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Suspended Reality The New Vista of Compliance – Disaster Planning, Preparation, Response and Recovery Education through Im...
Suspended Reality The New Vista of Compliance –  How to Save $13920/bed per yr, Increase Surge Capacity 400%, Decrease Eme...
A Game of Numbers <ul><li>What is the United States Population? </li></ul><ul><li>300 million people </li></ul><ul><li>How...
A Game of Numbers <ul><li>What is the United States Population? </li></ul><ul><li>300 million people </li></ul><ul><li>How...
A Game of Numbers <ul><li>What is the United States Population? </li></ul><ul><li>300 million people </li></ul><ul><li>How...
<ul><li>What is the United States Population? </li></ul><ul><li>300 million people and 100 million with Pan-Flu </li></ul>...
The Flood of Humanity 7 Patients by EMS 28 Self Transport 140 Psychological Casualties 175 Patients in the First Hour
The Flood of Humanity 175 Patients in the First Hour But Wait There’s More!
The Flood of Humanity 175 Patients in the First Hour 350 Family, Friends & Bystanders 525 Searching for the Missing
The Flood of Humanity Total Surge: 1050 From Only 7 EMS Patients
Building for Resilience <ul><li>Emergency Preparedness </li></ul>
Managing the Masses Total Surge of 1050 350 Family, Friends & Bystanders 525 Searching for the Missing 875 Sent to  Family...
Managing the Masses 7 Patients by EMS 28 Self Transport 140 Psychological Casualties 175 Patients to Decon, Triage & Treat...
Four Lessons in Life <ul><li> Lessons Occurred </li></ul><ul><li> Lessons Observed </li></ul><ul><li> Lessons Learned <...
Increasing Educational ROI Immersion  Simulation Read and Hear (20% Retained) Books, Audios, Lectures See and Hear (50% Re...
Immersion Simulation vs .
Steps to Preparedness <ul><li>Vulnerability Analysis </li></ul><ul><ul><li>All Hazards Review </li></ul></ul><ul><li>Didac...
<ul><li>Currently: “All Hazards” = “All Disasters” </li></ul><ul><li>What if we redefine: “All Hazards” = </li></ul><ul><u...
Steps to Preparedness <ul><li>Vulnerability Analysis </li></ul><ul><ul><li>All Hazards Review </li></ul></ul><ul><li>Didac...
NRP – NIMS – CMS – JCAHO <ul><li>National Response Plan  (December 2004) </li></ul><ul><ul><li>All Hazards / All Agencies ...
NRP – NIMS – CMS – JCAHO <ul><li>National Incident Management System </li></ul><ul><ul><li>Framework for Incident Command ...
NRP – NIMS – CMS – JCAHO <ul><li>NIMS Implementation for  Hospitals and Healthcare Facilities </li></ul><ul><ul><li>Elemen...
NRP – NIMS – CMS – JCAHO <ul><li>NIMS Implementation for  Hospitals and Healthcare Facilities </li></ul><ul><ul><li>Elemen...
NRP – NIMS – CMS – JCAHO <ul><li>NIMS Implementation for  Hospitals and Healthcare Facilities </li></ul><ul><ul><li>Elemen...
Preparedness Balance Sheet <ul><li>Sticks </li></ul><ul><ul><li>NIMS-IC for Hospitals </li></ul></ul><ul><ul><li>Joint Com...
Preparedness Balance Sheet <ul><li>Process Enhancement </li></ul><ul><ul><li>Process Analysis </li></ul></ul><ul><ul><ul><...
Preparedness Balance Sheet Event Response Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>S...
Preparedness Balance Sheet Event Response Model <ul><li>Dollars and Sense </li></ul><ul><ul><li>$0.00 </li></ul></ul><ul><...
Preparedness Balance Sheet Event Response Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>S...
Preparedness Balance Sheet Process Enhancement Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul>...
Preparedness Balance Sheet Process Enhancement Model <ul><li>Business Benefits </li></ul><ul><ul><li>Joint Commission </li...
Preparedness Balance Sheet Process Enhancement Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul>...
Preparedness Balance Sheet <ul><li>Process Enhancement </li></ul><ul><ul><li>Process Analysis </li></ul></ul><ul><ul><ul><...
From Preparedness to Profitability <ul><li>Given that the investment is required </li></ul><ul><ul><li>NIMS Compliance </l...
