1. Successful Development of a Simulation Center Charles N. Pozner, MD Medical Director, Neil and Elise Wallace STRATUS Center for Medical Simulation Brigham and Women’s Hospital Associate Professor of Medicine (Emergency Medicine) Harvard Medical School Boston, MA (USA) Moscow, Russian Federation September 27, 2012

2. Outline Managing the idea Working in parallel Program/Curriculum development Minimizing the barriers to success

3. Managing the Idea Getting support ($) Getting assistance Looking at how others are doing it Needs assessment

4. Obtain Local Support People that will help –Should understand the politics –Should be smart and connected Political allies Finances and other barriers (space)

5. Obtain Outside Help Experienced Successful Somebody you can work with Can collaborate and has flexibility

6. Needs Assessment Critical if you’re going to be successful Components –Market –Potential obstacles People Politics Space Etc. Develop a vision, then a plan

7. Go Out and Look Conferences Society list serves Successful centers Telephone conversations Publications NOT VENDORS!!!!!!!!!!! Steal!

8. The Work Begins Two parallel tracks based on results of needs assessment as well as what you are certain will succeed 1.Hire necessary staff Not a doctor or nurse Must be hard-working, have some medical background, and must be passionate Only what you need to start up 2.Build out/equipment Plans (building, AV, etc.) Make it scalable Equipment – Don’t let your eyes be bigger then your brain – Only what you need to start up, AND BE SUCCESSFUL

9. Program Development Choose and develop first curriculum based on likelihood of success –Recognized institutional need –Eager, competent faculty –Ease of implementation –Doesn’t cost a lot Go out and run the program –Practice, practice, practice –Get feedback to make improvements –Be self critical –Get excellent at it!

10. Build on Success! Add programs only after you repeatedly and successfully implement your first program(s) Use a similar strategy –Take into consideration likelihood of success –Be critical and take feedback seriously Your success will be your biggest marketing tool

11. Barriers Money Time Technology Fear

12. Organizational Structure Board of Overseers Chief Medical Officer Chief Operating Officer Chief Nursing Officer Medical Director, Physicians Organization SVP Quality and Safety VP, Surgical Services and Imaging VP Clinical Services Emergency Medicine Chairman of EM Chairman of Consumer Medical Director Associate Medical Director Director of Business Development and Strategic Planning Simulation Specialists Administrative Coordinator Assistant Medical Directors OB/GYN Anesthesiology Medicine Emergency Medicine Surgery Orthopedics Physician Assistants Newborn Medicine Simulation Fellow Director of Education Surgical Nurse Co-Operations Managers Time and Technology Fear of Change

13. Summary Get support and develop a plan Build staff and center in parallel Build on success Minimize the barriers

14. QUESTIONS?