1. 2009 M&S LEADERSHIP SUMMIT Modeling and Simulation - Northeast: Focusing on Medical Simulation Steve Dawson, MD Massachusetts General Hospital Boston, Chairman, AIMS Advanced Initiative in Medical Simulation sdawson@partners.org

2. 2009 M&S LEADERSHIP SUMMIT Medical M&S - Northeast Very early site of Medical M&S activities Local environment: –Harvard Medical –Boston University Medical –Tufts Medical Schools –MIT –World renowned medical centers Regional Drivers - Support Structures

3. 2009 M&S LEADERSHIP SUMMIT Medical M&S - Northeast High need for training High patient volumes Technologically advanced medical care –Innovated –Advanced (Savvy, litigious population) Local Factors

4. 2009 M&S LEADERSHIP SUMMIT Medical M&S - Northeast Early centralized, cooperative efforts successful Spin off centers at AMCs –Redundant training goals –Turf issues feed excess spending “Train the trainers” efforts highly successful at single site –becomes national resource R&D efforts at one site expand umbrella of medical M&S nationally Successes to date 1994-2009

5. 2009 M&S LEADERSHIP SUMMIT Medical M&S - Northeast Among all simulation-trained specialists at the dominant healthcare system –Major obstetric complications down >25% –Anesthesia errors down >17% –Malpractice insurance rates down Major Challenge: How to transfer this success to national stage? Proof of effectiveness 1996-2008

6. 2009 M&S LEADERSHIP SUMMIT Medical M&S - Northeast Proven national leaders as a resource Encourage “smart” development into areas outside existing uses –Proven patient safety, verified by actuarial analysis Establish Centers of Excellence Spread these tools beyond major centers Federal benefits/interests

7. 2009 M&S LEADERSHIP SUMMIT Medical M&S - Northeast There are > 32 million operations / yr in U.S. There are > 70,000 surgeons in the U.S. Insurers give premium offsets for simulation There are national mandates for simulation training Who wants to step up to meet this underserved mandated market? Industrial Challenge

8. 2009 M&S LEADERSHIP SUMMIT Medical M&S NATIONAL Congressional M&S Caucus support H.R. 4321 - 110th Congress Rep Forbes, Rep Kennedy March 17-18, 2009 Washington, DC www.medsim.org sdawson@partners.org