From Preparedness to Profitability <ul><li>Process Enhancement (ROI) </li></ul><ul><ul><li>Higher Retention of New Knowled...
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Suspended Reality: Immersion Simulation in Healthcare Preparedness

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The New Vista of Compliance – How to Save $13920/bed per yr, Increase Surge Capacity 400%, Decrease Emergency Room Wait 50%, and Meet the September 30, 2008 Deadline.

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Suspended Reality: Immersion Simulation in Healthcare Preparedness

  1. 1. Suspended Reality The New Vista of Compliance – Disaster Planning, Preparation, Response and Recovery Education through Immersion Simulation
  2. 2. Suspended Reality The New Vista of Compliance – How to Save $13920/bed per yr, Increase Surge Capacity 400%, Decrease Emergency Room Wait 50%, and Meet the September 30, 2008 Deadline
  3. 3. A Game of Numbers <ul><li>What is the United States Population? </li></ul><ul><li>300 million people </li></ul><ul><li>How Many Hospital Beds in the United States? </li></ul><ul><li>955,768 (AHA, 2005) </li></ul><ul><li>How Many Hospital Beds are Staffed? </li></ul><ul><li>726,384 (AHA, 2005) </li></ul><ul><li>What Percent are Occupied During Flu Season? </li></ul><ul><li>96% -or- 917,537 (AHA, 2005) </li></ul><ul><li>What Surge Capacity is Required by HHS & HRSA? </li></ul><ul><li>20% -or- 191,154 (HHS) </li></ul><ul><li>500 beds per million -or- 150,000 (HRSA) </li></ul><ul><li>Only have 38,231 beds!!! </li></ul>
  4. 4. A Game of Numbers <ul><li>What is the United States Population? </li></ul><ul><li>300 million people </li></ul><ul><li>How Many Ventilators in the United States? </li></ul><ul><li>105,000 (M. Olsterholm – NEJM, 2004) </li></ul><ul><li>How Many are Out of Service for Cleaning or Repair? </li></ul><ul><li>18% -or- 18,900 (M. Olsterholm – NEJM, 2004) </li></ul><ul><li>How Many are for Chronic Ventilator Dependent Patients? </li></ul><ul><li>67% -or- 70,035 (M. Olsterholm – NEJM, 2004) </li></ul><ul><li>How Many Ventilators are Available for Acute Use? </li></ul><ul><li>15% -or- 16,365 (M. Olsterholm – NEJM, 2004) </li></ul><ul><li>Only have 38,231 beds!!! </li></ul>
  5. 5. A Game of Numbers <ul><li>What is the United States Population? </li></ul><ul><li>300 million people </li></ul><ul><li>How Many in the United States Will Become Sick in a Flu Pandemic? </li></ul><ul><li>1 in 3 -or- 100 million (Historical Records 1918) </li></ul><ul><li>How Many of the Sick Will Require Assisted Care? </li></ul><ul><li>Half -or- 50 million (Historical Records 1918) </li></ul><ul><li>How Many of Those Requiring Care Will Require Hospital Care? </li></ul><ul><li>Half -or- 25 million (Historical Records 1918) </li></ul><ul><li>How Many of Those Requiring Hospitalization will need Intubation? </li></ul><ul><li>Half -or- 12.5 million (Historical Records 1918) </li></ul><ul><li>How Many of Those Requiring Intubation will Die? </li></ul><ul><li>Half -or- 6.25 million (Historical Records 1918) </li></ul><ul><li>Only have 38,231 beds and 16,365 ventilators!!! </li></ul>
  6. 6. <ul><li>What is the United States Population? </li></ul><ul><li>300 million people and 100 million with Pan-Flu </li></ul><ul><li>Where did the CDC numbers come from? </li></ul><ul><li>1 in 3 -or- 33% get sick </li></ul><ul><li>How Many of the Sick Will Require Assisted Care? </li></ul><ul><li>Half -or- 16% </li></ul><ul><li>How Many of Those Requiring Care Will Require Hospital Care? </li></ul><ul><li>Half -or- 8% </li></ul><ul><li>How Many of Those Requiring Hospitalization will need Intubation? </li></ul><ul><li>Half -or- 4% </li></ul><ul><li>How Many of Those Requiring Intubation will Die? </li></ul><ul><li>Half -or- 2% </li></ul><ul><li>Only have 38,231 beds and 16,365 ventilators!!! </li></ul>A Game of Numbers (CDC assumes these are NOT hospitalized) (CDC says 8% of the ill, but it actually is out of 300 million) (CDC says 2% die, but again this is out of 300 million) (CDC says 4% of the hospitalized, but it is out of 300 million)
  7. 7. The Flood of Humanity 7 Patients by EMS 28 Self Transport 140 Psychological Casualties 175 Patients in the First Hour
  8. 8. The Flood of Humanity 175 Patients in the First Hour But Wait There’s More!
