Dan Baden from the CDC gave a presentation about using games and innovation for public health. He discussed several past and current CDC efforts using games, including HealthBound which simulates policy decisions, virtual reality training for resilience, and Whyville which modeled disease spread. He highlighted the CDC's goals of addressing "winnable battles" in public health like healthcare-associated infections. Baden also described the CDC's innovation fund and opportunities to partner with game developers to create new public health games.

1. Games and Innovation for Public HealthDan Baden, MDCenters for Disease Control and PreventionMay 18th, 2011Department of Health and Human ServicesCenters for Disease Control and Prevention

2. TopicsOverview of CDCExamples of past & current effortsSpeed bumpsInnovation fundPartnering opportunities

3. What I’m PlayingCiv VRRT37 WondersInnovationKinect SportsMy Story

4. CDC Organizational Chart

5. CDC MissionCollaborating 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 BattlesEach area is a leading cause of illness, injury, disability or death and/or represents enormous societal costsEvidence-based, scalable interventions already exist and can be broadly implementedOur effort can make a differenceWe can get results within 1 to 4 years – but it won’t be easy

7. Key Winnable BattlesHealthcare- AssociatedInfectionsNutrition, Physical Activity, Obesity & Food SafetyTeen PregnancyHIVMotor Vehicle InjuriesTobacco

8. What Public Health Can Do Help win these public health battlesPriority issues at the local, state and federal levelsKnown, effective, scalable interventionsPotential for large impact on health Collective and focused effortsIdentify optimal strategies at all levels, across all sectorsRally resources and partnerships Communicate about successes and challenges along the wayAccelerate efforts to make measureable impact on health

9. Highlighted ActivitiesHealthBoundVirtual Reality Resiliency TrainingVirtual Mine SitesWhyville: WhyfluOthers

10. HealthBound Policy Simulation Game

11. HealthBound Causal Pathways

12. HealthBound Intervention OptionsA Short Menu of Major Policy Proposals Expand insurance coverageImprove quality of careCoordinate careEnable healthier behaviorsExpand primary care supplySimplify insuranceImprove primary care efficiencyBuild safer environmentsChange self pay fractionCreate pathways to advantageChange reimbursement ratesStrengthen civic muscle

13. Illustrative ScenariosExpand Insurance CoverageReduces the uninsured fraction by 90%Implementation Cost = $20/beneficiary/yr.Coverage & QualityImprove 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 SupplyRaises the number of primary care providers per capita to the Disadvantaged by 60% over 15 yearsImplementation Cost = $300k/additional MD+ CapacityImprove 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+ ProtectionBuild 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 MonthDays per month (average over entire population)65.25Coverage + QualityCoverage + Quality + Capacity4.5Coverage + Quality + Capacity + Protect3.753-50510152025YearHealthBound is designed for training purposes. Simulated scenarios cannot be interpreted as predictions for the future.

15. Simulated Results: Total CostsHealth Care Costs + Intervention Program CostsDollars per capita per year600Coverage + Quality300Coverage + Quality + Capacity0Coverage + Quality + Capacity + Protect-300-600-50510152025* Undiscounted, constant 2003 dollarsHealthBound is designed for training purposes. Simulated scenarios cannot be interpreted as predictions for the future.

16. Using VR in Resiliency Training16

17. Virtual Reality Training cont’dWhy are we doing this?Intent Provide simulated experience of likely situationsHelp participants feel/understand confusion of an emergencyEmphasize & integrate importance of self-reliance & collaboration Train Deployment Safety and Resiliencey Teams (DSRTs)Increase confidence & competence; Decrease anxiety & stress ProcessInclude relevant sights, sounds AND smells encountered in field Reach out to cross-cutting organizational units (content; participants) Select appropriate individuals for DSRT trainingContinue to refine, improve DSRT program and processes 17

18. Translation from Live to VRE18

19. Recording Footage for VRE19

20. Simulated Experience of Likely Situations

21. Demo

22. Sights, Sounds AND Smells…22

23. Creating Virtual Mine Sites

24. Purposes of VR TrainingEngaging Immersive; Context-basedRepeatablefor single person and across multiple peopleSafely places trainees in dangerous situationsPermits cost effective damage to (virtual) equipmentby trainees while learning or to show faults and flawsProvides a way to experience the futurebefore 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 LaboratoryImmersive EnvironmentsCylindrical screen10ft tall, 33ft diameterCurved screen 10 ft tall x 26 ft wideStereoscopic projection

29. Surround sound

30. Interactive MRET LabModules – Mine RescueHands-on Simulation

31. Virtual Simulation

32. MRET Lab

33. Comparable in complexity to mine rescue contest problemsGraphic provided by Commercial Training Solutions, L.L.C. 2011

34. Whyville: Whyflu

35. WhyvilleInfection interrupts chatting with “Achoo!”Proximity to infected avatars increases risk Hand washing decreases risk to youCovering decreases risk to othersSocial behavior has changedPeople now complain if you don’t coverVaccination protects you

36. Whyville-Winter 2009Two flu strains with different symptomsVaccination station with two types of vaccine for the two flu strainsSeasonal flu vaccine released first andH1N1 flu vaccine released laterModeling of two key hygienic behaviors:Hand washing: decreases likelihood of infectionCovering: elbow covering of sneezes & coughs decreases spread of fluOpportunity to speak with CDC flu expert

37. Other CDC EffortsPathways to ChangePamojaMtaaniChoose RespectBAMSecond LifeHollywood Health and SocietyDr. Leslie Snyder’s, Safer Sex Through Gaming

38. Speed Bumps508 ComplianceVisual Impairment Motor or dexterity impairmentCognitive/Intellectual/Age Auditory Seizures Certification and Accreditation (C&A)Clearance