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 BetterCare, 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 becausethe systems, tasks and processes theywork 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 HealthcareDelivery 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)

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Please join us

goo.gl/PRIkog

goo.gl/0r5mOs

http://www.ssih.org/Interest-Groups/Healthcare-Systems-Modeling-Simulation

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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