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Penn Medicine Clinical Simulation Center

Explore structure, programs, and successes of Penn Medicine's Simulation Center, including budget basics, operational considerations, and timeline. Learn about simulation efforts in health systems and key geographic sites.

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Penn Medicine Clinical Simulation Center

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  1. Penn Medicine Clinical Simulation Center Gretchen Matika, MS Baltimore SUN May 20, 2009

  2. Overview • Overview and Structure • Timeline for Sim Center • “Secrets of our Success” • Budget Basics • Overview of Center Layout & Programs • Utilization • Operational Considerations

  3. Simulation at PENN • Health System Simulation Efforts – SOM, 3 hospitals and rehab facility, all disciplines • Main geographic sites : • PENN Medicine at Rittenhouse– centrally located between 3 hospitals. Also houses rehab facility. • All simulations except cadavers and live animal • Measey Simulation Center (SOM) • ~800 sq feet - 2 Sim Rooms and a Skills lab • Glenolden Research & Education Facility - • Robotic Training Center & Animal Research Facility • Brunner Center (SON)

  4. Penn Medicine Clinical Simulation Center Jim Mullen, MD Chair, Steering Committee Steering Committee= Bellini, Black, Brennan, Corrigan, Driscoll, Jost, Kennedy, Kinslow, Morrison, Resnick, Volpe Steering Committee Exec= Corrigan, Morrison, Mullen, Resnick Andrew Resnick, MD, MBA Executive Director Tech Advis Committee= Kochman, Kofke, Nadkarni, Patel, Williams, Kuchenbecker Operations Committee= Luba, Matika, Palmieri, Jones, Lipschik Research Committee Operations Director= Matika Dir. Life Support Programs= Lipschik Specialty Directors Sim Educator= Palmieri Sim Tech= Luba Sim Admin Assist= Jones

  5. Timeline (Concept to Current Day) B-line/AV Install Complete- 5/09 Spring 2009 Move into Center- 7/08 Basic AV Staff Identified and Hired- 4/08-6/08 Construction Begins- April 2008 Summer 2008 Spring 2008 Architectural Drawings Finalized/Priced Meet/Select AV hardware/software vendors Fall/ Winter 2008 FY08 Ops Budget (v.4) Approved “Graduate Hosp” Space Identified/Approved Architect Retained, Development & Industry Involved FY08/09 Capital Funds Approved Surgery Obtains Grant- Initial Simulators Purchase Summer 2007 Sub-Committees Meet Vendor Quotes and Demos, Grant Submissions ID Specialty Directors & Core Equipment Needs Spring 2007 Space & Capital Requested Winter 2006 Sub-Committees Formed Request “Needs Assessment” Fall 2006 1st Steering Committee Mtg Budget (v.1) & Narrative Spring 2006 CONCEPT- WINTER 2006

  6. Secrets of Our Success • Strike a Nerve • What are your peers/competitors up to? • Regionally • Nationally • Public Scrutiny

  7. Secrets of Our Success • Discover Broad Institutional Needs • Unmet Educational Need • Regulatory accreditation • Reducing Medical Liability • Increasing Patient Safety • 80 Hour Work Week • Reducing Cost

  8. Secrets of Our Success • Identify Your Champions • Internal • Departments • Physicians • Administrators • External • Vendors • Other organizations

  9. Secrets of Our Success • Form Partnerships • Affiliated Medical & Nursing School, other Graduate Program and Hospitals • External Groups

  10. Secrets of Our Success • Consider Alternative Funding Options • Grants – research, government, industry, charitable • Development/Alumni Offices • Corporate Partnerships • Course Tuition • Rental Space

  11. Secrets of Our Success • Utilize the Existing Resources • Personnel • Equipment • Medical and Simulation • Programs • Vacant Clinical/Other Space

  12. Secrets of Our Success LUCK & GOOD TIMING!

  13. Initial Capital and Operational Budget CAPITAL • ~3 million to: • Construction • Simulators • AV hardware/software OPERATIONS • ~1.2 million annually GRANTS/COMMERCIAL SUPPORT/GIFTS • Total to date: $1.7M

  14. Penn Simulation Facility • 22,000 sq ft complex at Penn Medicine at Rittenhouse • Includes: • Administration/Reception • Standardized Patient Exam Rooms • (12) exam rooms • Simulation Training Rooms (6) • IR/OR • ED/ICU • LDR • In-Patient • Endovascular • FLS Trainers • Skills Lab • Large Group Instruction and Debriefing Space

  15. SP EXAM ROOMS ADMIN SUITE Comp Rm ENTRANCE FLS ICU/ED EndoVasc Task Trainer Rms CORE LDR OR InPatient Sm Conf Rm Brk Out Rms MultiSkills Lab Large Conf Rm

  16. ADMINISTRATIVE OFFICES

  17. Standardized Patient Area • SOM H & P/Board Exams • Patient Disclosure Pilot • OB/GYN Resident Training • Staff handoffs • Staff/Faculty remediation

  18. Simulation Core and Control Center • Team training with remote manikin control and advanced AV capabilities • OB-GYN • Surgical Critical Care • ED • NICU

  19. Simulation Core and Control Center

  20. Control Center

  21. MultiSkills Lab • Skill Sim Certification • Interns/new to practice nurses/staff/SOM • External courses

  22. Skill Certification Competency Checklist: NEJM For Video and Article: http://content.nejm.org/cgi/content/short/358/26/e30

  23. Alternative site for Skills Labs Post-session Debriefing Breakout sessions Small and Large Conference Spaces

  24. Faculty Training & Credentialing • Fundamentals in Laparoscopic Surgery • Patient Disclosure/Communication Sessions • Remediation • ACLS/PALS/ATLS • Acquisition of new skills

  25. Simulation courses July ’08 thru April ‘09 • Students trained: >4350 • ACLS = 993 (June thru April 2009) • BLS = 619 (since Jan 2009) • Student hours: ~39,950

  26. User of PMCSC (excluding ACLS and BLS) Number by % Total by Group Number by % Total by Residency Program

  27. Sim Center April 2009 by Room

  28. Sim Center Utilization FY09

  29. Operational Considerations • Users charged for time • Self supporting via external revenue • Fully supported by entity • Combination • Internal vs external rates • Simulator Purchases/Warrantees • Staff Time • Departmental Instructor Contributions • Disposables

  30. Contact information • Gretchen.Matika@uphs.upenn.edu • 215-893-7707

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