Code Orange
- 1. Games for Health 2010 Bruce Milligan - Designer Bill Becker - Lead Programmer Simulation and Training Environment Lab Code Orange A Multiplayer 3-D Game for Hospital Mass Casualty Incident Training
- 2. Who are we? Division of MedStar Health SiTEL offers professional training, including: • On-line education • Live hands-on training with mannequins • Clinical medical simulation, virtual apparatus, and other devices • 3-D multimedia including serious games • More than 70 employees • Headquartered in Washington, DC
- 3. • A $3.8 billion, not-for-profit organization • The largest health care system in the greater Baltimore-Washington corridor • 9 hospitals and 20 other health-related businesses • Over 29,000 employees and 5,300 affiliated physicians • Serves a half-million patients annually • Committed to the use of new technologies for training. Who is MedStar Health?
- 4. Traditional MCI Training • Classroom lectures and exercises • Tabletop exercises in HCC • Live training events
- 5. Liabilities of Traditional Training Methods • Unrealistic • Too short • Too small-scale • Too disruptive Traditional training exercises take valuable people and equipment offline. They also consume vital space from hospitals that often have a 90% daily occupancy rate. • Too expensive! It can cost up to $50,000-$250,000 for a one-day exercise
- 6. Code Orange - Game Vitals Our audience: Hospital management and staff • First-person, 3-D virtual hospital • Up to 12 human players • Approximately 2 hours of playing time per session • First Scenario – Conventional terror bombing • Editable scenarios • Integrated into SiTEL’s Learning Management System • Full event capture for AAR and offline post-session analysis .
- 7. More Benefits: 3-D Games as a Serious Choice • 3-D environments are compelling • 3-D training is less expensive • Mistakes can be made • Training areas are there when needed • “Volunteers” are always available Immersive and realistic Training costs can be reduced Better to kill NPCs than your patients A 3-D hospital is always available Code Orange includes over 400 patient and staff NPCs.
- 8. The Mission • To create a credible virtual hospital Simulate the sights, sounds, and pressure of a real hospital during a crisis • To make a game that is both compelling and realistic If it isn’t compelling, they won’t play If it isn’t realistic, they won’t learn what they need to know Create an MCI situation – something hospital employees may encounter only once in their careers Effectively teach that all the normal rules change during an MCI – real triaging occurs (some patients will die), time and space become luxuries, and that working with and trusting unknown people and organizations is a must • To make a game that is useful for two players or for a dozen Meets requirements for always available training Requires credible AI for all player positions
- 9. Code Orange: Strategic Goals • Teaching staff how to handle a surge of patients into a hospital that is already almost full and how to handle patient flow throughout the hospital • Teaching the structure and procedures of HICS (the Hospital Incident Command System) • Helping staff to focus on four key resources during a disaster: People (staff and patients) Supplies Space (hospital bays and other areas) Time (the one resource that is always fixed) • Teaching the importance of communication
- 10. The Code Orange Virtual Hospital Triage Area Emergency Department Hospital Command Center
- 11. The Triage Area
- 13. The Hospital Command Center
- 14. Teamwork is a must!
- 15. The Job Action Sheet The heart of the HICS system: Players will use them as personal “scorecards” in the game, so they can keep track of whether or not they are accomplishing key tasks at the right time
- 16. Communications are the Key • If you don’t communicate with your colleagues during an MCI, people will die • Code Orange puts a premium on communications between players Chat (same room) Telephone (i.e., private chat) & voicemail Written messages using HICS forms. • Technical challenges arise in the capture and analysis of game data as a result of permitting “free-form” chat during gameplay
- 17. Part of an Integrated System Data Repository SiTELMS Code Orange Credentials and Session information Offline Analysis Tools Refineassessment Refine Game Model
- 18. A Unique Partnership Partners in the development of Code Orange include: • MedStar Health physicians, nurses, and administrators • Incident Commanders and staff from hospitals in D.C. and elsewhere • In-house subject matter experts • Code Orange Advisory Board (with members located around the U.S. and abroad)
- 19. Challenges!
- 20. Don’t Forget who the Real Experts are • By the time we finish a commercial product, we typically know far more than the average user will ever know. • By the time we finish a serious game, we know a fraction of what our end users have known for years. Serious Challenges
- 21. Looking Ahead…
- 22. “The Incident Commander has declared the Incident is over.” Questions? Contact: Bruce Milligan Remise@aol.com 410-926-2800