symposium nursing simulation december 2 3, 2010
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Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.1
Bonnie Driggers MS, MPA, RNStockholder and Consultant SimHealth Consultants LLC
• List two common barriers in building a simulation program from the ground up.
• Identify strategies to overcome these challenges
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.2
Think
Plan
Buy
Plan
Desire Space Buy-in Funding Collaboration BusinessPlanning
Simulation at Center xSimulation at Center x8000 square feet
State of the art audio-visualTwo Adult Simulators Two Baby Simulators
Understanding one site is not enoughUnderstanding one site is not enough
Two Baby SimulatorsVR trainers: IV and Laparoscopic
Computer-based simulationMid/low fidelity task trainingMulti-disciplinary utilizationRapid expansion forecast
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.3
• $40,000 to spend by April 15th (6 weeks)
• Need a simulation center design andNeed a simulation center design and equipment proposal by Monday (it's Friday) for a new school of Nursing
• Need help designing a simulation center for a new University based on a curriculum design from a consultant
Why it’s important to start with:A Business Planus ess a
PoorFacilitydesign
Inadequatefunding
Inadequatetraining Premature
saturation
DuplicationOf
efforts
SimulationManikinstays in
box
Under-utilization
Destructivedeliverymodels
Excessexpense
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.4
A blueprint & communication tool for your business
A device to help you set how you intend to operate your business
A road map to tell others how you expect to get there
May be Helps to H l t hMay be required by
banks, venture capitalists,
funding agents
Helps to establish partners
Helps to create vision and strategic
direction
Helps to show people you know what
you’re doing!!
• Description of project• Timeline• Summary of staff and financial
requirements
• Description of project• Timeline• Summary of staff and financial
requirements
Project Identification Executive Summary
• Situational Assessment • External and Internal Environment • Mission Statement• Vision Statement• Values Statement
• Situational Assessment • External and Internal Environment • Mission Statement• Vision Statement• Values Statement
Mission Analysis
Strategy
• Goals - no more than five • Strategic Objectives - should be
SMART --specific, measurable, attainable, realistic, include a target date for completion
• relate to each key planning area.
• Goals - no more than five • Strategic Objectives - should be
SMART --specific, measurable, attainable, realistic, include a target date for completion
• relate to each key planning area.
Mission Analysis
• Prepare budget for multiple years• Capture start-up costs• On-going operating expenses• Capital Expenditures• Estimated Revenues, Expenses,
Cash Flows
• Prepare budget for multiple years• Capture start-up costs• On-going operating expenses• Capital Expenditures• Estimated Revenues, Expenses,
Cash Flows
Financial Analysis
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.5
Guide strategic planning
Guide management
Guide employee actions & behavior
Tool for organizational review
Creates common purpose
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.6
Assessment of competitive
position
Strengths Weaknesses
Opportunities & threats
l i
Risk Analysis
Weaknesses
Effect of approval or disapproval
Factors impeding
success & how to address
them
analysis
Examples
Lack of organizational alignment
Lack of resources
Inability for stake-
holders to use
Vendor/ supplier issues
Technology downtime
Year 1 Year 2 Year 3 Year 4 Year 5
Income
Operating ExpensesFacultySuppliesVisiting FacultyTravelM i t & W tMaintenance & WarrantyDepreciationOccupancy
Total Operating ExpensesNET PROFIT / (LOSS)
Cash FlowCapital ExpendituresOperating Expenses
NET CASH FLOW
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.7
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.8
• Facility Design
Faculty Development• Faculty Development
• Evaluation/ROI
CONSIDERCONSIDER
Users
Who will use room &
Users
Who will use room &Entrance & egress
iEntrance & egress
i Who will use room & how
Who will use room & how
Number and types of experiential
spaces needed
Number and types of experiential
spaces needed
Line of sight issues (control & debrief room)
Line of sight issues (control & debrief room)
issuesissues
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.9
Audio Recording
