Virtual Environments for Healthcare            Parvati Dev, PhD             CEO, CliniSpace           www.InnovationInLear...
My co-pilot has                                      … but I have flown 200never flown this                               ...
My resident has                                                      … but my chief is never done this                    ...
WHY DOES THIS MATTER ?© 2012 IIL Inc.   Serious Play, August 21, 2012   4
The Cost in Life and Money          The cost of medical errors is huge                  – $22-38B (source: AHRQ)          ...
WHY VIRTUAL ENVIRONMENTS     MAY BE THE BEST APPROACH TO     ENGAGEMENT© 2012 IIL Inc.   Serious Play, August 21, 2012   6
Medical TrainingCurrent approach:        – Classes, e-learning, manikins,          standardized patients        – Problems...
Virtual Environments are immersive                  And immersive experiential learning                           Is DISRU...
So immersive that it’s real© 2012 IIL Inc.            Serious Play, August 21, 2012   Comm. of the ACM                    ...
Virtual Emergency Room Environment© 2012 IIL Inc.   Serious Play, August 21, 2012   10
HOW EFFECTIVE ARE VIRTUAL     ENVIRONMENTS ?© 2012 IIL Inc.   Serious Play, August 21, 2012   11
The Data Show . . .Comparison of Team Leadership Before and After Practicing FourResuscitation Scenarios on a Human Patien...
WHAT ARE VIRTUAL     ENVIRONMENTS ?© 2012 IIL Inc.   Serious Play, August 21, 2012   13
Scientific meeting in                  World of Warcraft (May 2008)© 2012 IIL Inc.             Serious Play, August 21, 20...
Azeroth© 2012 IIL Inc.   Serious Play, August 21, 2012   15
Scientific meeting in                  World of Warcraft (May 2008)                  20 JUNE 2008, VOL 320, SCIENCE, www.s...
‘Congressional Hearing’ in Second Life© 2012 IIL Inc.   Serious Play, August 21, 2012   17
PROTOTYPE VIRTUAL ENVIRONMENT               Forterra, 2005     Multi-    casualty    Incident                             ...
CliniSpace Virtual Emergency Department© 2012 IIL Inc.    Serious Play, August 21, 2012   19
COMPONENTS OF A MEDICAL     VIRTUAL ENVIRONMENT© 2012 IIL Inc.   Serious Play, August 21, 2012   20
REALISTIC CLINICAL SPACES, INCLUDING IN BATTLEFIEL   © 2012 IIL Inc.   Serious Play, August 21, 2012   21
CIAN, NURSE, THERAPIST, PATIENT, SOLDIER, BABY AVA   © 2012 IIL Inc.   Serious Play, August 21, 2012   22
VIRTUAL PATIENTS, DYNAMIC PHYSIOLOGY AND ACTION  © 2012 IIL Inc.   Serious Play, August 21, 2012   23
VIRTUAL OBJECTS THAT INTERACT WITH PATIENT                            AND EACH OTHER© 2012 IIL Inc.   Serious Play, August...
CASE AUTHORING, USER ACTION TRACKING AND                               ASSESSMENT© 2012 IIL Inc.   Serious Play, August 21...
Example of use                  http://vimeo.com/41082428© 2012 IIL Inc.         Serious Play, August 21, 2012   26
INTERMEDIATE QUESTIONS© 2012 IIL Inc.   Serious Play, August 21, 2012   27
ANOTHER WAY OF LOOKING AT     VIRTUAL ENVIRONMENTS© 2012 IIL Inc.   Serious Play, August 21, 2012   28
The Virtual Environment is the       ‘System’ around the Virtual Patient                   Protocols, policies, rules     ...
The Virtual Environment is the         ‘System’ around the Virtual PatientIt is the “theater” --    environment -- within ...
THE ‘SANDBOX’ AND THE ‘CAMPAIGN’© 2012 IIL Inc.   Serious Play, August 21, 2012   31
Which one to build?Sandbox                                                        CampaignExplore the environment         ...
Our experience: Which one to build?Sandbox                                       CampaignUnguided ‘play’                  ...
BUSINESS MODELS FOR     VIRTUAL ENVIRONMENTS© 2012 IIL Inc.   Serious Play, August 21, 2012   34
System Overview                                   Users                  Content                                   Applica...
Platform businesses   Integration with other                                    Trainers,     Customization        technol...
CliniSpace: A Medical Platform© 2012 IIL Inc.              Serious Play, August 21, 2012   37
Platform businesses   Integration with other                                    Trainers,     Customization        technol...
BUSINESS ECOSYSTEMS© 2012 IIL Inc.   Serious Play, August 21, 2012   39
Ecosystem around a platform             - from “Virtual World Monetization”, Stanford, 2010                           Dyna...