  9. 9. The Flood of Humanity 175 Patients in the First Hour 350 Family, Friends & Bystanders 525 Searching for the Missing
  10. 10. The Flood of Humanity Total Surge: 1050 From Only 7 EMS Patients
  11. 11. Building for Resilience <ul><li>Emergency Preparedness </li></ul>
  12. 12. Managing the Masses Total Surge of 1050 350 Family, Friends & Bystanders 525 Searching for the Missing 875 Sent to Family Center 175 Patients to Decon, Triage & Treat
  13. 13. Managing the Masses 7 Patients by EMS 28 Self Transport 140 Psychological Casualties 175 Patients to Decon, Triage & Treat 35 Patients to Decon, Triage & Treat 7 Patients to Decon, Triage & Treat This is the Power of Integrated Triage
  14. 14. Four Lessons in Life <ul><li> Lessons Occurred </li></ul><ul><li> Lessons Observed </li></ul><ul><li> Lessons Learned </li></ul><ul><li> Lessons Applied </li></ul>
  15. 15. Increasing Educational ROI Immersion Simulation Read and Hear (20% Retained) Books, Audios, Lectures See and Hear (50% Retained) – Video See (30% Retained) – Still Photos Say & Write (70% Retained) Demonstration, Workshop Table-Top (80% Retained) 90% Retained
  16. 16. Immersion Simulation vs .
  17. 17. Steps to Preparedness <ul><li>Vulnerability Analysis </li></ul><ul><ul><li>All Hazards Review </li></ul></ul><ul><li>Didactic Education </li></ul><ul><ul><li>All Hazards Preparedness </li></ul></ul><ul><ul><li>All Hazards Planning </li></ul></ul><ul><li>Immersion Simulation </li></ul><ul><ul><li>Institute of Medicine Standard ( To Err is Human ) </li></ul></ul><ul><ul><li>All Hazards Exercises (Disaster Drills) </li></ul></ul><ul><li>Continuous Plan Review and Revision </li></ul>
  18. 18. <ul><li>Currently: “All Hazards” = “All Disasters” </li></ul><ul><li>What if we redefine: “All Hazards” = </li></ul><ul><ul><li>All Disasters </li></ul></ul><ul><ul><li>Patient Safety </li></ul></ul><ul><ul><li>Visitor Safety </li></ul></ul><ul><ul><li>Employee Safety </li></ul></ul><ul><ul><li>Facility Safety </li></ul></ul>A New Definition of “All Hazards” “ All Hazards”
  19. 19. Steps to Preparedness <ul><li>Vulnerability Analysis </li></ul><ul><ul><li>All Hazards Review </li></ul></ul><ul><li>Didactic Education </li></ul><ul><ul><li>All Hazards Preparedness </li></ul></ul><ul><ul><li>All Hazards Planning </li></ul></ul><ul><li>Immersion Simulation </li></ul><ul><ul><li>Institute of Medicine Standard ( To Err is Human ) </li></ul></ul><ul><ul><li>All Hazards Exercises (Response Rehearsals) </li></ul></ul><ul><li>Continuous Plan Review and Revision </li></ul>
  20. 20. NRP – NIMS – CMS – JCAHO <ul><li>National Response Plan (December 2004) </li></ul><ul><ul><li>All Hazards / All Agencies </li></ul></ul><ul><ul><li>Defines the Function and Responsibility of Each Organizational Element under the Plan </li></ul></ul><ul><ul><ul><li>Planning (Thinkers) </li></ul></ul></ul><ul><ul><ul><li>Logistics (Getters) </li></ul></ul></ul><ul><ul><ul><li>Finance (Payers) </li></ul></ul></ul><ul><ul><ul><li>Operations (Doers) </li></ul></ul></ul>