Ceiling mounted
Visual Recording
Ceiling mountedCeiling mounted
At site of activity
Headset/lapel mikes
Ceiling mounted
Tripod
Hand-held
• Phone placement
Don’t let your architects take total control of where things go in the room
Phone placement• Monitor placement• Electronic medical record entry locations• Gas and electrical outlets• Room pass through for high end simulation cables• Hand washing and glove box sites• Door/hallway size
Waiting/reception area
• simulation is a stressful event
• simulation is a stressful event
Waiting area desk space for laptops
• check email, sign in for courses,
• check email, sign in for courses,
Classroom
• staging area for activities
• staging area for activities
Actor/Learner changing areas
Computer and AV room
Staff office space
More storage
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.10
MUST HAVES
(BIG)
MUST HAVES
(BIG)
MUST HAVES
(SMALL)
MUST HAVES
(SMALL)
PRIORITYPRIORITYIMPACT
HIGH
MONEY
PITS
MONEY
PITSLOW HANGING
FRUITLOW HANGING
FRUIT
EASE OF IMPLEMENTATION
LOW
HARD EASY
• Unit price• Availability of similar devices in the institution or by
different vendors/companies
A simple one-page form to provide a rapid assessment of possible uses
different vendors/companies• Projected annual number of users• Clear idea on how to use the device (Educational
plan)• Multidisciplinary use potential• Need for remodeling/interface costs
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.11
Vendor FairsVendor Fairs
They can choose not to participate
- we will not consider their device unless thoroughly and openly evaluated by our prospective learners and educators
Day set for side-by-side evaluations
• Invite potential users (novice and experts) from any group that may use the devicemay use the device
• Each participant evaluates the devices
• Evaluate – user-friendliness, learner potential, graded and
progressive tasks, realism and haptics
• Results are collated and presented
• Overview of the company
• References
S f t i f ti
VENDOR BID SUMMARY
company
• Primary contacts
• Price
• Maintenance
• Warranty info
• Interface capability
• Safety information
• Equipment design
• Durability
• Customer upkeep
• Utility and repair support pertinents
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.12
Important Factors• Multidisciplinary use• Accreditation potential• Quality and Safety initiatives• Research and innovation• Developed curriculum• Ability to meet or exceed learners
expectations• Educators needs• Strength of vendor• Similarity to currently used
equipment
Physicians Educational leadership Nursing
Allied health Accounting Financial Analyst
Purchasing and SupplyAnalyst S pp y
Audiovisual/computers
Equipment Services Engineering
Campus Planning & Project Manager
Do not spend money on stuff your institution already has
Visit the institution’s warehouse/departments and go “shopping”
Look for areas undergoing remodeling or with major purchases
Donations…Discounts…Don’t need anymore… Damaged (but we can fix)… Downsizing… Dummies
Remember these may have depreciation costs
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.13
Faculty/Educators
Develop the over-all curriculum
Simulation Instructors
Content experts
Determine and communicate the broad or global
educational objectives
Interact with Simulation Instructors
Experts in delivery
Develop simulation activities around objectives
Experts in scenario design
Act as consultants of how and when to simulate
Simulation Coordinator
Expert in
coordination
Represent the infrastructure necessary to pull it all off
STANDARDIZE QUALITY FOR PARTICIPANT
STANDARDIZE WHO TRAINS WHO
PROTECT AGAINST SHIFTS IN LEADERSHIP
PROVIDE DEVELOPMENT PATH FOR INSTRUCTORS AND PROGRAMS
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.14
• Stay current with research and trends in simulation and education in a variety of disciplinesp– Nursing studies: Australia, NCSBN,
HRSA NY City, NLN ?
• Research best practice through simulation organizations– INASCL
– SSH
Wiser Symposium on Nursing Simulation December 2‐3, 2010
© 2010 SimHealth Consultants LLC. This document may not be duplicated or distributed by any means. All rights reserved.15
Some i t
Curriculum developed (or being
developed
Simulation instructors
hired & trained
Faculty buy-in
Policies & Procedures developed
Simulation
Doors OPEN
Facility built
Audio-Visual in
place or well under way
equipment selected
Simulation staff hired
Governance in place
Budget established
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