Healthcare Systems Modeling and Simulation Affinity Group Business Meeting Saturday, January 10th, 3-5 PM CST New Orleans Convention Center, Room 203

1. 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

2. 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.

3. Please use your mobile devices
• Hashtag for Twitter and Google+
–#imsh2015
–#hsmsag
–#hcsim

4. 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

5. 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.

6. • 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.

7. 2011, Health IT and Patient Safety: Building Safer Systems for Better
Care, Committee on Patient Safety and Health Information Technology; Institute of Medicine

8. “Medicine used to be simple, ineffective and
relatively safe. Now it is complex, effective and
potentially dangerous” Sir Cyril Chantler

9. Transforming healthcare:
a safety imperative
L Leape, D Berwick, C Clancy, et al. Qual Saf Health Care 2009; 18:424-428

10. Human beings make mistakes because
the systems, tasks and processes they
work 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

11. 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)

12. Modeling &
Simulation

13. Simulation-based Engineering and Science

14. Simulation and Healthcare Delivery

15. 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)

16. Computer Simulation
Robert Pool, Science, Vol. 256, No. 5053 (Apr. 3, 1992)
“ Computation has become a ‘third branch’ of science,
alongside theory and experiment”

17. 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 Healthcare
Delivery Systems
– “ rapid prototyping”: design + test integrated systems
during systems development life cycle

18. McDonnell , G. (July, 2007).Workshop on Multiscale Modeling using AnyLogic 6 with Health Examples at International System
Dynamics Society Conference. Boston, MA

19. What we can learn from other industries
for business transformation?

20. 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

21. 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

22. Projects updates
• Website (resources sharing)
• 3 webinars on Google
Hangouts/Youtube
• LinkedIn Group
• IMSH AG F2F Meetings

23. Webinar on YouTube

24. 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)

25. YouTube Analytics

26. Group members profile on LinkedIn

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28. Please join us
goo.gl/PRIkog
goo.gl/0r5mOs
http://www.ssih.org/Interest-
Groups/Healthcare-Systems-Modeling-
Simulation
goo.gl/7QuuQd

29. 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