2009 M&S LEADERSHIP SUMMIT

Modeling and Simulation - Northeast:

Focusing on Medical Simulation

Steve Dawson, MD

Massachusetts General Hospital

Boston,

Chairman, AIMS

Advanced Initiative in Medical Simulation

sdawson@partners.org

2009 M&S LEADERSHIP SUMMIT

Medical M&S - Northeast

• Very early site of Medical M&S activities

• Local environment: – Harvard Medical – Boston University Medical – Tufts Medical Schools – MIT – World renowned medical centers

Regional Drivers - Support Structures

2009 M&S LEADERSHIP SUMMIT

Medical M&S - Northeast

• High need for training

• High patient volumes

• Technologically advanced medical care– Innovated– Advanced

• (Savvy, litigious population)

Local Factors

2009 M&S LEADERSHIP SUMMIT

Medical M&S - Northeast

• Early centralized, cooperative efforts successful• Spin off centers at AMCs

– Redundant training goals– Turf issues feed excess spending

• “Train the trainers” efforts highly successful at single site– becomes national resource

• R&D efforts at one site expand umbrella of medical M&S nationally

Successes to date1994-2009

2009 M&S LEADERSHIP SUMMIT

Medical M&S - Northeast

• Among all simulation-trained specialists at the dominant healthcare system– Major obstetric complications down >25%– Anesthesia errors down >17%– Malpractice insurance rates down

Major Challenge:

How to transfer this success to national stage?

Proof of effectiveness

1996-2008

2009 M&S LEADERSHIP SUMMIT

Medical M&S - Northeast

• Proven national leaders as a resource• Encourage “smart” development into areas

outside existing uses– Proven patient safety, verified by actuarial analysis

• Establish Centers of Excellence• Spread these tools beyond major centers

Federal benefits/interests

2009 M&S LEADERSHIP SUMMIT

Medical M&S - Northeast

• There are > 32 million operations / yr in U.S.• There are > 70,000 surgeons in the U.S.• Insurers give premium offsets for simulation• There are national mandates for simulation

training

Who wants to step up to meet

this underserved mandated market?

Industrial Challenge

2009 M&S LEADERSHIP SUMMIT

Medical M&S NATIONAL

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are needed to see this picture.

Congressional M&S Caucus supportH.R. 4321 - 110th CongressRep Forbes, Rep Kennedy

March 17-18, 2009Washington, DCwww.medsim.org

sdawson@partners.org