Ecosystem around a platform                   - from “Virtual World Monetization”, Stanford, 2010        Resell spaces    ...
Ecosystem around a platform                  - from “Virtual World Monetization”, Stanford, 2010                          ...
Ecosystem around a platform                  - from “Virtual World Monetization”, Stanford, 2010                  Behavior...
Distribution/Revenue Models   Resell spaces   – branded or               courses                          Certification   ...
In conclusion …...Virtual environments can impact the cost of healthcare- By changing attitudes by training with role play...
www.clinispace.com©2012, CLINISPACE, INC.                                   parvati@clinispace.com © 2012 IIL Inc.        ...
THANK YOU           & QUESTIONS                  Slides are on SlideShare.                       Search for ‘parvatidev’ o...
Useful Links:www.seriousplayconference.comwww.seriousgamesdirectory.comwww.seriousgamesassociation.comContact:sbohle@serio...
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"Virtual Environments for Healthcare" By Pavarti Dav- Serious Play Conference 2012

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Pavarti Dav speaks about "Virtual Environments for Healthcare" at the 2102 Serious Play Conference

ABSTRACTS:
Healthcare training is an apprenticeship when so many other professions have incorporated simulations and virtual environments for their training. Flight simulation for pilots is so powerful that a pilot trained on a simulation of a new plane is considered competent to fly the real plane for the first time with a full load of passengers and cargo. What should virtual environments for healthcare look like, be capable of, encourage, constrain? What are the barriers to use? We will explore these questions and examine the current status of healthcare virtual environments.

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  • Multi-player virtual worlds are well-suited to training teams to work together.
  • My favorite is a scientific meeting in which I participated in the World of Warcraft. We all assembled in this great hall – both humans and non-humans
  • Then we all rushed across the countryside to the quiet remote spot for our discussion I would surely have dies many grisly deaths if I had nothad the protection of my staffer an experienced level-60 witch
  • We ended the session with this quest on top of a hill The meeting itself went on fro two days And was reported in Science magazine
  • Does anyone remember … Those were the wild and woolly days of virtual environments, in 2008 When everyone jumped in, and then they all jumped out.
  • But we had been building medical virtual environments since 2004
  • Sandbox is actually very difficult to do well. If these are at two ends of a balance scale,build something that is mostly Campaign, with a little Sandbox. Much more likely to be successful and to satisfy. Of course, the end goal is a richly detailed Virtual Hospital, a Sandbox, in which the stories and the learning are emergent.
  • There were so many ideas they did not fit on a slide.
  • Direct additions to a medical virtual environment
  • Ways of increasing the richness of the environment
  • "Virtual Environments for Healthcare" By Pavarti Dav- Serious Play Conference 2012

    1. 1. Virtual Environments for Healthcare Parvati Dev, PhD CEO, CliniSpace www.InnovationInLearning.com www.clinispace.com
    2. 2. My co-pilot has … but I have flown 200never flown this hours on the simulatormodel of plane and am certified for this before … model © 2012 IIL Inc. Serious Play, August 21, 2012 2
    3. 3. My resident has … but my chief is never done this watching me verysurgical procedure carefully as I do it. before … © 2012 IIL Inc. Serious Play, August 21, 2012 3
    4. 4. WHY DOES THIS MATTER ?© 2012 IIL Inc. Serious Play, August 21, 2012 4
    5. 5. The Cost in Life and Money The cost of medical errors is huge – $22-38B (source: AHRQ) An example – Septicemia – 2% of hospital discharges in the U.S. include septicemia – Average charge is > $60,000 per case Prevention requires systemic change through training – One case prevented can pay for the training Prevention training is difficult Knowledge, Skills, ATTITUDE requires emotional engagement Learning through Role playing is emotionally engaging© 2012 IIL Inc. Serious Play, August 21, 2012 5
    6. 6. WHY VIRTUAL ENVIRONMENTS MAY BE THE BEST APPROACH TO ENGAGEMENT© 2012 IIL Inc. Serious Play, August 21, 2012 6
