Juli Maxworthy

 A comprehensive CR program was delivered by a Multidisciplinary team using home exercise equipment.  Home-based CR programs at VA medical centers have the potential of optimizing CR enrollment and adherence. Methods Office of Rural Health funding received in May 2013 to start a homebased CR program . The Healthy Heart Program is a physician directed, nurse-managed, comprehensive CR program consisting of:  Post – PCI and CT surgery automatic referrals  Hospital nurse coordinator/liaison  Phase I CVD risk factor evaluation/education done at the bedside  12 week phase II delivered over the phone  Phase III monthly f/u calls x 9 months

Background The coronavirus pandemic continues to shake the embedded structures of traditional in-person education across all learning levels and across the globe. In healthcare simulation, the pandemic tested the innovative and technological capabilities of simulation programs, educators, operations staff, and administration. This study aimed to answer the question: What is the state of distance simulation practice in 2021? Methods This was an IRB-approved, 34-item open survey for any profession involved in healthcare simulation disseminated widely and internationally in seven languages from January 14, 2021, to March 3, 2021. Development followed a multistep process of expert design, testing, piloting, translation, and recruitment. The survey asked questions to understand: Who was using distance simulation? What driving factors motivated programs to initiate distance sim? For what purposes was distance sim being used? What specific types or modalities of distance simulation were oc...

A wide range of topics -- essential to the development and management of successful and cost-effective simulation programs – include: Simulation Standards – best practices and program development; Types of Simulation Programs – infrastructure, framework; Simulators – types, selection and usage; Funding – fundraising, income sources; Management – asset management, policies and procedures; Environmental Design – building a simulation center; technical infrastructure; and Educational Development; Faculty Development; Research, and more, including: • Well-referenced, reader-friendly content is continually available, practical and timely • Standards and recommendations based on actual programs around the world that have proven to be sustainable, cost-effective and successful • Editors and many authors central to SSH’s role in learning and defining best practices for simulation and simulation program management • Interprofessional group of editors and authors offering diverse perspectives...

ABSTRACT Simulation applications within the “systems integration” construct are focused directly on patient outcomes. Simulation modalities can be used to improve the performance of health-care’s “complex adaptive system” toward Institute of Medicine-described (patient-centric) goals of safety, effectiveness, timeliness, efficiency, and equity. To achieve systems integration, accreditation programs must demonstrate “consistent, planned, collaborative, integrated, and iterative application of simulation-based assessment and teaching activities with systems engineering and risk-management principles to achieve excellent bedside clinical care, enhanced patient safety, and improved metrics across the health-care system.” In this way, deficiencies in health-care delivery can be addressed via the systems and process engineering “tool” of simulation. Examples include simulating discrete adverse events and typical patient journeys to determine latent errors or inefficiencies and development of programmatic educational interventions based on organizationally identified risks or quality indicators. Utilizing system engineering principles, simulation modalities can be used to test and improve health-care systems and more profoundly affect patient outcomes and health-care processes.

The health care quality and patient safety movement has evolved rapidly during the past 10 years largely as a result of the Institute of Medicine (IOM) report, “To Err is Human.” Patient safety teams are using a collaborative model to improve patient outcomes. Diffusion of improvement-oriented innovations is a major challenge facing health care. Utilizing a tool to measure innovativeness, a 39-hospital patient safety collaborative was evaluated for their “Innovativeness Quotient.” Findings showed that 75.5% of the members of the collaborative who completed the survey were innovators/early adopters compared to 16% as described for the general population. The application and implications of this project are described.