  21. 21. NRP – NIMS – CMS – JCAHO <ul><li>National Incident Management System </li></ul><ul><ul><li>Framework for Incident Command </li></ul></ul><ul><ul><ul><li>Single Common Command Structure </li></ul></ul></ul><ul><ul><ul><li>Common Organizational Structure </li></ul></ul></ul><ul><ul><ul><li>Outline for Disaster Response Planning </li></ul></ul></ul><ul><ul><li>Mandates Classification of Resources </li></ul></ul><ul><ul><li>Implemented and Updated by the NIMS Integration Center (NIMS-IC) </li></ul></ul>
  22. 22. NRP – NIMS – CMS – JCAHO <ul><li>NIMS Implementation for Hospitals and Healthcare Facilities </li></ul><ul><ul><li>Element 1: Adoption of NIMS </li></ul></ul><ul><ul><li>Element 2: Incident Command System (ICS) </li></ul></ul><ul><ul><li>Element 3: Multiagency Coordination System </li></ul></ul><ul><ul><li>Element 4: Public Information System </li></ul></ul><ul><ul><li>Element 5: NIMS Implementation Tracking </li></ul></ul><ul><ul><li>Element 6: Preparedness Funding </li></ul></ul>
  23. 23. NRP – NIMS – CMS – JCAHO <ul><li>NIMS Implementation for Hospitals and Healthcare Facilities </li></ul><ul><ul><li>Element 7: Revise and Update Plans </li></ul></ul><ul><ul><li>Element 8: Mutual Aid Agreements </li></ul></ul><ul><ul><li>Element 9: ICS 700 NIMS Training </li></ul></ul><ul><ul><li>Element 10: ICS 800.A NRP Training </li></ul></ul><ul><ul><li>Element 11: ICS 100 & 200 Training </li></ul></ul><ul><ul><li>Element 12: Training and Exercises </li></ul></ul>
  24. 24. NRP – NIMS – CMS – JCAHO <ul><li>NIMS Implementation for Hospitals and Healthcare Facilities </li></ul><ul><ul><li>Element 13: All-Hazards Exercise Program </li></ul></ul><ul><ul><li>Element 14: Corrective Actions </li></ul></ul><ul><ul><li>Element 15: Response Inventory </li></ul></ul><ul><ul><li>Element 16: Resource Acquisition </li></ul></ul><ul><ul><li>Element 17: Standard & Consistent Terms </li></ul></ul>
  25. 25. Preparedness Balance Sheet <ul><li>Sticks </li></ul><ul><ul><li>NIMS-IC for Hospitals </li></ul></ul><ul><ul><li>Joint Commission </li></ul></ul><ul><ul><li>Medicare/Medicaid </li></ul></ul><ul><ul><ul><li>CMS Attestations </li></ul></ul></ul><ul><ul><ul><li>Willful Blindness </li></ul></ul></ul><ul><ul><ul><li>Qui Tam </li></ul></ul></ul><ul><ul><ul><li>Sarbanes-Oxley </li></ul></ul></ul><ul><li>Carrots </li></ul><ul><ul><li>Public Relations </li></ul></ul><ul><ul><li>Community Relations </li></ul></ul><ul><ul><li>Employee Relations </li></ul></ul><ul><ul><li>Customer Service </li></ul></ul><ul><ul><li>Preferential Billing </li></ul></ul><ul><ul><li>Rapid Recovery </li></ul></ul>
  26. 26. Preparedness Balance Sheet <ul><li>Process Enhancement </li></ul><ul><ul><li>Process Analysis </li></ul></ul><ul><ul><ul><li>Business Processes </li></ul></ul></ul><ul><ul><ul><li>Healthcare Processes </li></ul></ul></ul><ul><ul><ul><li>Income Streams </li></ul></ul></ul><ul><ul><li>Daily Needs/Resources Inventory </li></ul></ul><ul><ul><li>Benchmark Triggered </li></ul></ul><ul><ul><li>Targeted Process Enhancement </li></ul></ul><ul><li>Event Response </li></ul><ul><ul><li>Vulnerability Analysis </li></ul></ul><ul><ul><ul><li>Hazard Based </li></ul></ul></ul><ul><ul><ul><li>Kaiser Model </li></ul></ul></ul><ul><ul><ul><li>Income Insensitive </li></ul></ul></ul><ul><ul><li>Centered on Recognized Events </li></ul></ul><ul><ul><li>Event Triggered </li></ul></ul><ul><ul><li>Untargeted Response and Expenditure </li></ul></ul>
