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Healthcare Systems
Modeling and Simulation
Affinity Group Business Meeting
Yue Dong, Dayna Downing, John Rice
Saturday, January 10th, 3-5 PM CST
New Orleans Convention Center, Room 203
Disclosures
• The views and opinions are expressed in following
presentations are presenters’ own, not representative
of Society of Simulation of Healthcare(SSH),
International Meeting on Simulation in Healthcare
(IMSH),or Healthcare Systems Modeling and Simulation
Affinity Group (HSMSAG)
• Faculty and organizing committee do not endorse or
recommend any specific products or services
mentioned on this presentation.
• Faculty and organizing committee do not have any
personal financial interest related to the presentation.
Please use your mobile devices
• Hashtag for Twitter and Google+
–#imsh2015
–#hsmsag
–#hcsim
Thank you !
• Members:
– 600+ on SSH membership database
• Todays’ Presenters
– Eric Goldlust, Eugene Day, Jacob
• Vice chair and committee members
– Dayna Downing, John Rice, Michael Rosen,
• Society
– Kathryn Pullins, Kathy Adams, Judy Larson
Mission
Develop and use modeling and computer
simulation resources with a systems
engineering-based approach to design and
evaluate (system) solutions that will improve
patient safety, quality of care, and cost
effectiveness in healthcare.
• Simulation is the imitation or representation of one act or
system by another.
• Healthcare simulations can be said to have four main
purposes – education, assessment, research, and health
systems integration to facilitate patient safety...
• Simulations may also add to our understanding of human
behavior in the true–to–life settings in which professionals
operate.
2011, Health IT and Patient Safety: Building Safer Systems for Better
Care, Committee on Patient Safety and Health Information Technology; Institute of Medicine
“Medicine used to be simple, ineffective and
relatively safe. Now it is complex, effective and
potentially dangerous” Sir Cyril Chantler
Transforming healthcare:
a safety imperative
L Leape, D Berwick, C Clancy, et al. Qual Saf Health Care 2009; 18:424-428
Human beings make mistakes because
the systems, tasks and processes they
work in are poorly designed.
Dr. Lucian Leape
Every system is perfectly designed
to get the results it gets.
Dr. Donald M. Berwick
Systems approach
to improve patient safety
Adjust structure and process to eliminate or minimize
risks of health care-associated injury, before they have an
adverse event-impact on the outcomes of care
Donabedian. Evaluating of Medical Care. The Milbank Memorial Fund Quarterly,
Vol. 44, No. 3, Pt. 2, 1966 (pp. 166–203)
Modeling &
Simulation
Simulation-based Engineering and Science
Simulation and Healthcare Delivery
Recent Major Reports
• Executive Office of the President President’s Council of Advisors on Science and Technology: Report To The President Better Health Care And Lower
Costs: Accelerating Improvement Through Systems Engineering (May 2014)
• National Science Foundation: Operations Research - A Catalyst for Engineering Grand Challenges (May 2014)
• The ASQ Healthcare Division Marshall Plan: "Put Me In The Game, Coach! ” (The Quality Management Forum, Winter 2014)
Computer Simulation
Robert Pool, Science, Vol. 256, No. 5053 (Apr. 3, 1992)
“ Computation has become a ‘third branch’ of science,
alongside theory and experiment”
New opportunities
• AHRQ R18
– “Simulation also can be used as a test-bed to identify
failure modes and other areas of concern in new
clinical processes, procedures, and technologies that
might threaten patient safety”
• AHRQ P30:
– Patient Safety Learning Laboratories: Innovative
Design and Development to Improve Healthcare
Delivery Systems
– “ rapid prototyping”: design + test integrated systems
during systems development life cycle
McDonnell , G. (July, 2007).Workshop on Multiscale Modeling using AnyLogic 6 with Health Examples at International System
Dynamics Society Conference. Boston, MA
What we can learn from other industries
for business transformation?
