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Dan Baden's presentation at the 2011 G4H Conference.

Dan Baden's presentation at the 2011 G4H Conference.

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Dan Baden's 2011 G4H Presentation Presentation Transcript

  • 1. Games and Innovation for Public Health
    Dan Baden, MD
    Centers for Disease Control and Prevention
    May 18th, 2011
    Department of Health and Human Services
    Centers for Disease Control and Prevention
  • 2. Topics
    Overview of CDC
    Examples of past & current efforts
    Speed bumps
    Innovation fund
    Partnering opportunities
  • 3. What I’m Playing
    Civ V
    RRT3
    7 Wonders
    Innovation
    Kinect Sports
    My Story
  • 4. CDC Organizational Chart
  • 5. CDC Mission
    Collaborating to create the expertise, information, and tools that people and communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threats.
  • 6. Winnable Battles
    Each area is a leading cause of illness, injury, disability or death and/or represents enormous societal costs
    Evidence-based, scalable interventions already exist and can be broadly implemented
    Our effort can make a difference
    We can get results within 1 to 4 years – but it won’t be easy
  • 7. Key Winnable Battles
    Healthcare- AssociatedInfections
    Nutrition, Physical Activity, Obesity & Food Safety
    Teen Pregnancy
    HIV
    Motor Vehicle Injuries
    Tobacco
  • 8. What Public Health Can Do
    Help win these public health battles
    Priority issues at the local, state and federal levels
    Known, effective, scalable interventions
    Potential for large impact on health
    Collective and focused efforts
    Identify optimal strategies at all levels, across all sectors
    Rally resources and partnerships
    Communicate about successes and challenges along the way
    Accelerate efforts to make measureable impact on health
  • 9. Highlighted Activities
    HealthBound
    Virtual Reality Resiliency Training
    Virtual Mine Sites
    Whyville: Whyflu
    Others
  • 10. HealthBound Policy Simulation Game
  • 11. HealthBound Causal Pathways
  • 12. HealthBound Intervention OptionsA Short Menu of Major Policy Proposals
    Expand insurance coverage
    Improve quality of care
    Coordinate care
    Enable healthier behaviors
    Expand primary care supply
    Simplify insurance
    Improve primary care efficiency
    Build safer environments
    Change self pay fraction
    Create pathways to advantage
    Change reimbursement rates
    Strengthen civic muscle
  • 13. Illustrative Scenarios
    Expand Insurance Coverage
    Reduces the uninsured fraction by 90%
    Implementation Cost = $20/beneficiary/yr.
    Coverage & Quality
    Improve Quality of Care Raises provider adherence to guidelines for preventive, chronic and urgent care (reducing non-adherence by 50%)
    Implementation Cost = $10k/MD/yr.; $500k/hospital/yr.
    Expand Primary Care Supply
    Raises the number of primary care providers per capita to the Disadvantaged by 60% over 15 yearsImplementation Cost = $300k/additional MD
    + Capacity
    Improve Primary Care EfficiencyRaises the fraction of primary care offices that run efficiently (reducing inefficiency by 90%)Implementation Cost = $10k/MD/yr.
    Enable Healthier BehaviorsIncreases the fraction with healthier behavior (reducing unhealthy behavior by 40% over 15 years)Implementation Cost = $2,000 per person helped
    + Protection
    Build Safer EnvironmentsIncreases the fraction living in safer environments(reducing unsafe environments by 50% over 15 years)Implementation Cost = $500 per person helped
  • 14. Simulated Results: Morbidity Average Unhealthy Days per Month
    Days per month (average over entire population)
    6
    5.25
    Coverage + Quality
    Coverage + Quality + Capacity
    4.5
    Coverage + Quality + Capacity + Protect
    3.75
    3
    -5
    0
    5
    10
    15
    20
    25
    Year
    HealthBound is designed for training purposes. Simulated scenarios cannot be interpreted as predictions for the future.
  • 15. Simulated Results: Total CostsHealth Care Costs + Intervention Program Costs
    Dollars per capita per year
    600
    Coverage + Quality
    300
    Coverage + Quality + Capacity