  27. 27. Preparedness Balance Sheet Event Response Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>Staff Training </li></ul></ul><ul><ul><li>Salaries for Training </li></ul></ul><ul><ul><li>Resource Stockpiles </li></ul></ul><ul><ul><li>Externally Validated Drills and Exercises </li></ul></ul><ul><ul><li>Extra Personnel </li></ul></ul><ul><li>Dollars and Sense </li></ul><ul><ul><li>$1000/Licensed Bed </li></ul></ul><ul><ul><li>$2800/Licensed Bed/yr. </li></ul></ul><ul><ul><li>$1280/Licensed Bed/yr. </li></ul></ul><ul><ul><li>$1000/Licensed Bed </li></ul></ul><ul><ul><li>$500/Licensed Bed/drill (2 per year) </li></ul></ul><ul><ul><li>$960/Licensed Bed/day </li></ul></ul><ul><li>Total Cost = $9000/bed/yr </li></ul>
  28. 28. Preparedness Balance Sheet Event Response Model <ul><li>Dollars and Sense </li></ul><ul><ul><li>$0.00 </li></ul></ul><ul><ul><li>$0.00 </li></ul></ul><ul><ul><li>Priceless </li></ul></ul><ul><li>Total Revenue = $0.00 </li></ul><ul><li>Business Benefits </li></ul><ul><ul><li>Joint Commission </li></ul></ul><ul><ul><li>NIMS Compliance </li></ul></ul><ul><ul><li>Legal Protection </li></ul></ul><ul><ul><ul><li>Qui Tam </li></ul></ul></ul><ul><ul><ul><li>Sarbanes Oxley </li></ul></ul></ul>
  29. 29. Preparedness Balance Sheet Event Response Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>Staff Training </li></ul></ul><ul><ul><li>Salaries for Training </li></ul></ul><ul><ul><li>Resource Stockpiles </li></ul></ul><ul><ul><li>Externally Validated Drills and Exercises </li></ul></ul><ul><ul><li>Response Personnel </li></ul></ul><ul><li>NET LOSS = $9000/bed/yr </li></ul><ul><li>Business Benefits </li></ul><ul><ul><li>Joint Commission </li></ul></ul><ul><ul><li>NIMS Compliance </li></ul></ul><ul><ul><li>Legal Protection </li></ul></ul><ul><ul><ul><li>Qui Tam </li></ul></ul></ul><ul><ul><ul><li>Sarbanes Oxley </li></ul></ul></ul>
  30. 30. Preparedness Balance Sheet Process Enhancement Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>Staff Training </li></ul></ul><ul><ul><li>Salaries for Training </li></ul></ul><ul><ul><li>Resource Stockpiles </li></ul></ul><ul><ul><li>Externally Validated Drills and Exercises </li></ul></ul><ul><ul><li>Extra Personnel </li></ul></ul><ul><li>Dollars and Sense </li></ul><ul><ul><li>$1000/Licensed Bed </li></ul></ul><ul><ul><li>$2800/Licensed Bed/yr. </li></ul></ul><ul><ul><li>$1280/Licensed Bed/yr. </li></ul></ul><ul><ul><li>$1000/Licensed Bed </li></ul></ul><ul><ul><li>$500/Licensed Bed/drill (1 per year) </li></ul></ul><ul><ul><li><$480/Licensed Bed/day </li></ul></ul><ul><li>Total Cost = $11380/bed/yr </li></ul>
  31. 31. Preparedness Balance Sheet Process Enhancement Model <ul><li>Business Benefits </li></ul><ul><ul><li>Joint Commission </li></ul></ul><ul><ul><li>NIMS Compliance </li></ul></ul><ul><ul><li>Legal Protection </li></ul></ul><ul><ul><ul><li>Qui Tam </li></ul></ul></ul><ul><ul><ul><li>Sarbanes Oxley </li></ul></ul></ul><ul><ul><li>Improved Customer Satisfaction </li></ul></ul><ul><ul><li>Fewer AMA/LWOT </li></ul></ul><ul><ul><li>Increased Admits </li></ul></ul><ul><li>Dollars and Sense </li></ul><ul><ul><li>$0.00 </li></ul></ul><ul><ul><li>$0.00 </li></ul></ul><ul><ul><li>Priceless </li></ul></ul><ul><ul><li>Priceless </li></ul></ul><ul><ul><li>$300/Licensed Bed/yr </li></ul></ul><ul><ul><li>$16000/Licensed Bed/yr </li></ul></ul><ul><li>Total Revenue = $16300/Bed/yr </li></ul>