Competitive advantage
• System thinking
• Full scale business problem
– Healthcare delivery
• Business process redesign
– Quality improvement
• Modeling and simulation
– Discrete Event Simulation, Systems Dynamic,
Agent Based Simulation
Healthcare Systems Modeling &
Simulation Affinity Group
• SSH Member engagement
– 660 members
• Google+ Page
– 18 followers, 3484 views
• Youtube Channel http://goo.gl/0r5mOs
– 17 subscribers, 1138 views
• Linkedin group goo.gl/PRIkog
– 139 members
Projects updates
• Website (resources sharing)
• 3 webinars on Google
Hangouts/Youtube
• LinkedIn Group
• IMSH AG F2F Meetings
Webinar on YouTube
Thank you our webinar guest speakers
• The Use of Discrete-Event Simulation in Healthcare Operations
Research
– Eric Goldlust, M.D., Ph.D., FACEP , Assistant Professor Department of
Emergency Medicine at the Warren Alpert Medical School of Brown
University
• Clinical Capacity Planning with Discrete Event Simulation
– T. Eugene Day, D.Sc., is a Sr. Improvement Advisor and Principal
Investigator with The Children's Hospital of Philadelphia.
• A Clinician’s Approach to Human Factors Issues in Healthcare at
the Center for Advanced Pediatric and Perinatal Education at
Stanford
– Louis P. Halamek, M.D., F.A.A.P.; Janene Fuerch, M.D., F.A.A.P.; Nicole
Yamada, M.D., F.A.A.P., Division of Neonatal and Developmental
Medicine, Department of Pediatrics, School of Medicine, Stanford
University, The Center for Advanced Pediatric and Perinatal Education
(CAPE)
YouTube Analytics
Group members profile on LinkedIn
0
2000
4000
6000
8000
0
100
200
300
400
500
600
700
Jan 2013 July 2013 Jan 2014 June 2014 Aug 2014 Oct 2014 Jan 2015
YouTubeMinutesandViews
Members HSMS Affinity Group member engagment
IMSH Businese Meeting
Participants
SSH AF members
LinkedIn Members
YouTube Minutes watched
YouTube Views
Please join us
goo.gl/PRIkog
goo.gl/0r5mOs
http://www.ssih.org/Interest-
Groups/Healthcare-Systems-Modeling-
Simulation
goo.gl/7QuuQd
Agenda
• Towards Big Data Modeling and Simulation in Healthcare
– Jacob Barhak
• Minimizing Postponements for Pediatric Cardiac
Procedures with Discrete Event Simulation
– Eugene Day, PhD, Children’s Hospital of Philadelphia
• Discrete Event Simulation Application in the Emergency
Department
– Eric Goldlust, MD, PhD, Brown University (viaGoogle Hangout)
• ICU Systems Integration using modeling and simulation:
Resuscitation, Handoff and Rounding
– Yue Dong, MD, Mayo Clinic

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2015 IMSH: HSMS Affinity Group

  • 1. Healthcare Systems Modeling and Simulation Affinity Group Business Meeting Yue Dong, Dayna Downing, John Rice Saturday, January 10th, 3-5 PM CST New Orleans Convention Center, Room 203
  • 2. Disclosures • The views and opinions are expressed in following presentations are presenters’ own, not representative of Society of Simulation of Healthcare(SSH), International Meeting on Simulation in Healthcare (IMSH),or Healthcare Systems Modeling and Simulation Affinity Group (HSMSAG) • Faculty and organizing committee do not endorse or recommend any specific products or services mentioned on this presentation. • Faculty and organizing committee do not have any personal financial interest related to the presentation.
  • 3. Please use your mobile devices • Hashtag for Twitter and Google+ –#imsh2015 –#hsmsag –#hcsim
  • 4. Thank you ! • Members: – 600+ on SSH membership database • Todays’ Presenters – Eric Goldlust, Eugene Day, Jacob • Vice chair and committee members – Dayna Downing, John Rice, Michael Rosen, • Society – Kathryn Pullins, Kathy Adams, Judy Larson
  • 5. Mission Develop and use modeling and computer simulation resources with a systems engineering-based approach to design and evaluate (system) solutions that will improve patient safety, quality of care, and cost effectiveness in healthcare.
  • 6. • Simulation is the imitation or representation of one act or system by another. • Healthcare simulations can be said to have four main purposes – education, assessment, research, and health systems integration to facilitate patient safety... • Simulations may also add to our understanding of human behavior in the true–to–life settings in which professionals operate.