    7. 7. Medical TrainingCurrent approach: – Classes, e-learning, manikins, standardized patients – Problems in scalability, expense, lack of engagement© 2012 IIL Inc. Serious Play, August 21, 2012 7
    8. 8. Virtual Environments are immersive And immersive experiential learning Is DISRUPTIVE© 2012 IIL Inc. Serious Play, August 21, 2012 8
    9. 9. So immersive that it’s real© 2012 IIL Inc. Serious Play, August 21, 2012 Comm. of the ACM 9
    10. 10. Virtual Emergency Room Environment© 2012 IIL Inc. Serious Play, August 21, 2012 10
    11. 11. HOW EFFECTIVE ARE VIRTUAL ENVIRONMENTS ?© 2012 IIL Inc. Serious Play, August 21, 2012 11
    12. 12. The Data Show . . .Comparison of Team Leadership Before and After Practicing FourResuscitation Scenarios on a Human Patient Simulator (HPS) or in anOnline Virtual Emergency Department (VED) with Virtual Patients
    13. 13. WHAT ARE VIRTUAL ENVIRONMENTS ?© 2012 IIL Inc. Serious Play, August 21, 2012 13
    14. 14. Scientific meeting in World of Warcraft (May 2008)© 2012 IIL Inc. Serious Play, August 21, 2012 14
    15. 15. Azeroth© 2012 IIL Inc. Serious Play, August 21, 2012 15
    16. 16. Scientific meeting in World of Warcraft (May 2008) 20 JUNE 2008, VOL 320, SCIENCE, www.sciencemag.org© 2012 IIL Inc. Serious Play, August 21, 2012 16
    17. 17. ‘Congressional Hearing’ in Second Life© 2012 IIL Inc. Serious Play, August 21, 2012 17
    18. 18. PROTOTYPE VIRTUAL ENVIRONMENT Forterra, 2005 Multi- casualty Incident Multi- Training player, Event Online @ Game Stanford Technology – by 2005 Forterra – 2005© 2012 IIL Inc. Serious Play, August 21, 2012 18
    19. 19. CliniSpace Virtual Emergency Department© 2012 IIL Inc. Serious Play, August 21, 2012 19
    20. 20. COMPONENTS OF A MEDICAL VIRTUAL ENVIRONMENT© 2012 IIL Inc. Serious Play, August 21, 2012 20
    21. 21. REALISTIC CLINICAL SPACES, INCLUDING IN BATTLEFIEL © 2012 IIL Inc. Serious Play, August 21, 2012 21
    22. 22. CIAN, NURSE, THERAPIST, PATIENT, SOLDIER, BABY AVA © 2012 IIL Inc. Serious Play, August 21, 2012 22
    23. 23. VIRTUAL PATIENTS, DYNAMIC PHYSIOLOGY AND ACTION © 2012 IIL Inc. Serious Play, August 21, 2012 23
    24. 24. VIRTUAL OBJECTS THAT INTERACT WITH PATIENT AND EACH OTHER© 2012 IIL Inc. Serious Play, August 21, 2012 24
    25. 25. CASE AUTHORING, USER ACTION TRACKING AND ASSESSMENT© 2012 IIL Inc. Serious Play, August 21, 2012 25
    26. 26. Example of use http://vimeo.com/41082428© 2012 IIL Inc. Serious Play, August 21, 2012 26
    27. 27. INTERMEDIATE QUESTIONS© 2012 IIL Inc. Serious Play, August 21, 2012 27
    28. 28. ANOTHER WAY OF LOOKING AT VIRTUAL ENVIRONMENTS© 2012 IIL Inc. Serious Play, August 21, 2012 28
    29. 29. The Virtual Environment is the ‘System’ around the Virtual Patient Protocols, policies, rules People/ Team (real, computer) Devices, supplies, meds Virtual Patient© 2012 IIL Inc. Serious Play, August 21, 2012 29
    30. 30. The Virtual Environment is the ‘System’ around the Virtual PatientIt is the “theater” -- environment -- within which you can “role Protocols, policies, rules play”The “virtual patient” may People/ Team play a Key or a (real, computer) Supporting RoleVirtual environments Devices, supplies, meds extend the usability of Virtual virtual patient Patient © 2012 IIL Inc. Serious Play, August 21, 2012 30
    31. 31. THE ‘SANDBOX’ AND THE ‘CAMPAIGN’© 2012 IIL Inc. Serious Play, August 21, 2012 31
    32. 32. Which one to build?Sandbox CampaignExplore the environment Trigger actions cause game toUnguided ‘play’ advance – the ‘narrative’Automated responsiveness to player input Reward is in advancement – Levels, side missionsPlay has its own rewards – Earn badges and promotion – Engaging - Save the patient – Compete with self, others, teamsEnvironment rich enough to Carefully crafted ‘story’ satisfyhttp://www.gamasutra.com/view/feature/4081/the_history_and_theory_of_sandbox_.php?print=1© 2012 IIL Inc. Serious Play, August 21, 2012 32
    33. 33. Our experience: Which one to build?Sandbox CampaignUnguided ‘play’ Trigger actions cause game toEnvironment must be rich advance – the ‘narrative’ enough to be satisfying Carefully crafted ‘story’ This is CliniSpace today  CS BattleCare, etcNeed much more content Sub-goals, overall goal are likedAnd still need specified goals But want some exploration !© 2012 IIL Inc. Serious Play, August 21, 2012 33
    34. 34. BUSINESS MODELS FOR VIRTUAL ENVIRONMENTS© 2012 IIL Inc. Serious Play, August 21, 2012 34
    35. 35. System Overview Users Content Applications Platform© 2012 IIL Inc. Serious Play, August 21, 2012 35
