Gretchen Matika, MS

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Penn Medicine Clinical Simulation Center

• Gretchen Matika, MS
• Baltimore SUN
• May 20, 2009

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Overview

• Overview and Structure
• Timeline for Sim Center
• Secrets of our Success
• Budget Basics
• Overview of Center Layout Programs
• Utilization
• Operational Considerations

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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)

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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
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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/Selec
t AV hardware/software vendors
Fall/ Winter 2008
FY08 Ops Budget (v.4) Approved
Graduate Hosp Space Identified/Approved Architec
t 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
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Secrets of Our Success

• Strike a Nerve
• What are your peers/competitors up to?
• Regionally
• Nationally
• Public Scrutiny

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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

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Secrets of Our Success

• Identify Your Champions
• Internal
• Departments
• Physicians
• Administrators
• External
• Vendors
• Other organizations

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Secrets of Our Success

• Form Partnerships
• Affiliated Medical Nursing School, other
  Graduate Program and Hospitals
• External Groups

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Secrets of Our Success

• Consider Alternative Funding Options
• Grants research, government, industry,
  charitable
• Development/Alumni Offices
• Corporate Partnerships
• Course Tuition
• Rental Space

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Secrets of Our Success

• Utilize the Existing Resources
• Personnel
• Equipment
• Medical and Simulation
• Programs
• Vacant Clinical/Other Space

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Secrets of Our Success

• LUCK
• GOOD TIMING!

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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

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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

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SP EXAM ROOMS
ADMIN SUITE
Comp Rm
ENTRANCE
FLS
ICU/ED
EndoVasc
Task Trainer Rms
CORE
OR
LDR
InPatient
Sm Conf Rm
Brk Out Rms
MultiSkills Lab
Large Conf Rm
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ADMINISTRATIVE OFFICES
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Standardized Patient Area

• SOM H P/Board Exams
• Patient Disclosure Pilot
• OB/GYN Resident Training
• Staff handoffs
• Staff/Faculty remediation

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Simulation Core and Control Center

• Team training with remote manikin control and
  advanced AV capabilities

• OB-GYN
• Surgical Critical Care
• ED
• NICU

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Simulation Core and Control Center
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Control Center
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MultiSkills Lab

• Skill Sim Certification
• Interns/new to practice nurses/staff/SOM
• External courses

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Skill Certification
Competency Checklist
NEJM For Video and Article http//content.nejm.or
g/cgi/content/short/358/26/e30
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Small and Large Conference Spaces

• Alternative site for
• Skills Labs
• Post-session Debriefing
• Breakout sessions

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Faculty Training Credentialing

• Fundamentals in Laparoscopic Surgery
• Patient Disclosure/Communication Sessions
• Remediation
• ACLS/PALS/ATLS
• Acquisition of new skills

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Simulation courses July 08 thru April 09

• Students trained gt4350
• ACLS 993 (June thru April 2009)
• BLS 619 (since Jan 2009)
• Student hours 39,950

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User of PMCSC (excluding ACLS and BLS)
Number by Total by Group
Number by Total by Residency Program
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Sim Center April 2009 by Room
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Sim Center Utilization FY09
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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

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Contact information

• Gretchen.Matika_at_uphs.upenn.edu
• 215-893-7707