  • 7. 2011, Health IT and Patient Safety: Building Safer Systems for Better Care, Committee on Patient Safety and Health Information Technology; Institute of Medicine
  • 8. “Medicine used to be simple, ineffective and relatively safe. Now it is complex, effective and potentially dangerous” Sir Cyril Chantler
  • 9. Transforming healthcare: a safety imperative L Leape, D Berwick, C Clancy, et al. Qual Saf Health Care 2009; 18:424-428
  • 10. Human beings make mistakes because the systems, tasks and processes they work in are poorly designed. Dr. Lucian Leape Every system is perfectly designed to get the results it gets. Dr. Donald M. Berwick Systems approach to improve patient safety
  • 11. Adjust structure and process to eliminate or minimize risks of health care-associated injury, before they have an adverse event-impact on the outcomes of care Donabedian. Evaluating of Medical Care. The Milbank Memorial Fund Quarterly, Vol. 44, No. 3, Pt. 2, 1966 (pp. 166–203)
  • 15. Recent Major Reports • Executive Office of the President President’s Council of Advisors on Science and Technology: Report To The President Better Health Care And Lower Costs: Accelerating Improvement Through Systems Engineering (May 2014) • National Science Foundation: Operations Research - A Catalyst for Engineering Grand Challenges (May 2014) • The ASQ Healthcare Division Marshall Plan: "Put Me In The Game, Coach! ” (The Quality Management Forum, Winter 2014)
  • 16. Computer Simulation Robert Pool, Science, Vol. 256, No. 5053 (Apr. 3, 1992) “ Computation has become a ‘third branch’ of science, alongside theory and experiment”
  • 17. New opportunities • AHRQ R18 – “Simulation also can be used as a test-bed to identify failure modes and other areas of concern in new clinical processes, procedures, and technologies that might threaten patient safety” • AHRQ P30: – Patient Safety Learning Laboratories: Innovative Design and Development to Improve Healthcare Delivery Systems – “ rapid prototyping”: design + test integrated systems during systems development life cycle
  • 18. McDonnell , G. (July, 2007).Workshop on Multiscale Modeling using AnyLogic 6 with Health Examples at International System Dynamics Society Conference. Boston, MA
  • 19. What we can learn from other industries for business transformation?
  • 20. Competitive advantage • System thinking • Full scale business problem – Healthcare delivery • Business process redesign – Quality improvement • Modeling and simulation – Discrete Event Simulation, Systems Dynamic, Agent Based Simulation
  • 21. Healthcare Systems Modeling & Simulation Affinity Group • SSH Member engagement – 660 members • Google+ Page – 18 followers, 3484 views • Youtube Channel http://goo.gl/0r5mOs – 17 subscribers, 1138 views • Linkedin group goo.gl/PRIkog – 139 members
  • 22. Projects updates • Website (resources sharing) • 3 webinars on Google Hangouts/Youtube • LinkedIn Group • IMSH AG F2F Meetings
  • 24. Thank you our webinar guest speakers • The Use of Discrete-Event Simulation in Healthcare Operations Research – Eric Goldlust, M.D., Ph.D., FACEP , Assistant Professor Department of Emergency Medicine at the Warren Alpert Medical School of Brown University • Clinical Capacity Planning with Discrete Event Simulation – T. Eugene Day, D.Sc., is a Sr. Improvement Advisor and Principal Investigator with The Children's Hospital of Philadelphia. • A Clinician’s Approach to Human Factors Issues in Healthcare at the Center for Advanced Pediatric and Perinatal Education at Stanford – Louis P. Halamek, M.D., F.A.A.P.; Janene Fuerch, M.D., F.A.A.P.; Nicole Yamada, M.D., F.A.A.P., Division of Neonatal and Developmental Medicine, Department of Pediatrics, School of Medicine, Stanford University, The Center for Advanced Pediatric and Perinatal Education (CAPE)
  • 26. Group members profile on LinkedIn
  • 27. 0 2000 4000 6000 8000 0 100 200 300 400 500 600 700 Jan 2013 July 2013 Jan 2014 June 2014 Aug 2014 Oct 2014 Jan 2015 YouTubeMinutesandViews Members HSMS Affinity Group member engagment IMSH Businese Meeting Participants SSH AF members LinkedIn Members YouTube Minutes watched YouTube Views
  • 29. Agenda • Towards Big Data Modeling and Simulation in Healthcare – Jacob Barhak • Minimizing Postponements for Pediatric Cardiac Procedures with Discrete Event Simulation – Eugene Day, PhD, Children’s Hospital of Philadelphia • Discrete Event Simulation Application in the Emergency Department – Eric Goldlust, MD, PhD, Brown University (viaGoogle Hangout) • ICU Systems Integration using modeling and simulation: Resuscitation, Handoff and Rounding – Yue Dong, MD, Mayo Clinic