  32. 32. Preparedness Balance Sheet Process Enhancement Model <ul><li>Costs </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>Staff Training </li></ul></ul><ul><ul><li>Salaries for Training </li></ul></ul><ul><ul><li>Resource Stockpiles </li></ul></ul><ul><ul><li>Externally Validated Drills and Exercises </li></ul></ul><ul><ul><li>Extra Personnel </li></ul></ul><ul><li>Business Benefits </li></ul><ul><ul><li>Joint Commission </li></ul></ul><ul><ul><li>NIMS Compliance </li></ul></ul><ul><ul><li>Legal Protection </li></ul></ul><ul><ul><ul><li>Qui Tam </li></ul></ul></ul><ul><ul><ul><li>Sarbanes Oxley </li></ul></ul></ul><ul><ul><li>Improved Customer Satisfaction </li></ul></ul><ul><ul><li>Fewer AMA/LWOT </li></ul></ul><ul><ul><li>Increased Admits </li></ul></ul><ul><ul><li>Targeted Response reduces cost of response </li></ul></ul><ul><li>NET PROFIT = $4920/Bed/yr </li></ul>
  33. 33. Preparedness Balance Sheet <ul><li>Process Enhancement </li></ul><ul><ul><li>Process Analysis </li></ul></ul><ul><ul><ul><li>Business Processes </li></ul></ul></ul><ul><ul><ul><li>Healthcare Processes </li></ul></ul></ul><ul><ul><ul><li>Income Streams </li></ul></ul></ul><ul><ul><li>Daily Needs/Resources Inventory </li></ul></ul><ul><ul><li>Benchmark Triggered </li></ul></ul><ul><ul><li>Targeted Process Enhancement </li></ul></ul><ul><li>Net Profit: $4920/Bed/yr </li></ul><ul><li>Event Response </li></ul><ul><ul><li>Vulnerability Analysis </li></ul></ul><ul><ul><ul><li>Hazard Based </li></ul></ul></ul><ul><ul><ul><li>Kaiser Model </li></ul></ul></ul><ul><ul><ul><li>Income Insensitive </li></ul></ul></ul><ul><ul><li>Centered on Recognized Events </li></ul></ul><ul><ul><li>Event Triggered </li></ul></ul><ul><ul><li>Untargeted Response and Expenditure </li></ul></ul><ul><li>Net Loss: $9000/Bed/yr </li></ul>
  34. 34. From Preparedness to Profitability <ul><li>Given that the investment is required </li></ul><ul><ul><li>NIMS Compliance </li></ul></ul><ul><ul><li>Joint Commission </li></ul></ul><ul><ul><li>Medicare/Medicaid </li></ul></ul><ul><ul><ul><li>CMS Attestation </li></ul></ul></ul><ul><ul><ul><li>Qui Tam </li></ul></ul></ul><ul><ul><ul><li>Sarbanes-Oxley </li></ul></ul></ul><ul><li>Given that the investment is the same </li></ul><ul><ul><li>Process Enhancement Model </li></ul></ul><ul><ul><li>Event Response Model </li></ul></ul>
  35. 35. From Preparedness to Profitability <ul><li>Process Enhancement (ROI) </li></ul><ul><ul><li>Higher Retention of New Knowledge </li></ul></ul><ul><ul><li>Better Implementation of New Skills </li></ul></ul><ul><ul><li>Greater Surge Capacity </li></ul></ul><ul><ul><li>Shorter Wait Times </li></ul></ul><ul><ul><li>Improved Customer Satisfaction </li></ul></ul><ul><ul><li>Fewer AMA’s/LWOT’s </li></ul></ul><ul><ul><li>More Admissions </li></ul></ul><ul><ul><li>Shorter Disaster Response Phase </li></ul></ul><ul><ul><li>Quicker Return to Full Operations </li></ul></ul><ul><ul><li>Gross Savings of $13920/Licensed Beds/yr </li></ul></ul>

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