1. 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

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

3. 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.

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

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

6. Standards of Best Practice: SimulationTM
Utilized by many organizations outside of nursing as standard of excellence
INACSL Standards available at

7. 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

8. National Council State Board of Nursing
FACULTY PREPARATION
PROGRAM PREPARATION

9. SSIH Accreditation Standards

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

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

12. 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?

13. 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:

14. 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

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

16. 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

17. 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

18. 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

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

20. 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

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

22. 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.

23. 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

24. 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

25. Questions .