Presented by Barbara McCamish CHSE Roadmap to Quality: Using the NCSBN Guidelines and SSIH Accreditation Standards to Improve your Simulation Program Presented by Barbara McCamish CHSE

Who Am I? Barbara.mccamish@dominican.edu 415-458-3764 Barbara McCamish RN, PT, CNL, CHSE Manager Clinical Simulation Center Dominican University of California Barbara.mccamish@dominican.edu 415-458-3764

Learning Objectives: . Upon successful completion of this presentation, attendees will be able to: Describe how to use the NCSBN Guidelines and SSIH Accreditation Standards as a tool to evaluate a programs current state. Summarize how to perform a gap analysis between a programs current state and the NCSBN Guidelines and the SSIH Accreditation Standards (as a future state). Create an action plan and timeline for closing the identified gaps.

Ensuring Simulation Quality After NCSBN Study The Future of Simulation Ensuring Simulation Quality

Roadmap to Quality SSIH Accreditation Future State NCSBN Guidelines INACSL Standards Current State GAPS GAPS GAPS

Standards of Best Practice: SimulationTM Utilized by many organizations outside of nursing as standard of excellence INACSL Standards available at http://www.inacsl.org/i4a/pages/index.cfm?pageid=3407

National Council State Board of Nursing To aid Schools of Nursing ability to establish evidence based simulation programs To aid Boards of Nursing ability to evaluate readiness of programs to use sim as a substitute for clinical NCSBN Guidelines

National Council State Board of Nursing FACULTY PREPARATION PROGRAM PREPARATION

SSIH Accreditation Standards

How to get from “here” to “there”: Gap Analysis SSIH Accreditation Future State NCSBN Guidelines INACSL Standards Current State GAPS GAPS GAPS

What is a gap analysis? . A technique that businesses use to determine how to move from its current state, to its desired future state.

Say again? Gap Current State: Where are you now? Future State: . Current State: Where are you now? Gap Future State: Where do you want to be?

Gap Analysis LEADERS Get buy in before beginning. Gap analysis forces a company to reflect on who it is and ask who they want to be in the future. Read more: http://www.businessdictionary.com/definition/gap-analysis.html

Future State Make sure everyone is in agreement with goals for future state: Hold a conversation with key leaders Be prepared for others who don’t understand your vision Make goals visible to all With Key STAKEHOLDERS

Start at the beginning, keeping end in mind SSIH Accreditation Future State NCSBN Guidelines INACSL Standards Current State GAPS GAPS GAPS

Gap Analysis: The process Step 1 Identify Current State Can be simple at first “We don’t meet the Guidelines…” Detail will be needed later to determine concrete steps for moving forward

Gap Analysis: The process Step 1 Identify Current State Step 2 Identify desired Future State Step 3 Identify Gaps Step 4 Create plan to bridge gap

Gap Analysis: The process Step 1 Identify Current State Step 2 Identify desired Future State Step 3 Identify Gaps Step 4 Create plan to bridge gap

Suggestion for identifying gaps Create spreadsheet with standards Color code based upon variance from standards

Gap Analysis: The process Step 1 Identify Current State Step 2 Identify desired Future State Step 3 Identify Gaps Step 4 Create plan to bridge gap

Prioritize gaps Determine what items are the most important at your site Consider time and resources Add as departmental goals? Annual performance goals?

Prioritize gaps Consider prioritizing items that apply to multiple standards first Example: Learning objectives available for students before sim Needed for Sim design Pre-lab Debriefing Evaluation of whether objectives were met.

Repeat until the cows come home Consider adding these to: Strategic Plans Departmental goals Performance evaluation goals Keep documenting progress toward these goals at school, department and personnel levels Keep Leadership informed

Lessons learned (learning) Start small Don’t underestimate how hard this is Get agreement on the future state Listen to leadership, but be a leader too

Questions .