    36. 36. Platform businesses Integration with other Trainers, Customization technologies Users curriculum (branding, layout,(Characters with AI, Natural developers language) language processing)Further specialization Specialized worlds Third Party(Equipment testing in (medical, kids, adult entertainment) developers virtual OR) - Simulations of disease, equipment Platforms Custom New platforms (Second Life, OLIVE, Unity) development© 2012 IIL Inc. Serious Play, August 21, 2012 36
    37. 37. CliniSpace: A Medical Platform© 2012 IIL Inc. Serious Play, August 21, 2012 37
    38. 38. Platform businesses Integration with other Trainers, Customization technologies Users curriculum (branding, layout,(Characters with AI, Natural developers language) language processing)Further specialization Specialized worlds Third Party(Equipment testing in (medical, kids, adult entertainment) developers virtual OR) - Simulations of disease, equipment Platforms Custom New platforms (Second Life, OLIVE, Unity) development© 2012 IIL Inc. Serious Play, August 21, 2012 38
    39. 39. BUSINESS ECOSYSTEMS© 2012 IIL Inc. Serious Play, August 21, 2012 39
    40. 40. Ecosystem around a platform - from “Virtual World Monetization”, Stanford, 2010 Dynamic “Normalize” veryEmbedded 3D virtual different people and pathophysiologknowledge Face models Resell spaces sets for activities so that they y (nursing, customization – branded or machinima can exercise together Fitness medical) white label Behavior support Animations therapy Virtual Therapy Behavior 3D actors Increase sessions alteration medical engagement through avatar avatars Standardized of traditional Curriculum association role players interactive development Designing content game orVirtual Greeters, Experience competition patients, sales Actors for dynamicgoods machinima designer person Product Automatic movies design using Medical User- assessment VR/AR of furniture generated performance Adding sensor content Medical networks to Platform worlds © 2012 IIL Inc. Serious Play, August 21, 2012 40
    41. 41. Ecosystem around a platform - from “Virtual World Monetization”, Stanford, 2010 Resell spaces 3D virtual – branded or Standardized sets for white label role players machinima Dynamic pathophysiolog Virtual y models actors Actors forAnimations machinima 3D movies medical avatars Greeters, Virtual patients, sales goods person Experience Medical designer furniture Medical Platform © 2012 IIL Inc. Serious Play, August 21, 2012 41
    42. 42. Ecosystem around a platform - from “Virtual World Monetization”, Stanford, 2010 Increase Face engagement Embedded customization of traditional knowledge interactive (nursing, content medical) Automatic Designing assessment game or Curriculum of competition development performance dynamic User- Product generated Adding sensor design using content networks to VR/AR worlds Medical Platform© 2012 IIL Inc. Serious Play, August 21, 2012 42
    43. 43. Ecosystem around a platform - from “Virtual World Monetization”, Stanford, 2010 Behavior Therapy Fitness therapy sessions support “Normalize” very Behavior different people and alteration activities so that they through avatar can exercise together association Medical Platform© 2012 IIL Inc. Serious Play, August 21, 2012 43
    44. 44. Distribution/Revenue Models Resell spaces – branded or courses Certification Grants and white label federal Per virtual funding patient per Per clinical subscriptions session per year patient e.g. License for therapybundle of seats Per actor- Link with music and per year hour movie assets to drive Virtual serious uses goods Freemium Loss of federal reimbursement Rent a Medical (Medicare / seat or Platform Medicaid) space© 2012 IIL Inc. Serious Play, August 21, 2012 44
    45. 45. In conclusion …...Virtual environments can impact the cost of healthcare- By changing attitudes by training with role playingA virtual environment is an entire ‘system’ around a virtual patient (or patients)To succeed, virtual environments must scale up to include multiple business models and a business eco- system© 2012 IIL Inc. Serious Play, August 21, 2012 45
    46. 46. www.clinispace.com©2012, CLINISPACE, INC. parvati@clinispace.com © 2012 IIL Inc. Serious Play, August 21, 2012 46
    47. 47. THANK YOU & QUESTIONS Slides are on SlideShare. Search for ‘parvatidev’ or ‘clinispace’ Email us at info@clinispace.com parvati@clinispace.com© 2012 IIL Inc. Serious Play, August 21, 2012 47
    48. 48. Useful Links:www.seriousplayconference.comwww.seriousgamesdirectory.comwww.seriousgamesassociation.comContact:sbohle@seriousgamesassociation.com
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