by the interaction of its discrete components. Coordination of processes at different levels of organizational structure of a hospital can be studied using network analysis. Hence, this article presents a data-driven static and temporal network of departments. Both networks are directed and weighted and constructed using seven years' (2010-2016) empirical data of 24902 Acute Coronary Syndrome (ACS) patients. The ties reflect an episode-based transfer of ACS patients from department to department in a hospital. The weight represents the number of patients transferred among departments. As a result, the underlying structure of a network of departments that deliver healthcare for ACS patients is described, the main departments and their role in the diagnosis and treatment process of ACS patients are identified, the role of departments over seven years is analyzed and communities of departments are discovered. The results of this study may help hospital administration to effectively organize and manage the coordination of departments based on their significance, strategic positioning and role in the diagnosis and treatment process which, in turn, nurtures value-based and precision healthcare., Comment: Preprint. This paper is accepted by the International Conference on Computational Science (ICCS2020) and will be published as a full paper in Springer Lecture Notes in Computer Science (LNCS)

Complex systems' modeling and simulation are powerful ways to investigate a multitude of natural phenomena providing extended knowledge on their structure and behavior. However, enhanced modeling and simulation require integration of various data and knowledge sources, models of various kinds (data-driven models, numerical models, simulation models, etc.), intelligent components in one composite solution. Growing complexity of such composite model leads to the need of specific approaches for management of such model. This need extends where the model itself becomes a complex system. One of the important aspects of complex model management is dealing with the uncertainty of various kinds (context, parametric, structural, input/output) to control the model. In the situation where a system being modeled, or modeling requirements change over time, specific methods and tools are needed to make modeling and application procedures (meta-modeling operations) in an automatic manner. To support automatic building and management of complex models we propose a general evolutionary computation approach which enables managing of complexity and uncertainty of various kinds. The approach is based on an evolutionary investigation of model phase space to identify the best model's structure and parameters. Examples of different areas (healthcare, hydrometeorology, social network analysis) were elaborated with the proposed approach and solutions.

Introduction: An approach to building a hybrid simulation of patient flow is introduced with a combination of data-driven methods for automation of model identification. The approach is described with a conceptual framework and basic methods for combination of different techniques. The implementation of the proposed approach for simulation of acute coronary syndrome (ACS) was developed and used within an experimental study. Methods: Combination of data, text, and process mining techniques and machine learning approaches for analysis of electronic health records (EHRs) with discrete-event simulation (DES) and queueing theory for simulation of patient flow was proposed. The performed analysis of EHRs for ACS patients enable identification of several classes of clinical pathways (CPs) which were used to implement a more realistic simulation of the patient flow. The developed solution was implemented using Python libraries (SimPy, SciPy, and others). Results: The proposed approach enables more realistic and detailed simulation of the patient flow within a group of related departments. Experimental study shows that the improved simulation of patient length of stay for ACS patient flow obtained from EHRs in Federal Almazov North-west Medical Research Centre in Saint Petersburg, Russia. Conclusion: The proposed approach, methods, and solutions provide a conceptual, methodological, and programming framework for implementation of simulation of complex and diverse scenarios within a flow of patients for different purposes: decision making, training, management optimization, and others.