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. 2017 Oct 15;34(20):2843–2847. doi: 10.1089/neu.2016.4927

Table 1.

“What If” Simulation Scenarios Analyzed with the ACT Model Described in This Focus Issue

Topic Scenario(s) Outcome of interest
Geomapping and triage of tSCI (Cheng and colleagues) What if all patients who were injured within 40 km of a RHSCIR acute facility were triaged directly to a RHSCIR facility?
What if all patients who were injured within 40 km of a RHSCIR acute facility were triaged indirectly to a RHSCIR facility?
Patient: n/a
System: Time to RHSCIR facility arrival
Long-term: n/a
Rehabilitation intensity (Truchon and colleagues) What if the intensity of rehabilitation therapy was increased by 50% or 100%?
Patient: n/a
System: Motor FIM efficiency, rehabilitation LOS, bed utilization, direct healthcare costs
Long-term: n/a
Insights into LOS (Burns and colleagues) What if patient populations were switched between acute facilities? Patient: n/a
System: Time to surgery, acute and rehabilitation LOS, direct healthcare costs
Long-term: Lifetime care costs
Resource planning (Ahn and colleagues) What will be the effect on healthcare financial resources with the projected change in tSCI incidence over the next 20 years? Patient: Inhospital mortality
System: Acute admissions, acute and rehabilitation LOS, direct healthcare costs
Long-term: QALYs, life expectancy, life years lost, lifetime healthcare costs

ACT, Access to Care and Timing; tSCI, traumatic spinal cord injury; RHSCIR, Rick Hansen Spinal Cord Injury Registry; n/a, not applicable; LOS, length of stay; FIM, Functional Independence Measure; QALYs, quality-adjusted life years.