Robert Monte, RPh, MBA, VAPHS VERC DirectorRobert Monte, RPh, MBA, VAPHS VERC DirectorIan Joos, MHA, VAPHS VERC, Program SpecialistIan Joos, MHA, VAPHS VERC, Program SpecialistVeterans Engineering Resource Center (VERC)Veterans Engineering Resource Center (VERC)VA Pittsburgh Healthcare SystemVA Pittsburgh Healthcare System

Optimal Management of ICUScheduling Multiple Operating

Rooms Under UncertaintyAnalysis of Predictors and

Development of Scheduling Models to reduce Missed Opportunities

Develop Best Practices for Reprocessing of Reusable Medical Equipment

Major ProjectsMajor ProjectsVAPHS VERCVAPHS 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

Organizational OverviewOrganizational OverviewVAPHS VERCVAPHS VERC

Organizational OverviewOrganizational OverviewVAPHS VERC/Office of Systems RedesignVAPHS VERC/Office of Systems Redesign

Program Specialist

Program Specialist

Director of Systems Redesign and VERC

Statistical Assistant

VERCSystems Redesign

Industrial Engineer (IE)

Industrial Engineer (IE)

Data Analyst

IE Fellow1.0 FTEE

OAA Funded

IE Fellow1.0 FTEE

OAA Funded

Management Analyst

Program Support Assistant

SCEP Resident

VERC Resident 0.5 FTEE

OAA Funded

VERC Resident 0.5 FTEE

OAA Funded

Requesting New Position

Vacant Position

Filled Postion

VA Pittsburgh Healthcare SystemVeterans Engineering Resource Center

Functional Organization Chart5/26/2010

Pitt Contract Staff 9 PhD faculty (IE and Statistics) 3 IE Post-Doctoral Fellows 2 Clinical Informatics MDs 2 IE Graduate Researchers 3 IE Undergraduate Students

Milestones Develop calibrated simulation model of ICU Identify sources of historical congestion Optimize bed utilization of ICU Explore the effect of patient flow changes

ICU OptimizationICU OptimizationVAPHS VERCVAPHS VERC

Andrew Schaefer, PhDPrincipal Investigator

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

OR SchedulingOR SchedulingVAPHS VERCVAPHS VERC

Jayant Rajgopal, PhDPrincipal Investigator

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

Missed OpportunitiesMissed OpportunitiesVAPHS VERCVAPHS VERC

Jerry May, PhDPrincipal Investigator

VERC-RMEVERC-RMEAIMSAIMS

VERC Workgroups:

1. Design and Optimize SOPs. (NEHCEP & VISN 11)

2. Operationalize the standardized & digitized SOPs. (MWM, VISN 11 & VAPHS)

3. Life Cycling (VISN 11)

4. Asset Location & Management / Preventative Maintenance Scheduling (VISN 11 & VAPHS)

5. Develop Staffing Models to optimize efficiency and quality of work (MWM & VISN 11)

6. Redevelop RME layouts to reduce error related to human factors [Error Proofing] (Workflow/Handoffs) (VAPHS)

VERC-RMEVERC-RMEMissionMission

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 RedesignOffice of Systems RedesignVAPHSVAPHS

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