Penn Medicine Clinical Simulation Center
Gretchen Matika, MS
Baltimore SUN
May 20, 2009
Overview
Overview and Structure
Timeline for Sim Center
“Secrets of our Success”
Budget Basics
Overview of Center Layout & Programs
Utilization
Operational Considerations
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Simulation at PENN
 Health System Simulation Efforts – SOM, 3
hospitals and rehab facility, all disciplines
 Main geographic sites :
• PENN Medicine at Rittenhouse– centrally
located between 3 hospitals. Also houses rehab
facility.
– All simulations except cadavers and live animal
• Measey Simulation Center (SOM)
– ~800 sq feet - 2 Sim Rooms and a Skills lab
• Glenolden Research & Education Facility – Robotic Training Center & Animal Research Facility
• Brunner Center (SON)
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Penn Medicine Clinical Simulation Center
Jim Mullen, MD
Chair, Steering Committee
Steering Committee=
Bellini, Black, Brennan, Corrigan,
Driscoll, Jost, Kennedy, Kinslow,
Morrison, Resnick, Volpe
Steering Committee Exec=
Corrigan, Morrison, Mullen,
Resnick
Andrew Resnick, MD, MBA
Executive Director
Tech Advis Committee=
Operations Committee=
Kochman, Kofke, Nadkarni,
Patel, Williams, Kuchenbecker
Luba, Matika, Palmieri, Jones,
Lipschik
Research Committee
Operations Director=
Matika
Specialty Directors
Sim Tech=
Luba
Sim Educator=
Sim Admin Assist=
Palmieri
Dir. Life Support
Programs=
Lipschik
Jones
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Timeline (Concept to Current Day)
B-line/AV Install Complete- 5/09
Spring 2009
Move into Center- 7/08
Basic AV
Staff Identified and Hired- 4/08-6/08
Summer 2008
Construction Begins- April 2008
Spring 2008
Architectural Drawings Finalized/Priced
Meet/Select AV hardware/software vendors
FY08 Ops Budget (v.4) Approved
“Graduate Hosp” Space Identified/Approved
Architect Retained, Development & Industry Involved
FY08/09 Capital Funds Approved
Surgery Obtains Grant- Initial Simulators Purchase
Sub-Committees Meet
Vendor Quotes and Demos, Grant Submissions
ID Specialty Directors & Core Equipment Needs
Space & Capital Requested
Fall/ Winter 2008
Summer 2007
Spring 2007
Winter 2006
Sub-Committees Formed
Request “Needs Assessment”
Fall 2006
1st Steering Committee Mtg
Budget (v.1) & Narrative
Spring 2006
CONCEPT- WINTER 2006
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Secrets of Our Success
Strike a Nerve
• What are your
peers/competitors up to?
–Regionally
–Nationally
• Public Scrutiny
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Secrets of Our Success
Discover Broad Institutional
Needs
• Unmet Educational Need
• Regulatory accreditation
• Reducing Medical Liability
• Increasing Patient Safety
• 80 Hour Work Week
• Reducing Cost
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Secrets of Our Success
Identify Your Champions
• Internal
–Departments
–Physicians
–Administrators
• External
–Vendors
–Other organizations
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Secrets of Our Success
Form Partnerships
• Affiliated Medical & Nursing
School, other Graduate
Program and Hospitals
• External Groups
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Secrets of Our Success
Consider Alternative Funding
Options
• Grants – research, government,
industry, charitable
• Development/Alumni Offices
• Corporate Partnerships
• Course Tuition
• Rental Space
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Secrets of Our Success
Utilize the Existing Resources
• Personnel
• Equipment
–Medical and Simulation
• Programs
• Vacant Clinical/Other Space
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Secrets of Our Success
LUCK &
GOOD TIMING!
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Initial Capital and Operational Budget
CAPITAL
 ~3 million to:
• Construction
• Simulators
• AV hardware/software
OPERATIONS
 ~1.2 million annually
GRANTS/COMMERCIAL SUPPORT/GIFTS
 Total to date: $1.7M
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Penn Simulation Facility
 22,000 sq ft complex at Penn Medicine at Rittenhouse
 Includes:
• Administration/Reception
• Standardized Patient Exam Rooms
– (12) exam rooms
• Simulation Training Rooms (6)
– IR/OR
– ED/ICU
– LDR
– In-Patient
– Endovascular
– FLS Trainers
• Skills Lab
• Large Group Instruction and Debriefing Space
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ADMIN SUITE
SP EXAM ROOMS
Comp
Rm
ENTRANCE
FLS
EndoVasc
ICU/ED Task
CORE
LDR
Sm
Conf
Rm
Brk Out Rms
Large Conf Rm
OR
Trainer
InPatient
Rms
MultiSkills Lab
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ADMINISTRATIVE OFFICES
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Standardized Patient Area
•SOM H & P/Board Exams
•Patient Disclosure Pilot
•OB/GYN Resident Training
•Staff handoffs
•Staff/Faculty remediation
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Simulation Core and Control Center
•Team training with remote
manikin control and advanced
AV capabilities
•OB-GYN
•Surgical Critical Care
•ED
•NICU
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Simulation Core and Control Center
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Control Center
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MultiSkills Lab
•Skill Sim Certification
•Interns/new to practice
nurses/staff/SOM
•External courses
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Skill Certification
Skill
Chest Tube
ABG
Arterial Line
IV Insertion/Phleb
Foley Catheter
Thoracentesis
Central Line Neck
Central Line Femoral
Intubation
Paracentesis
Lumbar Puncture
Scope Handling
Gowning/Scrubing
Normal Vaginal Delivery
Emergency Childbirth
Instrumentation
Suturing/Knot Tying
Cricothyrotomy
NG Tube
MRX Defibrillator Use
Sign-offs/Handoffs
Video/Checklist
Developed
X
X
X
X
X
X
Competency Checklist:
X
X
X
X
X
X- video/ref
X- video/ref
X
X
NEJM For Video and Article:
http://content.nejm.org/cgi/content/short/358/26/e30
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Small and Large Conference Spaces
 Alternative site for
Skills Labs
 Post-session
Debriefing
 Breakout sessions
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Faculty Training & Credentialing
•Fundamentals in Laparoscopic Surgery
•Patient Disclosure/Communication Sessions
•Remediation
•ACLS/PALS/ATLS
•Acquisition of new skills
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Simulation courses July ’08 thru April ‘09
• Students trained: >4350
• ACLS = 993 (June thru April 2009)
• BLS = 619 (since Jan 2009)
• Student hours: ~39,950
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User of PMCSC (excluding ACLS and BLS)
Number by % Total by Group
Number by % Total
by Residency Program
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Sim Center April 2009 by Room
90%
FY09 Predicted Usage
80%
Actual Usage April
70%
60%
50%
40%
30%
20%
10%
0%
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Sim Center Utilization FY09
70%
60%
50%
40%
30%
20%
10%
0%
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Operational Considerations
Users charged for time
Self supporting via external revenue
Fully supported by entity
Combination
• Internal vs external rates
Simulator Purchases/Warrantees
Staff Time
Departmental Instructor Contributions
Disposables
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Contact information
Gretchen.Matika@uphs.upenn.edu
215-893-7707
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