Robert Monte, RPh, MBA, VAPHS VERC Director Ian Joos, MHA, VAPHS VERC, Program Specialist Veterans Engineering Resource Center (VERC) VA Pittsburgh Healthcare System

Major Projects VAPHS VERC Optimal Management of ICU Scheduling Multiple Operating Rooms Under Uncertainty Analysis of Predictors and Development of Scheduling Models to reduce Missed Opportunities Develop Best Practices for Reprocessing of Reusable Medical Equipment Combine to show new word VA-SAFE

Organizational Overview VAPHS VERC In House Staff Robert Monte, Director 2 Industrial Engineers 1 Data Analyst (vacant) 1 Program Specialist 1 Program/Statistical Support (vacant) 3 OAA Fellows (1 vacant) Contracted Staff (University of Pittsburgh) 9 PhD faculty (IE and Statistics) 3 IE Post-Doctoral Fellows 2 Clinical Informatics MDs 2 IE Graduate Researchers 3 IE Undergraduate Students Combine to show new word VA-SAFE

Organizational Overview VAPHS VERC/Office of Systems Redesign Combine to show new word VA-SAFE

ICU Optimization VAPHS VERC Milestones Develop calibrated simulation model of ICU Identify sources of historical congestion Optimize bed utilization of ICU Explore the effect of patient flow changes Andrew Schaefer, PhD Principal Investigator

OR Scheduling VAPHS VERC Milestones Verify, validate and refine OR scheduling model Create surgical duration predictor Test different scenarios and study their effect on performance measures Evaluate alternative scheduling/service strategies Jayant Rajgopal, PhD Principal Investigator

Missed Opportunities VAPHS VERC Milestones Identify Best Practices from National MO Survey Conduct Voice of Customer Survey Data Mining for latent predictors of MO Six Sigma analysis of MO Lead National MO Initiative Jerry May, PhD Principal Investigator

VERC-RME AIMS Design and Optimize SOPs. (NEHCEP & VISN 11) VERC Workgroups: Design and Optimize SOPs. (NEHCEP & VISN 11) Operationalize the standardized & digitized SOPs. (MWM, VISN 11 & VAPHS) Life Cycling (VISN 11) Asset Location & Management / Preventative Maintenance Scheduling (VISN 11 & VAPHS) Develop Staffing Models to optimize efficiency and quality of work (MWM & VISN 11) Redevelop RME layouts to reduce error related to human factors [Error Proofing] (Workflow/Handoffs) (VAPHS)

VERC-RME Mission Improve the quality, reliability and safety of all critical RME Study, analyze and improve workflow within and outside of SPD for all RME Reduce variability of RME reprocessing to minimize “defects” Coordinate efforts between VERCs to ensure optimal use of knowledge, talent, and financial assets

Office of Systems Redesign VAPHS Past Projects 22 completed Current Local Projects 6 VAPHS SR Projects 5 DUSHOM National Improvement Initiatives 3 Six Sigma Projects Current VISN Projects VISN 4 Lung Cancer Care Collaborative VISN 4 Telephone Access Collaborative Current National Projects Transitioning Levels of Care Collaborative Cancer Care Collaborative Proposed VERC/SR Projects Medical Home Initiative National Missed Opportunity Initiative Systems Redesign Education Experiential Learning MHA Students Graduate School of Public Health