1.  System Integration: Connecting Simulation Practice to Enterprise Outcomes

2. Introductions

3. Widely Accepted Value for Simulation  Teaching/Learning  Assessment/Competency  New skills/procedure Training  On-boarding

4. System Level Value of Simulation  Program outcome improvement  Patient Safety  Performance Improvement  Communication  Teamwork  Cost Reduction  Design

5. Society for Simulation in Healthcare Sim Center Accreditation  Systems Integration Criterion 1B  Simulation activities are clearly driven by the strategic needs of the involved clinical facility  Systems Integration Criterion 1C  The Program has a demonstrated history of participation in organizational process improvement  Systems Integration Standard 2  The Program has an established and committed role in Institutional Quality Assessment and Safety processes

6. Why is it important?  Measurement of outcomes  Importance to system  Value added

7. ACADEMIA  Commission on Collegiate Nursing Education (CCNE) Standards  Threaded curriculum concepts  Analysis of clinical site deficits/resolution of issues  ATI/NCLEX pass rates

8. Oxygenation  First semester  Respiratory assessment, including oxygen saturation  Second semester  Respiratory assessment + oxygen titration + use of oxygen devices  Third semester  Respiratory assessment + oxygen titration + emergency airway management  Fourth semester  Respiratory assessment + age related differences + community application  Fifth semester  Multiple patient management

9. Clinical Site Issues  Not enough clinical experiences  Standardization of clinical experiences

10. HOSPITAL/CLINICAL PRACTICE  Root Cause Analysis  Failure Mode Effects Analysis  Human Factor Analysis  Clinical Improvement

11. Can simulation be utilized for cost reduction activities?  HCAHPS  Readmission Reduction Program  30-day readmission rates  Hospital Acquired Condition Reduction  CLABSI – central line infection rates  CAUTI – indwelling catheter infection rates  Falls  Decubitus  Long Term Care Quality Reporting Program

12. HCAPS  Communication Standards  Deliberate practice  FMEA for a specific question

13. 30-day Readmission Rates  Local partnership with SNF programs that have a high readmission rate to the hospitals  Combined simulation/didactic education program with licensed and unlicensed staff  Data collection from different perspectives about patient care  Agreement on shared goals and outcome measurements

14. Turnkey Solutions