1. Simulation Business Models
Haru Okuda, MD, FACEP
National Medical Director, SimLEARN
Veterans Health Administration

2. Disclosures
No financial interest or relationships to disclose.

3. SimLEARN Background Mission & Vision Who We Serve
Governance & Organizational Chart
SimLEARN Program Overview
Challenges
Outcomes

4. SimLEARN Background
In July, 2009, the VA Under Secretary for Health approved the establishment of the Simulation Learning Education and Research Network (SimLEARN).
SimLEARN is a national simulation training, education and research program which will develop the strategic vision and system-wide plan for simulation process modeling, training, education and research for VHA.
National program includes the establishment of a National Center

5. MISSION & VISION MISSION VISION
To promote excellence in health care provided to America's Veterans through the use of simulation technologies for process modeling, training, education, and research and to establish VHA as the world leader in the application of simulation based strategies.
VISION
To improve the quality of health care services for America’s Veterans through the application of simulation based learning strategies to workforce development.

6. Who We Serve Who we are Care we provide Veterans we serve
262,000 staff
1400+ care sites in 21 Regions
Care we provide
Hospital, outpatient clinic, nursing home, counseling center
Veterans we serve
2.8 million enrolled, 11% women

7. Who We Serve
122/153 VAMC’s and 2 Outpatient Clinics have affiliation agreements with 109/131 allopathic and 16/25 osteopathic medical schools
Over 40 other health professions are represented by affiliation agreements with more than 1,200 colleges and universities, in over 5,000 individual programs
Over 110,000 trainees rotate through VA annually 7

8. Who We Serve Medicine Dentistry Associated Health 160 advanced fellows
Over 20,000 medical students
Dentistry
614 dental residents
666 dental students
Associated Health
33,000+ nursing students
23,000+ other associated health
160 advanced fellows 8

9. Veterans Health Administration

10. SimLEARN National Program
Develop National Polices, Procedures and Standards
IRB, Use of Expired Medications, Video Policy, etc.
Develop National VHA Curricula & Programs
OOORAM
REdI (Resuscitation Education Initiative)
New Hospital Activation
Training
Train the Trainer
Simulation Training
Invasive and High Risk Procedural Training

11. SimLEARN National Program
Field Coordination (VISN and Medical Centers)
VISN Simulation Champions
Simulation Field Advisory Committees
External and Internal Collaboration
Simulation Equipment Evaluation, Procurement, and Distribution
Interagency Agreement with U.S. Army PEO-STRI for Acquisition

12. SimLEARN National Program
Communication
VHA Simulation Leadership Conference
Annual VA Simulation Conference at the International Meeting on Simulation in Healthcare (IMSH)
SimLEARN Website
SimLEARN Quarterly Newsletter
Monthly Community of Practice Call
Intranet Site
Baseline Study of “As Is” state

13. Curricular Development
Identification of Need
Simulation Field Advisory Committee
National Office (NCPS, OMLA, etc.)
Quality or Safety Priority
Assess Existing Policies and Directives
Develop Goals and Objectives
Gap Analysis
Assess Literature & Existing Simulation Curricula
Collaborative approach (Internal, External)
Apply SimLEARN Healthcare Simulation Lifecycle Model

14. Challenges Communication Capacity Geography Data Measures (Value)
Field (Medical Centers & VISN)
Central Office
Buy in
Capacity
Local Simulation Infrastructure
Balancing Resources with Value
Learner Volume and Stakeholders
Geography
Data Measures (Value)

15. OUTCOMES

16. Outcomes Veteran Learner Organizational
Veteran centered safe, quality care
Improved clinical outcomes
Reduced mortality and morbidity
Improved quality of life
Learner
Improve or acquire new skills
Teamwork and communication
Organizational
VA as a leader in healthcare simulation
Improved national clinical outcomes (data)