    0
    Coverage + Quality + Capacity + Protect
    -300
    -600
    -5
    0
    5
    10
    15
    20
    25
    * Undiscounted, constant 2003 dollars
    HealthBound is designed for training purposes. Simulated scenarios cannot be interpreted as predictions for the future.
  • 16. Using VR in Resiliency Training
    16
  • 17. Virtual Reality Training cont’d
    Why are we doing this?
    Intent
    Provide simulated experience of likely situations
    Help participants feel/understand confusion of an emergency
    Emphasize & integrate importance of self-reliance & collaboration
    Train Deployment Safety and Resiliencey Teams (DSRTs)
    Increase confidence & competence; Decrease anxiety & stress
    Process
    Include relevant sights, sounds AND smells encountered in field
    Reach out to cross-cutting organizational units (content; participants)
    Select appropriate individuals for DSRT training
    Continue to refine, improve DSRT program and processes
    17
  • 18. Translation from Live to VRE
    18
  • 19. Recording Footage for VRE
    19
  • 20. Simulated Experience of Likely Situations
  • 21. Demo
  • 22. Sights, Sounds AND Smells…
    22
  • 23. Creating Virtual Mine Sites
  • 24. Purposes of VR Training
    Engaging
    Immersive; Context-based
    Repeatable
    for single person and across multiple people
    Safely places trainees in dangerous situations
    Permits cost effective damage to (virtual) equipment
    by trainees while learning or to show faults and flaws
    Provides a way to experience the future
    before the equipment is delivered, the job designed, or that stage in the mining process
  • 25. Mine Evacuation Training
  • 26. Mine Evacuation Training
    • Multiple trainees
    • 27. Networked together
    • 28. Can connect via internet
  • Mine Rescue & Escape Training Laboratory
    Immersive Environments
    Cylindrical screen
    10ft tall, 33ft diameter
    Curved screen
    10 ft tall x 26 ft wide
    • Stereoscopic projection
    • 29. Surround sound
    • 30. Interactive
  • MRET LabModules – Mine Rescue
    • Hands-on Simulation
    • 31. Virtual Simulation
    • 32. MRET Lab
    • 33. Comparable in complexity to mine rescue contest problems
    Graphic provided by Commercial Training Solutions, L.L.C. 2011
  • 34. Whyville: Whyflu
  • 35. Whyville
    Infection interrupts chatting with “Achoo!”
    Proximity to infected avatars increases risk
    Hand washing decreases risk to you
    Covering decreases risk to others
    Social behavior has changed
    People now complain if you don’t cover
    Vaccination protects you
  • 36. Whyville-Winter 2009
    Two flu strains with different symptoms
    Vaccination station with two types of vaccine for the two flu strains
    Seasonal flu vaccine released first and
    H1N1 flu vaccine released later
    Modeling of two key hygienic behaviors:
    Hand washing: decreases likelihood of infection
    Covering: elbow covering of sneezes & coughs decreases spread of flu
    Opportunity to speak with CDC flu expert
  • 37. Other CDC Efforts
    Pathways to Change
    PamojaMtaani
    Choose Respect
    BAM
    Second Life
    Hollywood Health and Society
    Dr. Leslie Snyder’s, Safer Sex Through Gaming
  • 38. Speed Bumps
    508 Compliance
    Visual Impairment Motor or dexterity impairment
    Cognitive/Intellectual/Age
    Auditory
    Seizures
    Certification and Accreditation (C&A)
    Clearance
  • 39. Innovation fund
    A grant program designed to test new ideas
     
    Promote pilot investigations that challenge the status quo
     
    Fund new projects that are potentially revolutionary but early in their development
  • 40. Partnering OpportunitiesDiscussion
    What do people need to create better games?
    How can CDC help?
  • 41. Questions?
    Dan Baden, MD
    dbaden1@cdc.gov
    770 488 6492
  • 42.
  • 43. For more information please contact Centers for Disease Control and Prevention
    1600 Clifton Road NE, Atlanta, GA 30333
    Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348
    E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov
    The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
    Department of Health and Human Services
    Centers for Disease Control and Prevention